Visualization of the articular disk of the temporomandibular joint in near-real-time MRI: feasibility study

While static MRI of the TMJ is the method of choice to evaluate the articular disk (AD), dynamic MRI so far has failed to display the AD. The capability of a modified True-FISP sequence to visualize the AD in dynamic near-real-time imaging (NRTI) was evaluated. Twelve healthy subjects and 17 patient...

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Veröffentlicht in:European radiology 2004-10, Vol.14 (10), p.1889-1894
Hauptverfasser: Abolmaali, Nasreddin D, Schmitt, Jan, Schwarz, Wolfram, Toll, Douglas E, Hinterwimmer, Stefan, Vogl, Thomas J
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container_end_page 1894
container_issue 10
container_start_page 1889
container_title European radiology
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creator Abolmaali, Nasreddin D
Schmitt, Jan
Schwarz, Wolfram
Toll, Douglas E
Hinterwimmer, Stefan
Vogl, Thomas J
description While static MRI of the TMJ is the method of choice to evaluate the articular disk (AD), dynamic MRI so far has failed to display the AD. The capability of a modified True-FISP sequence to visualize the AD in dynamic near-real-time imaging (NRTI) was evaluated. Twelve healthy subjects and 17 patients were investigated. Besides static routine imaging, sagittal NRTI of both TMJs was performed with a True-FISP sequence at 1.5 T with TE/TR=1.84/3.68 ms. Two temporal resolutions (250/500 ms) were tested. The quality of the visualization of the AD was rated on a four-point scale (1= very good to 4= poor visualization) by two observers in consensus. ADs of the volunteers were visualized with high quality in all stages of movement (score: 1.69). In patients with internal derangement, disk-motion was clearly depicted, including fast reposition movements. Due to degenerative changes of the AD, the quality of the depiction in patients was slightly lower (score: 2.4). According to the preliminary results of this feasibility study, the suggested NRTI True-FISP sequence is capable of visualizing the entire motion of the AD of the TMJ in normal and pathologic stages with high quality. Further studies are needed to prove the clinical usefulness of this new technique.
doi_str_mv 10.1007/s00330-004-2418-x
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subjects Computer Systems
Feasibility Studies
Humans
Image Enhancement - methods
Image Processing, Computer-Assisted - methods
Joint Dislocations - pathology
Joint Dislocations - physiopathology
Magnetic Resonance Imaging, Cine - methods
Mandibular Condyle - pathology
Range of Motion, Articular - physiology
Synovial Fluid
Temporomandibular Joint Disc - pathology
Temporomandibular Joint Disc - physiopathology
Temporomandibular Joint Disorders - pathology
Temporomandibular Joint Disorders - physiopathology
Visualization
title Visualization of the articular disk of the temporomandibular joint in near-real-time MRI: feasibility study
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