Analysis of elements in a minimal amount of temporomandibular joint fluid on fluid-attenuated inversion recovery magnetic resonance images

被引:4
作者
Hanyuda, Hitoshi [1 ]
Otonari-Yamamoto, Mika [1 ]
Imoto, Kenichi [1 ]
Sakamoto, Junichiro [1 ]
Kodama, Sayaka [1 ]
Kamio, Takashi [1 ]
Sano, Tsukasa [1 ]
机构
[1] Tokyo Dent Coll, Dept Oral & Maxillofacial Radiol, Mihama Ku, Chiba 2608502, Japan
来源
ORAL SURGERY ORAL MEDICINE ORAL PATHOLOGY ORAL RADIOLOGY | 2013年 / 115卷 / 01期
关键词
INTERNAL DERANGEMENT; SYNOVIAL-FLUID; REFLECT SYNOVITIS; DISK DISPLACEMENT; TOTAL PROTEIN; MR EVIDENCE; EFFUSION; PAIN; OSTEOARTHRITIS; EXPRESSION;
D O I
10.1016/j.oooo.2012.09.083
中图分类号
R78 [口腔科学];
学科分类号
1003 ;
摘要
Objective. The aim of this study was to elucidate possible elements in minimal amounts of fluid (MF) in the temporomandibular joint by analyzing signal intensities in T2-weighted and fluid-attenuated inversion recovery (FLAIR) magnetic resonance (MR) images. Study Design. Fifteen joints (15 patients) with MF were subjected to MR imaging to obtain T2-weighted and FLAIR images. Regions of interest were placed on MF, cerebrospinal fluid (CSF), and gray matter (GM), and their signal intensities were measured on both images. The signal intensity ratio (SIR) obtained by the signal intensity of GM between MF and CSF was compared in T2-weighted and FLAIR images. Results. The average SIR of MF was lower than that of CSF on T2-weighted images, whereas it was higher on FLAIR images. The average suppression ratio of the signal intensity was lower for MF (24.1%) than for CSF (71.4%). Conclusions. MF may contain elements such as protein that are capable of inducing a shortened T1 relaxation time on MR images. (Oral Surg Oral Med Oral Pathol Oral Radiol 2013;115:114-120)
引用
收藏
页码:114 / 120
页数:7
相关论文
共 27 条
[11]   Interleukin 1 beta and stromelysin (MMP3) activity of synovial fluid as possible markers of osteoarthritis in the temporomandibular joint [J].
Kubota, E ;
Imamura, H ;
Kubota, T ;
Shibata, T ;
Murakami, K .
JOURNAL OF ORAL AND MAXILLOFACIAL SURGERY, 1997, 55 (01) :20-27
[12]   MR grading of temporomandibular joint fluid: association with disk displacement categories, condyle marrow abnormalities and pain [J].
Larheim, TA ;
Westesson, PL ;
Sano, T .
INTERNATIONAL JOURNAL OF ORAL AND MAXILLOFACIAL SURGERY, 2001, 30 (02) :104-112
[13]   Magnetic resonance imaging-determined synovial membrane and joint effusion volumes in rheumatoid arthritis and osteoarthritis - Comparison with the macroscopic and microscopic appearance of the synovium [J].
Ostergaard, M ;
Stoltenberg, M ;
LovgreenNielsen, P ;
Volck, B ;
Jensen, CH ;
Lorenzen, IB .
ARTHRITIS AND RHEUMATISM, 1997, 40 (10) :1856-1867
[14]   Magnetic resonance imaging findings of internal derangement and effusion in patients with unilateral temporomandibular joint pain [J].
Rudisch, A ;
Innerhofer, K ;
Bertram, S ;
Emshoff, R .
ORAL SURGERY ORAL MEDICINE ORAL PATHOLOGY ORAL RADIOLOGY AND ENDODONTOLOGY, 2001, 92 (05) :566-571
[15]   Expression of interleukin 6 in synovial tissues in patients with internal derangement of the temporomandibular joint [J].
Sato, J ;
Segami, N ;
Nishimura, M ;
Demura, N ;
Yoshimura, H ;
Yoshitake, Y ;
Nishikawa, K .
BRITISH JOURNAL OF ORAL & MAXILLOFACIAL SURGERY, 2003, 41 (02) :95-101
[16]   Relation between the expression of vascular endothelial growth factor in synovial tissues and the extent of joint effusion seen on magnetic resonance imaging in patients with internal derangement of the temporomandibular joint [J].
Sato, J ;
Segami, N ;
Nishimura, M ;
Kaneyama, K ;
Demura, N ;
Yoshimura, H .
BRITISH JOURNAL OF ORAL & MAXILLOFACIAL SURGERY, 2003, 41 (02) :88-94
[17]   COMPOSITION AND EXAMINATION OF SYNOVIAL FLUID [J].
SCHMID, FR ;
OGATA, RI .
JOURNAL OF PROSTHETIC DENTISTRY, 1967, 18 (05) :449-&
[18]   Does joint effusion on T2 magnetic resonance images reflect synovitis? Part 3. Comparison of histologic findings of arthroscopically obtained synovium in internal derangements of the temporomandibular joint [J].
Segami, N ;
Suzuki, T ;
Sato, J ;
Miyamaru, M ;
Nishimura, M ;
Yoshimura, H .
ORAL SURGERY ORAL MEDICINE ORAL PATHOLOGY ORAL RADIOLOGY AND ENDODONTICS, 2003, 95 (06) :761-766
[19]   Does joint effusion on T2 magnetic resonance images reflect synovitis? Part 2. Comparison of concentration levels of proinflammatory cytokines and total protein in synovial fluid of the temporomandibular joint with internal derangements and osteoarthrosis [J].
Segami, N ;
Miyamaru, M ;
Nishimura, M ;
Suzuki, T ;
Kaneyama, K ;
Murakami, KI .
ORAL SURGERY ORAL MEDICINE ORAL PATHOLOGY ORAL RADIOLOGY AND ENDODONTICS, 2002, 94 (04) :515-521
[20]   Does joint effusion on T2 magnetic resonance images reflect synovitis? Comparison of arthroscopic findings in internal derangements of the temporomandibular joint [J].
Segami, N ;
Nishimura, M ;
Kaneyama, K ;
Miyamaru, M ;
Sato, J ;
Murakami, KI .
ORAL SURGERY ORAL MEDICINE ORAL PATHOLOGY ORAL RADIOLOGY AND ENDODONTICS, 2001, 92 (03) :341-345