TMJ imaging in JIA patients-An overview
TMJ imaging in JIA patients-An overview
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DOI：
10.1053/j.sodo.2015.02.006
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发表时间：
2015-06-01
影响因子：
4.2
通讯作者：
Arvidsson, Linda Z.
中科院分区：
文献类型：
--
作者：
Larheim, Tore A.;Doria, Andrea S.;Arvidsson, Linda Z.
颞下颌关节受累可能导致面部生长障碍、疼痛和/或下颌功能受损。为预防此类并发症，TMJ关节炎的早期诊断至关重要，也是早期治疗的先决条件。由于TMJ的临床体征和症状通常不存在，因此成像在诊断评估中起着重要作用。在早期的研究中，应用传统的方法，主要是全景X线摄影。在过去的十年中，MRI已经成为检查这些关节的新标准，因为关节炎症和关节损伤都可以评估。本文将简要介绍评估颞下颌关节JIA的影像学方法、颞下颌关节JIA的影像学表现、颞下颌关节受累的影像学频率、颞下颌关节受累的临床预测因素、颞下颌关节受累影像学与面部生长障碍之间的关系、颞下颌关节纵向研究、影像引导下关节内注射、鉴别诊断以及未来的研究需求。(C)2015 Elsevier Inc. All rights reserved.
Involvement of the TMJ in children with JIA may lead to facial growth disturbances, pain, and/or impaired jaw function. For the prevention of such complications, early diagnosis of TMJ arthritis is paramount and a prerequisite for early treatment. Since clinical signs and symptoms from the TMJs frequently are absent, imaging plays a major role in diagnostic assessment. In earlier studies, conventional methods were applied, predominantly panoramic radiography. In the last decade, MRI has become the new standard for examining these joints because both joint inflammation and joint damage can be evaluated. This review will briefly focus on imaging modalities to assess JIA in the TMJ, imaging manifestations of JIA in the TMJ, frequency of TMJ involvement on imaging, clinical predictors of TMJ involvement, relationship between TMJ involvement on imaging and facial growth disturbance, longitudinal TMJ studies, image-guided intra-articular injections, differential diagnoses, and future need for research. (C) 2015 Elsevier Inc. All rights reserved.