The correlation of research diagnostic criteria for temporomandibular disorders and magnetic resonance imaging: a study of diagnostic accuracy

被引：19

作者：

Mantelli Galhardo, Alessandra Pucci ^{[1
]}

Leite, Claudia da Costa ^{[2
]}

Mello Santiago Gebrim, Eloisa Maria ^{[3
]}

Elia Gomes, Regina Lucia ^{[4
]}

Mukai, Marcio Katsuyoshi ^{[1
]}

Yamaguchi, Claudio Akira ^{[1
]}

Bernardo, Wanderley Marques ^{[5
]}

Soares, Jose Maria, Jr. ^{[6
]}

Baracat, Edmund Chada ^{[6
]}

Gil, Carlos ^{[1
]}

机构：

[1] Univ Sao Paulo, Sch Dent, Dept Dent Prosthesis, BR-05508000 Sao Paulo, Brazil

[2] Univ Sao Paulo, Sch Med, Dept Radiol, BR-05508000 Sao Paulo, Brazil

[3] Univ Sao Paulo, Sch Med, Clin Hosp, Head & Neck Grp, BR-05508000 Sao Paulo, Brazil

[4] Univ Sao Paulo, Sch Med, Clin Hosp, BR-05508000 Sao Paulo, Brazil

[5] Univ Sao Paulo, Evidence Based Med Sch Med, BR-05508000 Sao Paulo, Brazil

[6] Univ Sao Paulo, Sch Med, Dept Obstet & Gynecol, BR-05508000 Sao Paulo, Brazil

来源：

ORAL SURGERY ORAL MEDICINE ORAL PATHOLOGY ORAL RADIOLOGY | 2013年 / 115卷 / 02期

关键词：

AXIS I DIAGNOSES; CLINICAL DIAGNOSES; DISC DISPLACEMENT; MRI FINDINGS; JOINT; RDC/TMD; RELIABILITY; VALIDITY; METHODOLOGY; AGREEMENT;

D O I：

10.1016/j.oooo.2012.10.020

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 evaluate the performance of research diagnostic criteria for temporomandibular disorders (RDC/TMD) as a diagnostic test for temporomandibular joint problems using magnetic resonance imaging (MRI) as the gold standard. Study Design. Sixty-seven women were assessed with RDC/TMD (2 examiners) and underwent MRI examination (3.0 T). Images were evaluated by 2 independent radiologists blinded to the clinical diagnoses. Results were analyzed by the Catmaker system. Results. Of the 67 patients, 44 were diagnosed with temporomandibular disorders (TMD) according to RDC/TMD, but 21 (32%) of the diagnoses were not confirmed by MRI. The RDC/TMD sensitivity was 83.0%, specificity was 53.0%, and the positive likelihood ratio was 1.77, whereas the negative likelihood ratio was 0.32 (P = 0.16). Conclusions. Our data suggest that RDC/TMD is a good research tool, but the high rate of false-positive results limits its use in clinical practice. (Oral Surg Oral Med Oral Pathol Oral Radiol 2013;115:277-284)

引用

页码：277 / 284

页数：8

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