Open-Mouth Bone Scintigraphy Is Better than Closed-Mouth Bone Scintigraphy in the Diagnosis of Temporomandibular Osteoarthritis

Park, Ki Seong; Song, Ho-Chun; Cho, Sang-Geon; Kang, Sae-Ryung; Kim, Jahae; Jun, Haeng Man; Song, Minchul; Jeong, Geum-Cheol; Park, Hee Jeong; Kwon, Seong Young; Min, Jung-Joon; Bom, Henry Hee-Seung

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저자정보: Park, Ki Seong (Department of Nuclear Medicine, Chonnam National University Hospital) Song, Ho-Chun (Department of Nuclear Medicine, Chonnam National University Hospital) Cho, Sang-Geon (Department of Nuclear Medicine, Chonnam National University Hospital) Kang, Sae-Ryung (Department of Nuclear Medicine, Chonnam National University Hospital) Kim, Jahae (Department of Nuclear Medicine, Chonnam National University Hospital) Jun, Haeng Man (Department of Nuclear Medicine, Chonnam National University Hospital) Song, Minchul (Department of Nuclear Medicine, Chonnam National University Hwasun Hospital) Jeong, Geum-Cheol (Department of Nuclear Medicine, Chonnam National University Hwasun Hospital) Park, Hee Jeong (Department of Nuclear Medicine, Chonnam National University Hwasun Hospital) Kwon, Seong Young (Department of Nuclear Medicine, Chonnam National University Hwasun Hospital) Min, Jung-Joon (Department of Nuclear Medicine, Chonnam National University Hwasun Hospital) Bom, Henry Hee-Seung (Department of Nuclear Medicine, Chonnam National University Hwasun Hospital)

저널정보: 대한핵의학회 Nuclear medicine and molecular imaging : NMMI Nuclear medicine and molecular imaging : NMMI 제50권 제3호

발행연도: 2016.1

수록면: 213 - 218 (6page)

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Purpose Closed-mouth bone scintigraphy (CM scan) and closed-mouth single-photon emission computed tomography (CM SPECT) are used for conventional evaluation of osteoarthritis of the temporomandibular joint (TMJ). However, the adequacy of open-mouth bone scintigraphy (OM scan) has not yet been evaluated. Therefore, the purpose of this study was to compare the diagnostic performance of CM scan, CM SPECT, and OM scan. Methods Thirty-six patients with suspicion of an abnormality of the TMJ and who underwent a $^{99m}Tc-HDP$ CM scan, CM SPECT, and an OM scan were enrolled. The scans were assessed visually for the presence of positive focal uptake in the TMJ. Osteoarthritis was defined as arthralgia plus crepitus or radiologic signs of arthrosis. Results Of 72 TMJs, 21 (29.2 %) were diagnosed with osteoarthritis. The sensitivity, specificity, positive predictive value, negative predictive value and accuracy were 90.5 %, 49.0 %, 42.2 %, 92.6 % and 61.1 % for the CM scan, 81.0 %, 58.8 %, 44.7 %, 88.2 % and 65.3 % for CM SPECT, and 81.0 %, 82.4 %, 65.4 %, 91.3 % and 81.9 % for the OM scan, respectively. The accuracy of the OM scan was higher than that of CM SPECT and the CM scans (p = 0.004 and p < 0.001, respectively). Conclusions The OM scan was more accurate than the conventional CM scan and even CM SPECT for diagnosing TMJ osteoarthritis.

#Open mouth #Temporomandibular joint #Osteoarthritis #Bone scintigraphy #Bone scan

참고문헌 (21)

참고문헌 신청

Rando C / 2012 / TMJ osteoarthritis : a new approach to diagnosis / Am J Phys Anthropol 148:45~53

Krisjane Z / 2012 / The prevalence of TMJ osteoarthritis in asymptomatic patients with dentofacial deformities : a cone-beam CT study / Int J Oral Maxillofac Surg 41:690~695

Zarb GA / 1999 / Temporomandibular disorders : osteoarthritis / J Orofac Pain 13:295~306

Kim JH / 2012 / Effectiveness of bone scans in the diagnosis of osteoarthritis of the temporomandibular joint / Dentomaxillofac Radiol 41:224~229

Boeddinghaus R / 2013 / Computed tomography of the temporomandibular joint / J Med Imaging Radiat Oncol 57:448~454

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Park, Ki Seong

소속기관 Department of Nuclear Medicine, Chonnam National University Hospital

주요연구분야 의약학 > 임상의학 > 방사선과학

논문수 3 이용수 2

Song, Ho-Chun

소속기관 Department of Nuclear Medicine, Chonnam National University Hospital

주요연구분야 의약학 > 임상의학 > 방사선과학

논문수 4 이용수 3

Cho, Sang-Geon

소속기관 Department of Nuclear Medicine, Chonnam National University Hospital

주요연구분야 의약학 > 임상의학 > 방사선과학

논문수 5 이용수 2

Kang, Sae-Ryung

소속기관 Department of Nuclear Medicine, Chonnam National University Hospital

주요연구분야 의약학 > 임상의학 > 방사선과학

논문수 5 이용수 2

Kim, Jahae

소속기관 Department of Nuclear Medicine, Chonnam National University Hospital

주요연구분야 의약학 > 임상의학 > 방사선과학

논문수 6 이용수 3

Jun, Haeng Man

소속기관 Department of Nuclear Medicine, Chonnam National University Hospital

주요연구분야 의약학 > 임상의학 > 방사선과학

논문수 2 이용수 0

Song, Minchul