Dynamic sagittal half-Fourier acquired single-shot turbo spin-echo MR imaging of the temporomandibular joint: initial experience and comparison with sagittal oblique proton-attenuation images.
AJNR Am J Neuroradiol
; 28(6): 1126-32, 2007.
Article
in En
| MEDLINE
| ID: mdl-17569972
ABSTRACT
BACKGROUND AND PURPOSE:
Our aim was to assess dynamic half-Fourier acquired single-shot turbo spin-echo (HASTE) MR imaging of the temporomandibular joint (TMJ) using parallel imaging, in comparison with static proton density (Pd) imaging. MATERIALS ANDMETHODS:
Thirty-four TMJs from 17 subjects (7 volunteers, 10 patients) were imaged in a multichannel head coil on a 1.5 T magnet by using a 35-second dynamic sagittal HASTE acquisition (TR/TE, 1180/65 msec; matrix, 128 x 128; section thickness, 7 mm; 30 images) and sagittal oblique Pd in closed- and open-mouthed positions (TR/TE, 1800/12 msec; matrix, 256 x 256; section thickness, 2 mm; 15 sections). Images were reviewed by 3 readers and rated for confidence of disk position, presence of motion artifact, range of motion, and presence of disk displacement on a 5-point scale. Consensus review of cases was also performed to assess disk dislocation and limited range of motion.RESULTS:
More static examinations were rated as having motion artifact (19.6% versus 6.9%, P=.016), limited range of motion (30.4% versus 17.7%, P=.016), and disk dislocations (31.4% versus 22.6%, P=.071). Confidence ratings were higher on dynamic examinations (4.11 versus 3.74, P=.018). Chi-squared tests demonstrated no significant difference in consensus reviews of the 2 examination types.CONCLUSION:
Dynamic HASTE TMJ MR imaging is a time-efficient adjunct to standard MR imaging protocols, producing fewer motion artifacts, additional range of motion information, and a dynamic assessment of disk position, when compared with static imaging. Further study is needed to evaluate the role of this sequence in diagnosing disk displacement.
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Protons
/
Temporomandibular Joint
/
Algorithms
/
Image Interpretation, Computer-Assisted
/
Image Enhancement
/
Echo-Planar Imaging
Type of study:
Diagnostic_studies
/
Evaluation_studies
/
Guideline
Limits:
Humans
Language:
En
Journal:
AJNR Am J Neuroradiol
Year:
2007
Document type:
Article
Affiliation country:
Estados Unidos