The role of SPECT/CT with 99mTc-MDP image fusion to diagnose temporomandibular dysfunction.

Oral Surg Oral Med Oral Pathol Oral Radiol Endod

Oral Radiology Division, Department of Stomatology, School of Dentistry, University of São Paulo, São Paulo, Brazil.

Published: February 2006

Objective: The objective of this study was the evaluation of Single Photon Emission Computed Tomography with Technetium 99m Methylene Diphosphonate (SPECT with 99mTc-MDP) and computed tomography (CT), simultaneously acquired image in diagnosis of temporomandibular joint (TMJ) dysfunction.

Study Design: A prospective study was conducted with 33 patients, 29 female and 4 male, all of then presenting signs and/or complaints suggestive of temporomandibular dysfunction. SPECT/CT with 99mTc-MDP was performed in all patients and imaging results compared with final diagnosis and clinical outcome.

Results: The correlation of signs and symptoms with SPECT/CT imaging showed sensitivity 100%, specificity 90.91%, and accuracy 96.97%.

Conclusions: SPECT/CT with 99mTc-MDP coregistered imaging fusion is a suitable method of temporomandibular dysfunction diagnosis, due to the sensitivity, specificity, and accuracy observed.

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http://dx.doi.org/10.1016/j.tripleo.2005.03.018DOI Listing

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