Usefulness of Dual Echo Volumetric Isotropic Turbo Spin Echo Acquisition (VISTA) in Magnetic Resonance Imaging of the Temporomandibular Joint
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概要
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Purpose: We investigated the ability to detect the articular disk and joint effusion of the temporomandibular joint (TMJ) of a method of dual echo volumetric isotropic turbo spin echo acquisition (DE-VISTA) additional fusion images (AFI). Methods: DE-VISTA was performed in the 26 TMJ of 13 volunteers and 26 TMJ of 13 patients. Two-dimensional (2D) dual echo turbo spin echo was performed in the 26 TMJ of 13 volunteers. On a workstation, we added proton density-weighted images (PDWI) and T2 weighted images (T2WI) of the DE-VISTA per voxel to reconstruct DE-VISTA-AFI. Two radiologists reviewed these images visually and quantitatively. Results: Visual evaluation of the articular disk was equivalent between DE-VISTA-AFI and 2D-PDWI. The sliding thin-slab multiplanar reformation (MPR) method of DE-VISTA-AFI could detect all articular disks. The ratio of contrast (CR) of adipose tissue by the articular disk to that of the articular disk itself was significantly higher in DE-VISTA-AFI than DE-VISTA-PDWI (P<0.05) in patients and volunteers with closed or open mouth. In volunteers, the CR between adipose tissue and the disk on DE-VISTA-AFI was marginally significant to that on 2D-PDWI at opened mouth (P=0.071) and not significantly different (P=0.18) from that at closed mouth. Joint effusion could be identified in DE-VISTA-AFI in all 8 joints that had joint effusion in DE-VISTA-T2WI but in only 3 of those joints in 2D-T2WI. The CR of joint effusion to adipose tissue on DE-VISTA-AFI did not differ significantly from that on DE-VISTA-PDWI. However, using DE-VISTA-T2WI in addition to DE-VISTA-PDWI, we could visually identify joint effusion on DE-VISTA-AFI that could not be identified on DE-VISTA-PDWI alone. Conclusion: DE-VISTA-AFI can depict the articular disk and a small amount of joint effusion by the required plane of MPR using the sliding thin-slab MPR method.
著者
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Miki Yukio
Department Of Diagnostic Imaging And Nuclear Medicine Graduate School Of Medicine Kyoto University
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Ohfuji Satoko
Department Of Public Health Graduate School Of Medicine Osaka City University
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Tanaka Shigeko
Department Of Psychiatry Shiga University Of Medical Science
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Katsumata Yasutomo
Philips Medical Syatems
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Naito Yukari
Department Of Radiology Division Of Medical Technologies Wakakusa Daiichi Hospital
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Sugimori Yuko
Departments Of Radiology Wakakusa Daiichi Hospital
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Yamamoto Akira
Department Of Anatomy School Of Medicine University Of Tokushima
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NAITO Yukari
Department of Radiology, Wakakusa Daiichi Hospital
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NISHIMURA Tetsuya
Nishimura Oral and Maxillofacial Surgery Clinic
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SUGIMORI Yuko
Department of Radiology, Wakakusa Daiichi Hospital
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TANAKA Shigeko
Department of Radiology, Wakakusa Daiichi Hospital
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KATSUMATA Yasutomo
Philips Electronics Japan
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