Suggestion of a new standard in measuring the mandible via MRI and an overview of reference values in young women

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Názov: Suggestion of a new standard in measuring the mandible via MRI and an overview of reference values in young women
Autori: Leonie Carina Ibald, Veronica Witte, Fank Klawonn, Rupert Conrad, Martin Mücke, Julia Sellin, Marcus Teschke
Zdroj: Oral Maxillofac Surg
Oral and Maxillofacial Surgery
Oral and maxillofacial surgery 28(1), 373-383 (2023). doi:10.1007/s10006-023-01153-7
Informácie o vydavateľovi: Springer Science and Business Media LLC, 2023.
Rok vydania: 2023
Predmety: Adult, Female [MeSH], Mandible/diagnostic imaging [MeSH], Temporomandibular Joint/surgery [MeSH], Reference Values [MeSH], Adult [MeSH], Humans [MeSH], MRI, Magnetic Resonance Imaging [MeSH], Research, LIFE study, Mandibular Condyle/surgery [MeSH], Mandible, Morphology, Mandibular Condyle/diagnostic imaging [MeSH], AICR, Temporomandibular Joint, Reference Values, Mandibular Condyle, Humans, Female, Magnetic Resonance Imaging
Popis: Purpose Adult idiopathic condylar resorption (AICR) mainly affects young women, but generally accepted diagnostic standards are lacking. Patients often need temporomandibular joint (TMJ) surgery, and often jaw anatomy is assessed by CT as well as MRI to observe both bone and soft tissue. This study aims to establish reference values for mandible dimensions in women from MRI only and correlate them to, e.g., laboratory parameters and lifestyle, to explore new putative parameters relevant in AICR. MRI-derived reference values could reduce preoperative effort by allowing physicians to rely on only the MRI without additional CT scan. Methods We analyzed MRI data from a previous study (LIFE-Adult-Study, Leipzig, Germany) of 158 female participants aged 15–40 years (as AICR typically affects young women). The MR images were segmented, and standardized measuring of the mandibles was established. We correlated morphological features of the mandible with a large variety of other parameters documented in the LIFE-Adult study. Results We established new reference values for mandible morphology in MRI, which are consistent with previous CT-based studies. Our results allow assessment of both mandible and soft tissue without radiation exposure. Correlations with BMI, lifestyle, or laboratory parameters could not be observed. Of note, correlation between SNB angle, a parameter often used for AICR assessment, and condylar volume, was also not observed, opening up the question if these parameters behave differently in AICR patients. Conclusion These efforts constitute a first step towards establishing MRI as a viable method for condylar resorption assessment.
Druh dokumentu: Article
Other literature type
Popis súboru: application/pdf
Jazyk: English
ISSN: 1865-1569
DOI: 10.1007/s10006-023-01153-7
DOI: 10.18154/rwth-2023-05311
Prístupová URL adresa: https://pubmed.ncbi.nlm.nih.gov/37099046
http://hdl.handle.net/21.11116/0000-000F-0487-4
http://hdl.handle.net/21.11116/0000-000D-4D09-4
https://repository.publisso.de/resource/frl:6490820
https://publications.rwth-aachen.de/record/958498
Rights: CC BY
URL: http://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (http://creativecommons.org/licenses/by/4.0/) .
Prístupové číslo: edsair.doi.dedup.....5a38d1b32a39cd47b753236a968ce2a0
Databáza: OpenAIRE
Popis
Abstrakt:Purpose Adult idiopathic condylar resorption (AICR) mainly affects young women, but generally accepted diagnostic standards are lacking. Patients often need temporomandibular joint (TMJ) surgery, and often jaw anatomy is assessed by CT as well as MRI to observe both bone and soft tissue. This study aims to establish reference values for mandible dimensions in women from MRI only and correlate them to, e.g., laboratory parameters and lifestyle, to explore new putative parameters relevant in AICR. MRI-derived reference values could reduce preoperative effort by allowing physicians to rely on only the MRI without additional CT scan. Methods We analyzed MRI data from a previous study (LIFE-Adult-Study, Leipzig, Germany) of 158 female participants aged 15–40 years (as AICR typically affects young women). The MR images were segmented, and standardized measuring of the mandibles was established. We correlated morphological features of the mandible with a large variety of other parameters documented in the LIFE-Adult study. Results We established new reference values for mandible morphology in MRI, which are consistent with previous CT-based studies. Our results allow assessment of both mandible and soft tissue without radiation exposure. Correlations with BMI, lifestyle, or laboratory parameters could not be observed. Of note, correlation between SNB angle, a parameter often used for AICR assessment, and condylar volume, was also not observed, opening up the question if these parameters behave differently in AICR patients. Conclusion These efforts constitute a first step towards establishing MRI as a viable method for condylar resorption assessment.
ISSN:18651569
DOI:10.1007/s10006-023-01153-7