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Research ArticleHead and Neck Imaging

Comparison of the T2 Relaxation Time of the Temporomandibular Joint Articular Disk between Patients with Temporomandibular Disorders and Asymptomatic Volunteers

N. Kakimoto, H. Shimamoto, J. Chindasombatjaroen, T. Tsujimoto, S. Tomita, Y. Hasegawa, S. Murakami and S. Furukawa
American Journal of Neuroradiology July 2014, 35 (7) 1412-1417; DOI: https://doi.org/10.3174/ajnr.A3880
N. Kakimoto
aFrom the Department of Oral and Maxillofacial Radiology (N.K., H.S., T.T., S.T., S.M., S.F.), Osaka University Graduate School of Dentistry, Osaka, Japan
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H. Shimamoto
aFrom the Department of Oral and Maxillofacial Radiology (N.K., H.S., T.T., S.T., S.M., S.F.), Osaka University Graduate School of Dentistry, Osaka, Japan
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J. Chindasombatjaroen
bDepartment of Oral and Maxillofacial Radiology (J.C.), Faculty of Dentistry, Mahidol University, Bangkok, Thailand
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T. Tsujimoto
aFrom the Department of Oral and Maxillofacial Radiology (N.K., H.S., T.T., S.T., S.M., S.F.), Osaka University Graduate School of Dentistry, Osaka, Japan
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S. Tomita
aFrom the Department of Oral and Maxillofacial Radiology (N.K., H.S., T.T., S.T., S.M., S.F.), Osaka University Graduate School of Dentistry, Osaka, Japan
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Y. Hasegawa
cDepartment of Dentistry and Oral Surgery (Y.H.), Hyogo College of Medicine, Hyogo, Japan.
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S. Murakami
aFrom the Department of Oral and Maxillofacial Radiology (N.K., H.S., T.T., S.T., S.M., S.F.), Osaka University Graduate School of Dentistry, Osaka, Japan
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S. Furukawa
aFrom the Department of Oral and Maxillofacial Radiology (N.K., H.S., T.T., S.T., S.M., S.F.), Osaka University Graduate School of Dentistry, Osaka, Japan
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    Fig 1.

    MR images of the articular disk of the TMJ, in a volunteer, used to measure the T2 relaxation time. A, The source MR image of the articular disk. The ROIs used for the measurement of the T2 relaxation time of the entire articular disk (B), the anterior band of the articular disk (C), and the posterior band of the articular disk (D). The T2 relaxation times on a color map ranging from 0 to 100 ms (E) and 25 to 75 ms (F).

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    Fig 2.

    The T2 relaxation times according to the MR image interpretations. A, The T2 relaxation times according to the articular disk position and function categories. The asterisk indicates P < .05/5 in the Mann-Whitney test with a Bonferroni correction. B, The T2 relaxation times according to the articular disk configuration categories. “Thickening” indicates thickening of the posterior band. C, The T2 relaxation times according to the joint effusion categories. “None” indicates no or minimal fluid; “Moderate,” moderate fluid; “Marked,” marked fluid; and “Extensive,” extensive fluid. The asterisk indicates P < .05/5 in the Mann-Whitney test with a Bonferroni correction. D, The T2 relaxation times according to the osteoarthritis categories. The asterisk indicates P < .05/3 in the Mann-Whitney test with a Bonferroni correction. E, The T2 relaxation times according to the bone marrow abnormality categories. The asterisk indicates P < .05/3 in the Mann-Whitney test with a Bonferroni correction. NorVol indicates healthy volunteers.

Tables

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    Table 1:

    The patient and volunteer characteristics and MR imaging findings

    VolunteersPatients
    Cases17144
        Male1234
        Female5110
    Age (yr)
        Range23–3211–80
        Median2636
    Articular disk position and function (joints)
        Normal superior34113
        PADDWR018
        PADDWOR02
        ADDWR048
        ADDWOR0107
    Articular disk configuration (joints)
        Biconcave32143
        Biplanar220
        Hemiconvex037
        Thickening of the posterior band036
        Biconvex07
        Folded045
    Joint effusion (joints)
        None or minimal fluid34169
        Moderate fluid080
        Marked fluid024
        Extensive fluid015
    Osteoarthritis (joints)
        Negative34237
        Positive051
    Bone marrow abnormality (joints)
        Negative34260
        Positive028
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    Table 2:

    The T2 relaxation time of the articular disk

    T2 Relaxation Time (ms)P
    Volunteers
        Left TMJ29.6 ± 3.9
        Right TMJ28.9 ± 3.8.585
        All TMJs29.3 ± 3.8
        Anterior band of all TMJs29.0 ± 5.4
        Posterior band of all TMJs26.5 ± 3.6.007
        Male29.0 ± 3.6
        Female29.8 ± 4.3.620
        Age ≤26 years29.4 ± 3.9
        Age >26 years29.1 ± 3.8.814
    Patients
        All TMJs30.7 ± 5.1.177a
        Male29.5 ± 4.0
        Female31.1 ± 5.4.890
        Age ≤36 years29.5 ± 4.4
        Age >36 years31.9 ± 5.5<.001
    • ↵a The T2 relaxation time of all TMJs in patients was compared with that of all TMJs in volunteers.

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    Table 3:

    The multiple regression model for T2 relaxation time of the entire disk

    VariableUnstandardized Coefficient (ß)Unstandardized Coefficient (SE)Standardized Coefficient (ß)TP95% Confidence Interval
    Disk position and function0.6521.1160.0520.585.559−1.5432.848
    Disk configuration−1.6581.014−0.12−1.635.103−3.6530.337
    Joint effusion2.4670.8380.1882.944.0030.8194.116
    Osteoarthritis3.9861.2210.2733.264.0011.5836.389
    Bone marrow abnormalities2.8961.2430.192.331.020.4515.341
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American Journal of Neuroradiology: 35 (7)
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N. Kakimoto, H. Shimamoto, J. Chindasombatjaroen, T. Tsujimoto, S. Tomita, Y. Hasegawa, S. Murakami, S. Furukawa
Comparison of the T2 Relaxation Time of the Temporomandibular Joint Articular Disk between Patients with Temporomandibular Disorders and Asymptomatic Volunteers
American Journal of Neuroradiology Jul 2014, 35 (7) 1412-1417; DOI: 10.3174/ajnr.A3880

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Comparison of the T2 Relaxation Time of the Temporomandibular Joint Articular Disk between Patients with Temporomandibular Disorders and Asymptomatic Volunteers
N. Kakimoto, H. Shimamoto, J. Chindasombatjaroen, T. Tsujimoto, S. Tomita, Y. Hasegawa, S. Murakami, S. Furukawa
American Journal of Neuroradiology Jul 2014, 35 (7) 1412-1417; DOI: 10.3174/ajnr.A3880
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