The diagnostic value of high-resolution ultrasonography for the detection of anterior disc displacement of the temporomandibular joint: a meta-analysis employing the HSROC statistical model

Dong, Xinxin; He, Shan; Zhu, Lin; Dong, Tian-Ming; Pan, Shenhua; Tang, Linjun; Zhu, Zhenwei

doi:10.1016/j.ijom.2015.01.012

Cited by 26 publications

(18 citation statements)

References 35 publications

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“…It should be mentioned that there are two systematic reviews published in 2012 and 2015 on the same topic as the present systematic review [13, 40]. These two previous systematic reviews both showed that US can be accepted as a rapid preliminary diagnostic method for DD, which is similar as the results of the present systematic review.…”

Section: Discussionsupporting

confidence: 84%

Diagnostic value of ultrasonography for the detection of disc displacements in the temporomandibular joint: a systematic review and meta-analysis

Wijk

Visscher

et al. 2018

Clin Oral Invest

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ObjectivesThe aim was to assess the added diagnostic value of ultrasonography (US) for establishing the presence or absence of disc displacements (DDs) in temporomandibular joints (TMJs).Materials and methodsPubmed and EMBASE were searched electronically to identify diagnostic accuracy studies that assessed the diagnostic value of US for the diagnosis of DD, using Magnetic resonance imaging (MRI) as the reference standard. Meta-analyses were performed with Metadisc 1.4 and RevMan 5.3.ResultsA total of 16 studies qualified for meta-analyses. For the diagnosis of DD at closed mouth position (DD-CM) and DD at maximum mouth-opening position (DD-MMO), the added values of a positive result with US for ruling in DD-CM and DD-MMO were 22 and 41%, while those of a negative result with US for ruling out DD-CM and DD-MMO were 30 and 20%. For the diagnosis of DD with reduction (DDWR) and DD without reduction (DDWoR), the added values of a positive result in US for ruling in DDWR and DDWoR were 35 and 41%, while those of a negative result in US for ruling out DDWR and DDWoR were 21 and 27%.ConclusionsUsing MRI as reference standard, the added values of both positive predictive values and negative predictive values of US for ruling in and ruling out DDs are sufficient in the decision-making in dental practice.Clinical relevanceUS can be a good imaging tool to supplement clinical examination findings in patients with suspected DDs. Combined static and dynamic examinations using high-resolution US should be preferred.

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Section: Discussionsupporting

confidence: 84%

Diagnostic value of ultrasonography for the detection of disc displacements in the temporomandibular joint: a systematic review and meta-analysis

Wijk

Visscher

et al. 2018

Clin Oral Invest

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“…Kaya et al (27) stated that there were no significant differences between MRI and USI in visualizing ADD, ADDwr, ADDwor, and effusion, and the findings of the two methods agreed with each other in all assessments (p>0.05). Dong et al (4) reported that patients who were suspected to have ADDwr were associated with an 89% probability of having a positive ADDwr result and a 21% chance of having a negative result after being evaluated by USI. In comparison, the corresponding probabilities for ADDwor were 82% and 16%, respectively (4).…”

Section: Discussionmentioning

confidence: 99%

“…Dong et al (4) reported that patients who were suspected to have ADDwr were associated with an 89% probability of having a positive ADDwr result and a 21% chance of having a negative result after being evaluated by USI. In comparison, the corresponding probabilities for ADDwor were 82% and 16%, respectively (4). In the present study, USI demonstrated a high Se, Sp, PPV, and NPV for detecting ADD.…”

Section: Discussionmentioning

confidence: 99%

“…TMDs are characterized by limited mouth opening, are accompanied by a clicking noise, and affect the masticatory system and its associated structures (2,3). These disorders affect approximately 10-70% of the population (4). TMD disorders are classified as muscular diseases, internal derangement (ID), inflammatory disease and osteoarthritis (3).…”

Section: Introductionmentioning

confidence: 99%

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Validation of the effectiveness of ultrasonography as a diagnostic method for temporomandibular joint disorders and a comparison with MRI and CBCT

Alsafadi¹,

Cobo²,

Menéndez‐Díaz³

et al. 2019

ERD

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Objective:The objective of this study was to compare findings from ultrasonography imaging (USI) of the temporomandibular joint (TMJ) with those from magnetic resonance imaging (MRI) and cone-beam computerized tomography (CBCT).Methods: A total of 102 patients were included in this study. USI, MRI, and CBCT were performed in the TMJ area for all patients.Results: USI showed 100% sensitivity (Se), 82.76% specificity (Sp), 93.15% positive predictive value (PPV), 100% negative predictive value (NPV) and 94.85% accuracy relative to MRI for identifying anterior disc displacement (ADD), while the Se, Sp, PPV, NPV, and accuracy were 100% for identifying joint effusion, relative to MRI. Moreover, USI showed a high agreement with CBCT, which had 98.08% Se, 94% Sp, 94.44% PPV, 97.92% NPV and 96.08% accuracy for identifying condylar irregularities, while MRI showed a 100% Se, 56.86% Sp, 69.86% PPV, 100% NPV, and 78.43% accuracy for detecting condylar irregularities, relative to CBCT. Conclusions: High-resolution USI is a useful diagnostic method for detecting TMJ pathologies; USI can supplement clinical evaluations for patients with temporomandibular joint disorders (TMDs), and this imaging modality can be used as a diagnostic tool to identify internal derangement of the TMJ.

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“…It is a noninvasive, dynamic, inexpensive imaging technique which can be useful in diagnosing articular disc displacements. Variable levels of sensitivity were reported in detection of disc displacement, therefore further studies are required [2][3][4][5][20][21][22][23][24]. It is a technique that depends widely on the operator.…”

Section: Introductionmentioning

confidence: 99%

High-resolution ultrasonography in assessing temporomandibular joint disc position

et al. 2018

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Aims: The purpose of this study was to determine the diagnostic value of high-resolution ultrasonography (US) in temporomandibular joint (TMJ) disc displacements.Materials and methods: A number of 74 patients (148 TMJs) with signs and symptoms of TMJ disorders, according to the Research Diagnostic Criteria for Temporomandibular Disorders, were included in this study. All patients received US and magnetic resonance imaging (MRI) of both TMJs 1 to 5 days after the clinical examination. MRI examinations were performed using 1.5 T MRI equipment (Siemens Avanto, Siemens, Erlangen). Ultrasonographic examination was performed on a Hitachi EUB 8500 (Hitachi Medical Corp., Tokyo, Japan) scanner with L 54 M6.5-13 MHz linear transducer.Results: MRI depicted 68 (45.95%) normal joints, 47 (31.76%) with disc displacement with reduction, 33 (22.3%) with disc displacement without reduction and 34 (22.97%) with degenerative changes. US detected 78 (52.7%) normal joints, 37 (25%) with disc displacement with reduction, 33 (22.3%) with disc displacement without reduction and 21 (14.19%) with degenerative changes. Compared to MRI, US showed a sensitivity of 93.1%, specificity of 87.88%, accuracy of 90.32%, a positive predictive value of 87.1% and a negative predictive value of 93.55% for overall diagnosis of disc displacement. The Youden index was 0.81.Conclusions: Based on our results, high-resolution ultrasonography showed high sensitivity, specificity and accuracy in the diagnosis of TMJ disc displacement. It could be a valuable imaging technique in assessing TMJ disc position. The diagnostic value of high-resolution ultrasonography depends strictly on the examiner’s skills and on the equipment used.

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The diagnostic value of high-resolution ultrasonography for the detection of anterior disc displacement of the temporomandibular joint: a meta-analysis employing the HSROC statistical model

Cited by 26 publications

References 35 publications

Diagnostic value of ultrasonography for the detection of disc displacements in the temporomandibular joint: a systematic review and meta-analysis

Diagnostic value of ultrasonography for the detection of disc displacements in the temporomandibular joint: a systematic review and meta-analysis

Validation of the effectiveness of ultrasonography as a diagnostic method for temporomandibular joint disorders and a comparison with MRI and CBCT

High-resolution ultrasonography in assessing temporomandibular joint disc position

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