Abstract
Imaging of the temporomandibular joint (TMJ) has been continuously evolving along with the advancement of imaging technologies. Even though many imaging modalities are currently used to evaluate the TMJ (i.e., cone beam computed tomography—CBCT—and multi-detector computed tomography—MDCT), the use of magnetic resonance imaging has increased due to its great contrast resolution, its strength in highlighting soft tissue structures and signs of inflammation, and its capability in acquiring dynamic imaging for demonstration of the functionality of the joint (Bag et al. 2014). Furthermore, MRI does not involve ionizing radiations and this helps in limiting the overall history of patient exposure (Niraj et al. 2016). On the other hand, the relative disadvantages of MRI compared to CT include a more complex scanning technique and a longer acquisition time. The advantages of CT over MRI are enhanced bone details and 3D assessment of congenital, developmental, and traumatic conditions (Bag et al. 2014; Niraj et al. 2016). In this chapter, the reader will be given the essential and basic information to understand the principles of physics that underlie the creation of MR images.
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References
Alyas F, Connell D, Saifuddin A. Upright positional MRI of the lumbar spine. Clin Radiol. 2008;63:1035–48. https://doi.org/10.1016/j.crad.2007.11.022.
Ayyıldız S, Kamburoğlu K, Sipahi C, Murat S, Görgülü S, Pişkin B. Radiofrequency heating and magnetic field interactions of fixed partial dentures during 3-tesla magnetic resonance imaging. Oral Surg Oral Med Oral Pathol Oral Radiol. 2013;116:640–7. https://doi.org/10.1016/j.oooo.2013.06.035.
Bag AK, Gaddikeri S, Singhal A, Hardin S, Tran BD, Medina JA, et al. Imaging of the temporomandibular joint: an update. World J Radiol. 2014;6:567–82. https://doi.org/10.4329/wjr.v6.i8.567.
Blankenstein FH, Truong B, Thomas A, Schröder RJ, Naumann M. Signal loss in magnetic resonance imaging caused by intraoral anchored dental magnetic materials. Rofo. 2006;178:787–93. https://doi.org/10.1055/s-2006-926817.
Breul R. Biomechanical analysis of stress distribution in the temporomandibular joint. Ann Anat. 2007;189(4):329–35.
Chung M, Dahabreh IJ, Hadar N, Ratichek SJ, Gaylor JM, Trikalinos TA et al. Emerging MRI technologies for imaging musculoskeletal disorders under loading stress [Internet]. Rockville, MD: Agency for Healthcare Research and Quality (US). (Comparative effectiveness technical briefs, no. 7.). 2011. https://www.ncbi.nlm.nih.gov/books/NBK82287/. Accessed 23 Jan 2019.
Elmaoğlu M, Çelik A. MRI Handbook. MR physics, patient positioning, and protocols. New York: Springer; 2012.
Ferreiro Perez A, Garcia Isidro M, Ayerbe E, Castedo J, Jinkins JR. Evaluation of intervertebral disc herniation and hypermobile intersegmental instability in symptomatic adult patients undergoing recumbent and upright MRI of the cervical or lumbosacral spines. Eur J Radiol. 2007;62:444–8. https://doi.org/10.1016/j.ejrad.2006.12.007.
Gegauff AG, Laurell KA, Thavendrarajah A, Rosenstiel SF. A potential MRI hazard: forces on dental magnet keepers. J Oral Rehabil. 1990;17:403–10.
Gilbert JW, Martin JC, Wheeler GR, Storey BB. Lumbar disk protrusion rates of symptomatic patients using magnetic resonance imaging. J Manip Physiol Ther. 2010;33(8):626–9.
Görgülü S, Ayyıldız S, Kamburoğlu K, Gökçe S, Ozen T. Effect of orthodontic brackets and different wires on radiofrequency heating and magnetic field interactions during 3-T MRI. Dentomaxillofac Radiol. 2014;43:20130356. https://doi.org/10.1259/dmfr.20130356.
Gupta V, Khandelwal N, Mathuria SN, Singh P, Pathak A, Suri S. Dynamic magnetic resonance imaging evaluation of craniovertebral junction abnormalities. J Comput Assist Tomogr. 2007;31(3):354–9. https://doi.org/10.1097/01.rct.0000238009.57307.26.
Idée JM, Fretellier N, Robic C, Corot C. The role of gadolinium chelates in the mechanism of nephrogenic systemic fibrosis: a critical update. Crit Rev Toxicol. 2014;44:895–913. https://doi.org/10.3109/10408444.2014.955568.
Khotari SF, Baad-Hansen L, Hansen LB, Bang N, Sørensen LH, Eskildsen HW, et al. Pain profiling patients with temporomandibular joint arthralgia and osteoarthritis diagnosed with different imaging techniques. J Headache Pain. 2016;17:61. https://doi.org/10.1186/s10194-016-0653-6.
Lao L, Zhong G, Li Q, Liu Z. Kinetic magnetic resonance imaging analysis of spinal degeneration: a systematic review. Orthop Surg. 2014;6:294–9. https://doi.org/10.1111/os.12137.
Manoliu A, Spinner G, Wyss M, Filli L, Erni S, Ettlin DA, et al. Comparison of a 32-channel head coil and a 2-channel surface coil for MR imaging of the temporomandibular joint at 3.0 T. Dentomaxillofac Radiol. 2016;45:20150420. https://doi.org/10.1259/dmfr.20150420.
Miyata K, Hasegawa M, Abe Y, Tabuchi T, Namiki T, Ishigami T. Radiofrequency heating and magnetically induced displacement of dental magnetic attachments during 3.0 T MRI. Dentomaxillofac Radiol. 2012;41:668–74. https://doi.org/10.1259/dmfr/17778370.
Mrisafety.com. MRI safety home. 2018. http://www.mrisafety.com/. Accessed 15 Aug 2018.
Niraj LK, Patthi B, Singla A, Gupta R, Ali I, Dhama K, et al. MRI in dentistry - a future towards radiation free imaging. J Clin Diagn Res. 2016;10:ZE14–9. https://doi.org/10.7860/JCDR/2016/19435.8658.
Rao VM, Farole A, Karasick D. Temporomandibular joint dysfunction: correlation of MR imaging, arthrography, and arthroscopy. Radiology. 1990;174:663–7. https://doi.org/10.1148/radiology.174.3.2305046.
Regier M, Kemper J, Kaul MG, Feddersen M, Adam G, Kahl-Nieke B, et al. Radiofrequency-induced heating near fixed orthodontic appliances in high field MRI systems at 3.0 Tesla. J Orofac Orthop. 2009;70:485–94. https://doi.org/10.1007/s00056-009-9923-0.
Rogosnitzky M, Branch S. Gadolinium-based contrast agent toxicity: a review of known and proposed mechanisms. Biometals. 2016;29:365–76. https://doi.org/10.1007/s10534-016-9931-7.
Schellock FG. Reference manual for magnetic resonance safety, implants, and devices. Los Angeles: Biomedical Research Publishing Group; 2017.
Schellock FG, Crues JV III. MRI: bioeffects, safety and patient management. Los Angeles: Biomedical Research Publishing Group; 2014.
Sonenblum SE, Sprigle SH, Cathcart JM, Winder RJ. 3-dimensional buttocks response to sitting: a case report. J Tissue Viability. 2013;22:12–8. https://doi.org/10.1016/j.jtv.2012.11.001.
Stemper BD, Baisden JL, Yoganandan N, Pintar FA. Determination of normative neck muscle morphometry using upright MRI with comparison to supine data. Aviat Space Environ Med. 2010;81(9):878–82.
Stojanov DA, Aracki-Trenkic A, Vojinovic S, Benedeto-Stojanov D, Ljubisavljevic S. Increasing signal intensity within the dentate nucleus and globus pallidus on unenhanced T1W magnetic resonance images in patients with relapsing-remitting multiple sclerosis: correlation with cumulative dose of a macrocyclic gadolinium-based contrast agent, gadobutrol. Eur Radiol. 2016;26:807–15. https://doi.org/10.1007/s00330-015-3879-9.
Tarantino U, Fanucci E, Iundusi R, Celi M, Altobelli S, Gasbarra E, et al. Lumbar spine MRI in upright position for diagnosing acute and chronic low back pain: statistical analysis of morphological changes. J Orthop Traumatol. 2013;14(1):15–22. https://doi.org/10.1007/s10195-012-0213-z.
Toyama M, Kurita K, Koga K, Rivera G. Magnetic resonance arthrography of the temporomandibular joint. J Oral Maxillofac Surg. 2000;58:978–83. https://doi.org/10.1053/joms.2000.8738.
Weishaupt D, Köchli VD, Marincek B. How does MRI work? An introduction to the physics and function of magnetic resonance imaging. 2nd ed. Berlin: Springer; 2008.
Weller A, Barber JL, Olsen ØE. Gadolinium and nephrogenic systemic fibrosis: an update. Pediatr Nephrol. 2014;29:1927–37. https://doi.org/10.1007/s00467-013-2636-z.
Wezel J, Kooij BJ, Webb AG. Assessing the MR compatibility of dental retainer wires at 7 Tesla. Magn Reson Med. 2014;72:1191–8. https://doi.org/10.1002/mrm.25019.
White LM, Schweitzer ME, Weishaupt D, Kramer J, Davis A, Marks PH. Diagnosis of recurrent meniscal tears: prospective evaluation of conventional MR imaging, indirect MR arthrography, and direct MR arthrography. Radiology. 2002;222:421–9. https://doi.org/10.1148/radiol.2222010396.
Yang C, Zhang SY, Wang XD, Fan XD. Magnetic resonance arthrography applied to the diagnosis of intraarticular adhesions of the temporomandibular joint. Int J Oral Maxillofac Surg. 2005;34:733–8. https://doi.org/10.1016/j.ijom.2005.02.011.
Yang J, Chu D, Dong L, Court LE. Advantages of simulating thoracic cancer patients in an upright position. Pract Radiat Oncol. 2014;4(1):e53–8.
Zhong G, Buser Z, Lao L, Yin R, Wang JC. Kinematic relationship between missed ligamentum flavum bulge and degenerative factors in the cervical spine. Spine J. 2015;15:2216–21. https://doi.org/10.1016/j.spinee.2015.06.048.
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Clementi, V., Robba, T. (2020). TMJ Magnetic Resonance: Technical Considerations. In: Robba, T., Tanteri, C., Tanteri, G. (eds) MRI of the Temporomandibular Joint. Springer, Cham. https://doi.org/10.1007/978-3-030-25421-6_1
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DOI: https://doi.org/10.1007/978-3-030-25421-6_1
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