Magnetic resonance imaging and fractal analysis findings in temporomandibular joints with disk perforation


Koprucu S., Uzun T.

ORAL SURGERY ORAL MEDICINE ORAL PATHOLOGY ORAL RADIOLOGY, cilt.135, sa.6, ss.914-927, 2023 (SCI-Expanded) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 135 Sayı: 6
  • Basım Tarihi: 2023
  • Doi Numarası: 10.1016/j.oooo.2023.01.001
  • Dergi Adı: ORAL SURGERY ORAL MEDICINE ORAL PATHOLOGY ORAL RADIOLOGY
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, BIOSIS, CAB Abstracts, CINAHL, MEDLINE, Veterinary Science Database
  • Sayfa Sayıları: ss.914-927
  • Karadeniz Teknik Üniversitesi Adresli: Hayır

Özet

Objective. This study compared magnetic resonance imaging (MRI) findings and fractal dimension (FD) values in the temporo-mandibular joints (TMJs) of study patients with disk perforation vs control patients.Study Design. Of 75 TMJs examined with MRI for characteristics of the disk and condyle, 45 were included in the study group and 30 in the control group. MRI findings and FD values were compared for significance of differences between the groups. The frequency of subclassifications was analyzed for differences between the two forms of disk configuration and grades of effusion. Mean FD values were analyzed for differences among subclassifications of MRI findings and between groups.Results. Examination of MRI variables revealed that the study group had significantly greater frequencies of flattened disks, disk displacement, flattening and combined defects in condylar morphology, and grade 2 effusion (P = .001) Joints with perforated disks had a large percentage of normal disk-condyle relationships (73.3%). Significant differences were discovered between biconcave and flattened disk configuration in the frequencies of internal disk status and con -dy lar morphology. FD values of all patients varied significantly among the subclassifications of disk configuration, inter -nal disk status, and effusion. Mean FD values were significantly lower in the study group with perforated disks (1.07) compared with the control group (1.20, P = .001).Conclusions. MRI variables and FD can be useful in investigating intra-articular TMJ status. (Oral Surg Oral Med Oral Pathol Oral Radiol 2023;135:914-927)