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KMID : 1148920160500030213
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Nuclear Medicine and Molecular Imaging
2016 Volume.50 No. 3 p.213 ~ p.218
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Open-Mouth Bone Scintigraphy Is Better than Closed-Mouth Bone Scintigraphy in the Diagnosis of Temporomandibular Osteoarthritis
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Park Ki-Seong
Song Ho-Chun
Cho Sang-Geon
Kang Sae-Ryung
Kim Ja-Hae
Jun Haeng-Man
Song Min-Chul
Jeong Geum-Cheol
Park Hee-Jeong
Kwon Seong-Young
Min Jung-Joon
Bom Henry Hee-Seung
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Abstract
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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 99mTc-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?
Conclusions: The OM scan was more accurate than the conventional CM scan and even CM SPECT for diagnosing TMJ osteoarthritis.
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KEYWORD
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Open mouth, Temporomandibular joint, Osteoarthritis, Bone scintigraphy, Bone scan
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