The role of SPECT/CT with 99mTc-MDP image fusion to diagnose temporomandibular dysfunction

Coutinho, Alessandra; Fenyo-Pereira, Marlene; Dib, Luciano Lauria; Lima, Eduardo Nóbrega Pereira

doi:10.1016/j.tripleo.2005.03.018

Cited by 26 publications

(19 citation statements)

References 13 publications

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“…The correlation of signs and symptoms with scintigraphy showed sensitivity 100%, specificity 90.91%, and accuracy 96.97% [100]. Bone scintigraphy had a positive effect on the osseous reaction and TMJ pain [101].…”

Section: Osteoarthritis and Degenerative Joint Diseases-related Jointmentioning

confidence: 96%

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The usefulness of diagnostic imaging for the assessment of pain symptoms in temporomandibular disorders

Suenaga

Nagayama

Nagasawa

et al. 2016

Japanese Dental Science Review

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SummaryThe causes of pain symptoms in the temporomandibular joint (TMJ) and masticatory muscle (MM) regions may not be determined by clinical examination alone. In this review, we document that pain symptoms of the TMJ and MM regions in patients with temporomandibular disorders (TMDs) are associated with computed tomography and magnetic resonance (MR) findings of internal derangement, joint effusion, osteoarthritis, and bone marrow edema. However, it is emphasized that these imaging findings must not be regarded as the unique and dominant factors in defining TMJ pain. High signal intensity and prominent enhancement of the posterior disk attachment on fat saturation T2-weighted imaging and dynamic MR imaging with contrast material are closely correlated with the severity of TMJ pain. Magnetic transfer contrast, MR spectroscopy, diffusion tensor imaging, and ultrasonography findings have helped identify intramuscular edema and contracture as one of the causes of MM pain and fatigue. Recently, changes in brain as detected by functional MR neuroimaging have been associated with changes in the TMJ and MM regions. The thalamus, the primary somatosensory cortex, the insula, and the anterior and mid-cinglate cortices are most frequently associated with TMD pain.

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Section: Osteoarthritis and Degenerative Joint Diseases-related Jointmentioning

confidence: 96%

“…Some investigators evaluated the usefulness of bone scintigraphy for the diagnosis of OA in the TMJ [99], [100], [101], [102]. The correlation of signs and symptoms with scintigraphy showed sensitivity 100%, specificity 90.91%, and accuracy 96.97% [100].…”

Section: Osteoarthritis and Degenerative Joint Diseases-related Jointmentioning

confidence: 99%

The usefulness of diagnostic imaging for the assessment of pain symptoms in temporomandibular disorders

Suenaga

Nagayama

Nagasawa

et al. 2016

Japanese Dental Science Review

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“…These characteristics are especially suitable for oncology [14,[104][105][106][107][108] where detailed anatomical localization is needed. Other investigators have reported using the higher-performance SPECT/CT systems for applications in orthopedics [129][130][131][132], infection and inflammation [133][134][135][136][137][138], pulmonary function [139,140], and endocrinology [141], where the improved anatomical localization helps identify areas of disease that can be difficult to discriminate with SPECT alone. As previously mentioned, high-resolution CT performance also can be used to define target anatomy to improve the quantitation of absolute radionuclide uptake in small lesions such as tumors or in the myocardium.…”

Section: Current Spect/ct Technologiesmentioning

confidence: 99%

Technological Development and Advances in Single-Photon Emission Computed Tomography/Computed Tomography

Seo

Marì

Hasegawa

2008

Seminars in Nuclear Medicine

172

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SPECT/CT has emerged over the past decade as a means of correlating anatomical information from CT with functional information from SPECT. The integration of SPECT and CT in a single imaging device facilitates anatomical localization of the radiopharmaceutical to differentiate physiological uptake from that associated with disease and patient-specific attenuation correction to improve the visual quality and quantitative accuracy of the SPECT image. The first clinically available SPECT/CT systems performed emission-transmission imaging using a dual-headed SPECT camera and a low-power x-ray CT sub-system. Newer SPECT/CT systems are available with high-power CT sub-systems suitable for detailed anatomical diagnosis, including CT coronary angiography and coronary calcification that can be correlated with myocardial perfusion measurements. The high-performance CT capabilities also offer the potential to improve compensation of partial volume errors for more accurate quantitation of radionuclide measurement of myocardial blood flow and other physiological processes and for radiation dosimetry for radionuclide therapy. In addition, new SPECT technologies are being developed that significantly improve the detection efficiency and spatial resolution for radionuclide imaging of small organs including the heart, brain, and breast, and therefore may provide new capabilities for SPECT/CT imaging in these important clinical applications.

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“…These include localization of infection or inflammation (discussed in the next section), evaluation of bone trauma such as suspected spondylolysis, and differentiating degenerative changes from more malignant processes (19). Identification of benign skeletal abnormalities is enhanced with SPECT/CT; in equivocal cases of malignancy, SPECT/CT may be necessary to make the correct diagnosis (20)(21)(22).…”

Section: Musculoskeletal Imagingmentioning

confidence: 99%

SPECT/CT Imaging: Clinical Utility of an Emerging Technology

Bybel

Brunken

DiFilippo³

et al. 2008

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Single-photon emission computed tomography (SPECT) has been a mainstay of nuclear medicine practice for several decades. More recently, combining the functional imaging available with SPECT and the anatomic imaging of computed tomography (CT) has gained more acceptance and proved useful in many clinical situations. Most vendors now offer integrated SPECT/CT systems that can perform both functions on one gantry and provide fused functional and anatomic data in a single imaging session. In addition to allowing anatomic localization of nuclear imaging findings, SPECT/CT also enables accurate and rapid attenuation correction of SPECT studies. These attributes have proved useful in many cardiac, general nuclear medicine, oncologic, and neurologic applications in which the SPECT results alone were inconclusive. Optimal clinical use of this rapidly emerging imaging modality requires an understanding of the fundamental principles of SPECT/CT, including quality control issues as well as potential pitfalls and limitations. The long-term clinical and economic effects of this technology have yet to be established.

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The role of SPECT/CT with 99mTc-MDP image fusion to diagnose temporomandibular dysfunction

Cited by 26 publications

References 13 publications

The usefulness of diagnostic imaging for the assessment of pain symptoms in temporomandibular disorders

The usefulness of diagnostic imaging for the assessment of pain symptoms in temporomandibular disorders

Technological Development and Advances in Single-Photon Emission Computed Tomography/Computed Tomography

SPECT/CT Imaging: Clinical Utility of an Emerging Technology

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