An ultrasound working table as diagnostic tool of temporomandibular joint inflammation.

IF 1.3 Q3 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING

Journal of Ultrasound Pub Date : 2025-03-01 Epub Date: 2025-02-26 DOI:10.1007/s40477-025-00990-4

Serena Guiducci, Maria Angela Bagni, Sara Torracchi, Pamela Bernardini, Marco Maresca, Lorenzo Vanini, Diego Longo, Alessio Frisone, Daniela Melchiorre

{"title":"An ultrasound working table as diagnostic tool of temporomandibular joint inflammation.","authors":"Serena Guiducci, Maria Angela Bagni, Sara Torracchi, Pamela Bernardini, Marco Maresca, Lorenzo Vanini, Diego Longo, Alessio Frisone, Daniela Melchiorre","doi":"10.1007/s40477-025-00990-4","DOIUrl":null,"url":null,"abstract":"Purpose: To evaluate the use of ultrasound (US) in identifying the inflammatory or not inflammatory changes in different diseases that involve the temporomandibular joint (TMJ).Methods: 165 patients [50 Rheumatoid Arthritis (RA), 30 Psoriatic Arthritis (PsA), 15 Ankylosing Spondylitis (AS) and 70 Temporomandibular Disorders (TMD)] were studied by US with a linear probe 12-16 MHz (MyLABX8 eXP, ESAOTE S.p.A., Milan, Italy) placed along the axis of the mandibular branch. US results were compared with magnetic resonance imaging (MRI).Results: In TMJ, US identified joint effusion (JE), as well as disc displacement and modifications of the condylar profile. The specificity of US in comparison with MRI was 90.3% for JE, 75.2% for disc displacement, and 48.1% for condylar alterations. The sensitivity of US in comparison with MRI was 92.4% in the assessment of JE, 72% in the assessment of disc displacement, and 53% in the assessment of condylar alterations.Conclusions: US must be performed to define the inflammatory or not inflammatory changes of TMJ in different diseases adopting a specific working table. Moreover, the resulting disability may induce a significant loss of workdays for short and close periods with consequently high cost for the health care system.","PeriodicalId":51528,"journal":{"name":"Journal of Ultrasound","volume":" ","pages":"129-136"},"PeriodicalIF":1.3000,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11947394/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Ultrasound","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1007/s40477-025-00990-4","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/2/26 0:00:00","PubModel":"Epub","JCR":"Q3","JCRName":"RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING","Score":null,"Total":0}

引用次数: 0

Abstract

Purpose: To evaluate the use of ultrasound (US) in identifying the inflammatory or not inflammatory changes in different diseases that involve the temporomandibular joint (TMJ).

Methods: 165 patients [50 Rheumatoid Arthritis (RA), 30 Psoriatic Arthritis (PsA), 15 Ankylosing Spondylitis (AS) and 70 Temporomandibular Disorders (TMD)] were studied by US with a linear probe 12-16 MHz (MyLABX8 eXP, ESAOTE S.p.A., Milan, Italy) placed along the axis of the mandibular branch. US results were compared with magnetic resonance imaging (MRI).

Results: In TMJ, US identified joint effusion (JE), as well as disc displacement and modifications of the condylar profile. The specificity of US in comparison with MRI was 90.3% for JE, 75.2% for disc displacement, and 48.1% for condylar alterations. The sensitivity of US in comparison with MRI was 92.4% in the assessment of JE, 72% in the assessment of disc displacement, and 53% in the assessment of condylar alterations.

Conclusions: US must be performed to define the inflammatory or not inflammatory changes of TMJ in different diseases adopting a specific working table. Moreover, the resulting disability may induce a significant loss of workdays for short and close periods with consequently high cost for the health care system.

查看原文本刊更多论文

超声工作台作为颞下颌关节炎症的诊断工具。

目的：评价超声（US）在不同疾病累及颞下颌关节（TMJ）时炎性或非炎性改变的鉴别价值。方法：165例患者[类风湿关节炎（RA） 50例，银屑病关节炎（PsA） 30例，强直性脊柱炎（AS） 15例，颞下颌关节疾病（TMD） 70例]采用US对沿下颌分支轴线放置的12-16 MHz线性探针（MyLABX8 eXP, ESAOTE S.p.A, Milan, Italy）进行研究。将超声结果与磁共振成像（MRI）进行比较。结果：在TMJ中，US识别出关节积液（JE），以及椎间盘移位和髁突轮廓的改变。与MRI相比，超声对乙脑的特异性为90.3%，对椎间盘移位的特异性为75.2%，对髁突改变的特异性为48.1%。与MRI相比，超声对乙脑的敏感性为92.4%，对椎间盘移位的敏感性为72%，对髁突改变的敏感性为53%。结论：不同疾病的TMJ是否有炎性改变，必须采用特定的工作表进行超声检查。此外，由此导致的残疾可能会导致短期和关闭期间工作日的大量损失，从而导致医疗保健系统的高成本。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Journal of Ultrasound RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING-

CiteScore

4.10

自引率

15.00%

发文量

133

期刊介绍： The Journal of Ultrasound is the official journal of the Italian Society for Ultrasound in Medicine and Biology (SIUMB). The journal publishes original contributions (research and review articles, case reports, technical reports and letters to the editor) on significant advances in clinical diagnostic, interventional and therapeutic applications, clinical techniques, the physics, engineering and technology of ultrasound in medicine and biology, and in cross-sectional diagnostic imaging. The official language of Journal of Ultrasound is English.