Diagnostic value of ultrasonography for the detection of disc displacements in the temporomandibular joint: a systematic review and meta-analysis

Su, Naichuan; Wijk, Arjen J. van; Visscher, Corine M.; Lobbezoo, Frank; Heijden, Geert J. M. G. van der

doi:10.1007/s00784-018-2359-4

Cited by 20 publications

(21 citation statements)

References 38 publications

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“…[10][11][12][13][14] While not in general clinical use, there are studies reporting that ultrasound has acceptable diagnostic efficacy to detect disk displacement. 15,16 Although ultrasound assessment of TMJ disorders has been reviewed previously, [15][16][17] these studies only assessed disk displacement in patients without systemic diseases using MRI or arthrography as reference standard. Therefore, the purpose of this review is to systematically analyze the capability of ultrasound to detect TMJ alterations, specifically disk displacement (DD), joint effusion (JE) and condylar changes (CC) using 3D appropriate imaging modalities (MRI, CT and/or CBCT) as the reference standard.…”

Section: Introductionmentioning

confidence: 99%

Diagnostic ultrasound assessment of temporomandibular joints: a systematic review and meta-analysis

Almeida

Pachêco‐Pereira

Flores‐Mir

et al. 2019

Dentomaxillofacial Radiology

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The purpose of this systematic review was to determine the diagnostic capability of ultrasound to assess TMJ alterations as disc displacement (DD), joint effusion (JE) and condylar changes (CC) using 3D imaging modalities as reference standard. methods: Studies were gathered by searching several electronic databases and partial grey literature up to January eighth, 2018 without restrictions of language and time. The risk of bias was evaluated using the second version of Quality Assessment Tool for Diagnostic of Accuracy Studies-2 (QUADAS-2). The grading of Recommendation, Assessment, Development and Evaluation (GRADEpro system) instrument was applied to assess the level of evidence across the studies. Results: After applying the eligibility criteria, 28 studies were identified and synthesized. All studies were methodologically acceptable presenting low applicability concerns, although none of them fulfilled all QUADAS-2 criteria. The quantitative analysis included 22 studies, 2829 joints in total. The quality of the evidence evaluated by GRADE system suggested moderate confidence in estimating the outcomes. conclusion: This systematic review demonstrated the ultrasound has acceptable capability to screen for DD and JE in TMD patients. For screening of condylar changes, ultrasound needs further studies using CT or CBCT as reference standard to support its use. More advanced imaging such as MRI can thereafter be used to confirm the diagnosis if deemed necessary.

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Section: Introductionmentioning

confidence: 99%

Diagnostic ultrasound assessment of temporomandibular joints: a systematic review and meta-analysis

Almeida

Pachêco‐Pereira

Flores‐Mir

et al. 2019

Dentomaxillofacial Radiology

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“…A recently published systemic review and meta-analysis 44 recommend ultrasound imaging be used for the assessment of suspected disc displacement in selected cases to supplement clinical examination and that combined static and dynamic examinations using high-resolution ultrasound may be utilized for gaining this information. However, in the presence of clinical signs or symptoms, ultrasound imaging is only advised after sufficient training and calibration of operating and interpretation.…”

Section: Effectiveness Of High Resolution Ultrasound For Tmj Assessmentmentioning

confidence: 99%

“…For routine clinical practice, a standardized protocol for the diagnostic use of ultrasound in conjunction with certain reference standards for different disease processes may help effective use of ultrasound in TMJ patients. 44 Up until now, medical radiologists acted as observers in most of the previous studies comparing diagnostic effectiveness of TMJ pathology with ultrasound and MRI. In our notion, considering the fact that as dentomaxillofacial radiologists are dentists and have detailed information regarding TMJ anatomy, pathology, and occlusion, TMJ reporting and assessment with ultrasound and MRI should be conducted by them.…”

Section: Effectiveness Of High Resolution Ultrasound For Tmj Assessmentmentioning

confidence: 99%

Comparison of the effectiveness of high resolution ultrasound with MRI in patients with temporomandibular joint dısorders

Yılmaz

Kamburoğlu

2019

Dentomaxillofacial Radiology

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Objectives: To assess the effectiveness of a high resolution ultrasound for temporomandibular joint (TMJ) evaluation in comparison to MRI in patients with TMJ disorders. Methods: Our study comprised 50 patients (35 female and 15 male) with a mean age of 30.61. Clinical examination was performed. Bilateral imaging of TMJ was conducted by using a high-resolution ultrasound and 1.5 Tesla MR. Diagnostic accuracy of ultrasound was assessed for disc displacement and joint effusion in comparison to MRI. Sensitivity (Se), specificity (Sp), positive predictive value (PPV), negative predictive value (NPV), and accuracy (Ac) were calculated for ultrasound. Measurements were compared by Bland & Altman and intraclass correlation coefficient (ICC). Significance level was set at p < 0.05. Results: Most frequent complaints were noise 42 (84%) and 34 (68%) pain. For disc position assessment with ultrasound for both sides and closed-open mouth, sensitivity, specificity, PPV, NPV and accuracy ranged between, 0.88 – 1, 0.60 – 0.87, 0.70 – 0.97, 0.75 – 1, and 0.84 – 0.98, respectively. For the diagnosis of effusion with ultrasound for both sides, sensitivity, specificity, PPV, NPV and accuracy ranged between 0.65 – 0.81, 0.91 – 1, 0.96 – 1, 0.45 – 0.46 and 0.72 – 0.84, respectively. ICC values calculated for intraobserver agreement for right and left TMJ for all measurements were found to be statistically significant (p < 0.001). ICC values ranged between 0.964 and 0.995 suggesting excellent correlation among ultrasound and MRI. In general, for ultrasound measurements we found a mean difference ranging between −0.182 and +0.130 mm in comparison to MRI. Conclusion: Ultrasound can be suggested as an adjunct to common imaging modalities in the assessment of TMJ.

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“…Its validity and specificity is considered as good to excellent. Dynamic examination performance is its biggest advantage [46].…”

Section: Imaging Techniquesmentioning

confidence: 99%

Critical analysis of diagnostic tools for the temporomandibular joint

Marciniak¹

2018

areh

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The prevalence of temporomandibular disorder (TMD) in the general population is difficult to identify. Depending on the source, values range from 3% to 48.9%. These large discrepancies occur because of two main reasons. The first one is connected with the evolution of the definition and diagnostic criteria of TMD, while the second one concerns the use of different diagnostic tools, protocols, etc. Temporomandibular joint (TMJ) diagnosis is both quantitative and qualitative. Quantitative measurements used in the field of scientific research are highly accurate motion capture systems used for kinematic analysis, while an electronic caliper is applied in a clinical setting. MRI seems optimal in TMJ disc and its dysfunction imaging. In more difficult cases, ultrasound imaging can be used. On the other hand, CT is the best examination for joint imaging. In recent years, qualitative measurements have been dominated by vibroarthrography (VAG), which shows good diagnostic value. Research Diagnostic Criteria for Temporomandibular Joint Disorders (RDC/TMD) is the most complex systematized diagnostic tool for TMD. The proposed procedure allows us to differentiate a real TMJ dysfunction from other systemic problems that can manifest themselves in this region of TMJ, such as depression, chronic pain or psychosomatic disorders. RDC/TMD are constantly evaluated and modified in terms of their diagnostic or clinical value by experts associated in the International RDC-TMD Consortium. Currently it is the best tool available for TMD diagnostics. The RDC/TMD questionnaire was translated into Polish, culturally adapted and officially approved by the Consortium. The aim of the study is to review selected TMD diagnostic tools and to assess their diagnostic value.

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Diagnostic value of ultrasonography for the detection of disc displacements in the temporomandibular joint: a systematic review and meta-analysis

Cited by 20 publications

References 38 publications

Diagnostic ultrasound assessment of temporomandibular joints: a systematic review and meta-analysis

Diagnostic ultrasound assessment of temporomandibular joints: a systematic review and meta-analysis

Comparison of the effectiveness of high resolution ultrasound with MRI in patients with temporomandibular joint dısorders

Critical analysis of diagnostic tools for the temporomandibular joint

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