Diagnostic value and clinical significance of high-resolution ultrasonography compared to magnetic resonance imaging in diagnosing temporomandibular joint dislocation: a systematic review

  • Thariqah Salamah Department of Radiology, Faculty of Medicine, Universitas Indonesia, Cipto Mangunkusumo Hospital, Jakarta, Indonesia
  • Glancius Nironsta Harefa Department of Radiology, Faculty of Medicine, Universitas Indonesia, Cipto Mangunkusumo Hospital, Jakarta, Indonesia
Keywords: magnetic resonance imaging, temporomandibular joint, ultrasonography
Abstract viewed: 0 times
PDF downloaded: 0 times
HTML downloaded: 0 times
EPUB downloaded: 0 times

Abstract

BACKGROUND Temporomandibular joint (TMJ) dislocation is uncommon, yet it is associated with a significant negative effect on the patient’s quality of life. Magnetic resonance imaging (MRI), a gold standard for diagnosing TMJ dislocation, is expensive, time-consuming, and cannot be performed on patients with pacemakers and metallic prostheses. On the other hand, high-resolution ultrasonography (HRUS) has low cost, high accessibility, and is less time-consuming. This study aimed to compare the accuracy and reliability of HRUS to MRI in diagnosing TMJ dislocation.

METHODS A comprehensive literature search was conducted using PubMed, Cochrane Library, ScienceDirect, and EBSCOhost databases. Keywords such as temporomandibular joint dislocation, temporomandibular displacement, MRI, and ultrasonography were utilized for the search. The articles obtained were then selected based on the inclusion and exclusion criteria, and the quality assessment was conducted using the QUADAS-2 tool.

RESULTS 5 studies were included in this systematic review. The critical appraisal results showed sensitivity ranging from 74.3–93.7%, specificity from 84.2–100%, positive predictive value from 68.2–100%, negative predictive value from 64.0–98.3%, and accuracy from 77.7–91.7% of HRUS compared to MRI.

CONCLUSIONS HRUS is a reliable method for diagnosing TMJ dislocation. However, MRI is still necessary in selected and more advanced cases.

References

  1. Almeida FT, Pacheco-Pereira C, Flores-Mir C, Le LH, Jaremko JL, Major PW. Diagnostic ultrasound assessment of temporomandibular joints: a systematic review and meta-analysis. Dentomaxillofac Radiol. 2019;48(2):20180144. https://doi.org/10.1259/dmfr.20180144

  2. Neff A, McLeod N, Spijkervet F, Riechmann M, Vieth U, Kolk A, et al. The ESTMJS (European Society of Temporomandibular Joint Surgeons) consensus and evidence-based recommendations on management of condylar dislocation. J Clin Med. 2021;10(21):5068. https://doi.org/10.3390/jcm10215068

  3. Baba IA, Najmuddin M, Shah AF, Yousuf A. TMJ imaging: a review. Int J Contemp Med Res. 2016;3(8):2253-56.

  4. Gharavi SM, Qiao Y, Faghihimehr A, Vossen J. Imaging of the temporomandibular joint. Diagnostics (Basel). 2022;12(4):1006. https://doi.org/10.3390/diagnostics12041006

  5. Talmaceanu D, Lenghel LM, Bolog N, Hedesiu M, Buduru S, Rotar H, et al. Imaging modalities for temporomandibular joint disorders: an update. Clujul Med. 2018;91(3):280-7. https://doi.org/10.15386/cjmed-970

  6. Xiong X, Ye Z, Tang H, Wei Y, Nie L, Wei X, et al. MRI of temporomandibular joint disorders: recent advances and future directions. J Magn Reson Imaging. 2021;54(4):1039-52. https://doi.org/10.1002/jmri.27338

  7. Maranini B, Ciancio G, Mandrioli S, Galiè M, Govoni M. The role of ultrasound in temporomandibular joint disorders: an update and future perspectives. Front Med (Lausanne). 2022;9:926573. https://doi.org/10.3389/fmed.2022.926573

  8. Kundu H, Basavaraj P, Kote S, Singla A, Singh S. Assessment of tmj disorders using ultrasonography as a diagnostic tool: a review. J Clin Diagn Res. 2013;7(12):3116-20. https://doi.org/10.7860/JCDR/2013/6678.3874

  9. Giozet AF, Iwaki LCV, Grossmann E, Previdelli ITS, Pinto GNS, Iwaki Filho L. Correlation between clinical variables and magnetic resonance imaging findings in symptomatic patients with chronic temporomandibular articular disc displacement with reduction: a retrospective analytical study. Cranio. 2019;37(6):374-82. https://doi.org/10.1080/08869634.2018.1449360

  10. Yang Z, Wang M, Ma Y, Lai Q, Tong D, Zhang F, et al. Magnetic resonance imaging (MRI) evaluation for anterior disc displacement of the temporomandibular joint. Med Sci Monit. 2017;23:712-8. https://doi.org/10.12659/MSM.899230

  11. Talmaceanu D, Lenghel LM, Bolog N, Buduru S, Leucuta D, Rotar H. High-resolution ultrasound imaging compared to magnetic resonance imaging for temporomandibular joint disorders: an in vivo study. Eur J Radiol. 2020;132:109291. https://doi.org/10.1016/j.ejrad.2020.109291

  12. Chalkoo AH, Ahmad MB, Naikoo FA. Magnetic resonance imaging and ultrasonography in the diagnosis of temporomandibular joint internal derangements: a comparative study. J Indian Acad Oral Med Rad. 2015;27:198-202. https://doi.org/10.4103/0972-1363.170137

  13. Habashi H, Eran A, Blumenfeld I, Gaitini D. Dynamic high-resolution sonography compared to magnetic resonance imaging for diagnosis of temporomandibular joint disk displacement. J Ultrasound Med. 2015;34(1):75-82. https://doi.org/10.7863/ultra.34.1.75

  14. Talmaceanu D, Lenghel LM, Bolog N, Popa Stanila R, Buduru S, Leucuta DC, et al. High-resolution ultrasonography in assessing temporomandibular joint disc position. Med Ultrason. 2018;1(1):64-70. https://doi.org/10.11152/mu-1025

  15. Refaat MM, Yousef MI, Torky AA, Sarow ML. Ultrasonography compared to magnetic resonance imaging for the diagnosis of the temporomandibular joint disc displacement. Benha J Appl Sci. 2021;6(6 Part 1):133-40. https://doi.org/10.21608/bjas.2021.214387

Published
2024-03-25
How to Cite
1.
Salamah T, Harefa GN. Diagnostic value and clinical significance of high-resolution ultrasonography compared to magnetic resonance imaging in diagnosing temporomandibular joint dislocation: a systematic review. Med J Indones [Internet]. 2024Mar.25 [cited 2024May22];33(1):29-4. Available from: https://mji.ui.ac.id/journal/index.php/mji/article/view/7184
Section
Clinical Research