Volume Isotropic Turbo Spin Echo Acquisition Magnetic Resonance Imaging Pulse Sequence in Assessment of Temporomandibular Disorders

Abstract

Background: Magnetic resonance imaging is the chief imaging modality used in assessment of temporomandibular disorders. Aim of the study:This study aimed to investigate the validity of Volume ISotropic Turbo spin echo Acquisition (VISTA) pulse sequence in the assessment of temporomandibular disorders. Subjects and Methods:Fifteen patients with temporomandibular joint related complaints performed MRI bilaterally using VISTA proton density and two-dimensional proton density turbo spin echo pulse sequences. Four-point scale was used to assess the clarity of articular disc position, disc morphology, cortical bone delineation, and overall image quality of both tested techniques. Besides, the final diagnosis of each case was obtained. Results:The main and standard deviation of traditionally used 2D proton density images in determination of disc position, disc morphology, delineation of cortical bone and overall image quality were (2.57± 0.49), (2.37± 0.60), (2.8± 0.4), (2.57± 0.49), respectively. While those for VISTA images were (1.8± 0.4), (1.53± 0.72), (2.1± 0.60), (1.7± 0.64) with the same order. The final diagnosis was similar in both techniques in 25 cases out of 30. Conclusion:Volume ISotropic Turbo Spin Echo Acquisition (VISTA) magnetic resonance pulse sequence could reveal the temporomandibular joint related structures, but with less image quality than that of traditionally used two-dimensional proton density images.

Dual-Echo magnetic resonance imaging pulse sequence in diagnosis of temporomandibular disorders

“…Four-point scale was used to evaluate the disc position, morphology, cortical bone delineation, similar to [23] starting from poor image (0) reaching very good image (3). Consequently the higher the score for disc position, morphology, cortical bone evaluation the more reliable the image is to diagnose the case.…”