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Abdala-Júnior R, Cortes ARG, Aoki EM, Ferreira S, Luz JGC, Arita ES, de Oliveira JX. Impact of Temporomandibular Joint Discectomy on Condyle Morphology: An Animal Study. J Oral Maxillofac Surg 2017; 76:955.e1-955.e5. [PMID: 29362166 DOI: 10.1016/j.joms.2017.12.019] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/12/2017] [Revised: 12/20/2017] [Accepted: 12/20/2017] [Indexed: 11/18/2022]
Abstract
PURPOSE Temporomandibular disorders lead to parafunctional activity that may alter bone remodeling of mandibular components. This animal study aimed to assess the impact of temporomandibular joint discectomy on condylar bone microarchitecture. MATERIALS AND METHODS A total of 30 one-month-old Wistar rats were assessed and divided into 3 equal groups (2 test groups and 1 control group) of 10. The first test group underwent disc removal, the second test group underwent disc and condylar cartilage removal, and the 10 remaining rats were analyzed as sham-operated controls, following a split-mouth design. The rats were killed humanely 2 months after surgery, and the respective mandibles were scanned with micro-computed tomography for quantitative morphometric analysis. RESULTS There were significant differences among the 3 groups analyzed (disc removal, disc and condylar cartilage removal, and sham-operated control) for bone volume fraction (ratio of bone volume to total volume, P = .044), structure model index (P < .001), fractal dimension (P = .024), and porosity (P = .023). In addition, operated and contralateral nonoperated sides significantly differed for all variables in at least 1 of the test groups (P < .05) but not in the control group (P > .05). CONCLUSIONS Within the limitations of this study, our results suggest that discectomy may lead to alterations of the mandibular condylar morphology.
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Affiliation(s)
- Reinaldo Abdala-Júnior
- Graduate Student, Oral Radiology Division, School of Dentistry, University of Sao Paulo, Sao Paulo, Brazil.
| | - Arthur Rodriguez Gonzalez Cortes
- Postgraduate Fellow, Oral Radiology Division, School of Dentistry, University of Sao Paulo, Sao Paulo, Brazil; Martinos Center for Biomedical Imaging, Department of Radiology, Massachusetts General Hospital, Charlestown, MA; and Harvard Medical School, Boston, MA
| | - Eduardo Massaharu Aoki
- Graduate Student, Oral Radiology Division, School of Dentistry, University of Sao Paulo, Sao Paulo, Brazil
| | - Simone Ferreira
- Researcher, Department of Oral Surgery, School of Dentistry, University of Sao Paulo, Sao Paulo, Brazil
| | - João Gualberto Cerqueira Luz
- Associate Professor, Department of Oral Surgery, School of Dentistry, University of Sao Paulo, Sao Paulo, Brazil
| | - Emiko Saito Arita
- Associate Professor, Oral Radiology Division, School of Dentistry, University of Sao Paulo, Sao Paulo, Brazil
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Cortes ARG, Cohen O, Zhao M, Aoki EM, Ribeiro RA, Abu Nada L, Costa C, Arita ES, Tamimi F, Ackerman JL. Assessment of alveolar bone marrow fat content using 15 T MRI. Oral Surg Oral Med Oral Pathol Oral Radiol 2017; 125:244-249. [PMID: 29292160 DOI: 10.1016/j.oooo.2017.11.016] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/15/2017] [Revised: 11/03/2017] [Accepted: 11/11/2017] [Indexed: 12/25/2022]
Abstract
OBJECTIVES Bone marrow fat is inversely correlated with bone mineral density. The aim of this study is to present a method to quantify alveolar bone marrow fat content using a 15 T magnetic resonance imaging (MRI) scanner. STUDY DESIGN A 15 T MRI scanner with a 13-mm inner diameter loop-gap radiofrequency coil was used to scan seven 3-mm diameter alveolar bone biopsy specimens. A 3-D gradient-echo relaxation time (T1)-weighted pulse sequence was chosen to obtain images. All images were obtained with a voxel size (58 µm3) sufficient to resolve trabecular spaces. Automated volume of the bone marrow fat content and derived bone volume fraction (BV/TV) were calculated. Results were compared with actual BV/TV obtained from micro-computed tomography (CT) scans. RESULTS Mean fat tissue volume was 20.1 ± 11%. There was a significantly strong inverse correlation between fat tissue volume and BV/TV (r = -0.68; P = .045). Furthermore, there was a strong agreement between BV/TV derived from MRI and obtained with micro-CT (interclass correlation coefficient = 0.92; P = .001). CONCLUSIONS Bone marrow fat of small alveolar bone biopsy specimens can be quantified with sufficient spatial resolution using an ultra-high-field MRI scanner and a T1-weighted pulse sequence.
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Affiliation(s)
- Arthur Rodriguez Gonzalez Cortes
- Martinos Center for Biomedical Imaging, Department of Radiology, Massachusetts General Hospital, Charlestown, Massachusetts, USA; Department of Radiology, Harvard Medical School, Boston, Massachusetts, USA; Department of Oral Radiology, School of Dentistry, University of São Paulo, São Paulo, Brazil.
| | - Ouri Cohen
- Martinos Center for Biomedical Imaging, Department of Radiology, Massachusetts General Hospital, Charlestown, Massachusetts, USA; Department of Radiology, Harvard Medical School, Boston, Massachusetts, USA
| | - Ming Zhao
- Martinos Center for Biomedical Imaging, Department of Radiology, Massachusetts General Hospital, Charlestown, Massachusetts, USA; Department of Radiology, Harvard Medical School, Boston, Massachusetts, USA; Department of Physics, University of Massachusetts Lowell, Lowell, Massachusetts, USA
| | - Eduardo Massaharu Aoki
- Department of Oral Radiology, School of Dentistry, University of São Paulo, São Paulo, Brazil
| | - Rodrigo Alves Ribeiro
- Department of Oral Implantology, School of Dentistry, Metropolitan University of Santos, Santos, Brazil
| | - Lina Abu Nada
- Faculty of Dentistry, McGill University, Montreal, Quebec, Canada
| | - Claudio Costa
- Department of Oral Radiology, School of Dentistry, University of São Paulo, São Paulo, Brazil
| | - Emiko Saito Arita
- Department of Oral Radiology, School of Dentistry, University of São Paulo, São Paulo, Brazil
| | - Faleh Tamimi
- Faculty of Dentistry, McGill University, Montreal, Quebec, Canada
| | - Jerome L Ackerman
- Martinos Center for Biomedical Imaging, Department of Radiology, Massachusetts General Hospital, Charlestown, Massachusetts, USA; Department of Radiology, Harvard Medical School, Boston, Massachusetts, USA
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Camargo AJ, Cortes ARG, Aoki EM, Baladi MG, Arita ES, Watanabe PCA. Diagnostic performance of fractal dimension and radiomorphometric indices from digital panoramic radiographs for screening low bone mineral density. Braz J Oral Sci 2017. [DOI: 10.20396/bjos.v15i2.8648764] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022] Open
Abstract
A number of panoramic radiographic measurements have been associated with osteoporotic alterations. However, little is known about the differences in sensitivity and specificity among these measurements for screening low bone mineral density (BMD). Aim: To correlate and compare precision, sensitivity and specificity of panoramic radiomorphometric indices and fractal dimension (FD) for screening low BMD (i.e. osteopenia and osteoporosis). Methods: Sixty-eight female patients (42.78±15.59 years) were included in this study. Body mass index (BMI), mandibular cortical index (MCI), mandibular cortical width (MCW), FD and connectivity (C) were assessed. Low BMD was diagnosed by peripheral dual-energy X-ray absorptiometry (p-DXA). Non-parametric correlations were assessed among all variables. In addition, sensitivity and specificity of MCI, MCW and FD were estimated for screening low BMD. Results: Significant correlation was found between FD and BMI (p=0.013; r=0.269). In addition, FD was the most sensitive method for screening low BMD (70.8%, p=0.001). FD and MCI presented a significant and relatively high sensitivity, whereas MCW presented a high specificity for screening low systemic BMD Conclusions: Among the analyzed methods, FD and MCI offer a significant and relatively high sensitivity, whereas MCW offers a high specificity for screening low BMD.
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Kim JH, Aoki EM, Cortes ARG, Abdala-Júnior R, Asaumi J, Arita ES. Comparison of the diagnostic performance of panoramic and occlusal radiographs in detecting submandibular sialoliths. Imaging Sci Dent 2016; 46:87-92. [PMID: 27358815 PMCID: PMC4925655 DOI: 10.5624/isd.2016.46.2.87] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/23/2015] [Revised: 02/07/2016] [Accepted: 02/17/2016] [Indexed: 11/18/2022] Open
Abstract
Purpose The aim of this study was to assess and compare the diagnostic performance of panoramic and occlusal radiographs in detecting submandibular sialoliths. Materials and Methods A total of 40 patients (20 cases and 20 controls) were included in this retrospective study. Cases were defined as subjects with a submandibular sialolith confirmed by computed tomography (CT), whereas controls did not have any submandibular calcifications. Three observers with different expertise levels assessed panoramic and occlusal radiographs of all subjects for the presence of sialoliths. Intraobserver and interobserver agreement were assessed using the kappa test. Sensitivity, specificity, accuracy, positive and negative predictive values, and the diagnostic odds ratio of panoramic and occlusal radiographs in screening for submandibular sialoliths were calculated for each observer. Results The sensitivity and specificity values for occlusal and panoramic radiographs all ranged from 80% to 100%. The lowest values of sensitivity and specificity observed among the observers were 82.6% and 80%, respectively (P=0.001). Intraobserver and interobserver agreement were higher for occlusal radiographs than for panoramic radiographs, although panoramic radiographs demonstrated a higher overall accuracy. Conclusion Both panoramic and occlusal radiographic techniques displayed satisfactory diagnostic performance and should be considered before using a CT scan to detect submandibular sialoliths.
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Affiliation(s)
- Jun Ho Kim
- Department of Oral Radiology, School of Dentistry, University of São Paulo, São Paulo, Brazil
| | - Eduardo Massaharu Aoki
- Department of Oral Radiology, School of Dentistry, University of São Paulo, São Paulo, Brazil
| | - Arthur Rodriguez Gonzalez Cortes
- Department of Oral Radiology, School of Dentistry, University of São Paulo, São Paulo, Brazil.; Martinos Center for Biomedical Imaging, Department of Radiology, Massachusetts General Hospital, Charlestown, MA, USA.; Department of Radiology, Harvard Medical School, Boston, MA, USA
| | - Reinaldo Abdala-Júnior
- Department of Oral Radiology, School of Dentistry, University of São Paulo, São Paulo, Brazil
| | - Junichi Asaumi
- Department of Oral Radiology, School of Dentistry, University of Okayama, Okayama, Japan
| | - Emiko Saito Arita
- Department of Oral Radiology, School of Dentistry, University of São Paulo, São Paulo, Brazil
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Camargo AJ, Côrtes ARG, Aoki EM, Baladi MG, Arita ES, Watanabe PCA. Analysis of Bone Quality on Panoramic Radiograph in Osteoporosis Research by Fractal Dimension. ACTA ACUST UNITED AC 2016. [DOI: 10.4236/am.2016.74035] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
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Aoki EM, Abdala-Júnior R, de Oliveira JX, Arita ES, Cortes ARG. Reliability and Reproducibility of Manual and Automated Volumetric Measurements of Periapical Lesions. J Endod 2015; 41:1555-9. [PMID: 26234544 DOI: 10.1016/j.joen.2015.06.015] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/11/2015] [Revised: 06/17/2015] [Accepted: 06/20/2015] [Indexed: 10/23/2022]
Abstract
INTRODUCTION The present study aimed to test the reliability and reproducibility of 2 methods: manual and automated segmentation (using a threshold-based region growing algorithm) for measuring the volume of periapical lesions. METHODS A total of 43 cone-beam computed tomographic scans (14 men and 29 women, mean age of 54.6 ± 8.5 years) were analyzed by 3 observers. Intraobserver reproducibility and interobserver reliability were assessed using the intraclass correlation coefficient. Parametric correlation between manual and automated volumetric measurements was performed. In addition, the Student t test was also used to compare the mean time required for manual and automated volumetric measurements. RESULTS Automated segmentation showed slightly higher intraclass correlation coefficient values for all observers. A strong significant correlation was found between manual and automated volumetric measurements performed by the 3 observers. A significant difference in the mean procedure time was also found between both methods (P = .001). CONCLUSIONS Within the limitations of this study, the present results suggest that automated segmentation with a region growing algorithm is faster and slightly more reliable to calculate the volume of periapical lesions.
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Affiliation(s)
- Eduardo Massaharu Aoki
- Department of Stomatology, School of Dentistry, University of São Paulo, São Paulo, Brazil
| | - Reinaldo Abdala-Júnior
- Department of Stomatology, School of Dentistry, University of São Paulo, São Paulo, Brazil
| | | | - Emiko Saito Arita
- Department of Stomatology, School of Dentistry, University of São Paulo, São Paulo, Brazil
| | - Arthur Rodriguez Gonzalez Cortes
- Martinos Center for Biomedical Imaging, Department of Radiology, Massachusetts General Hospital, Charlestown, Massachusetts; Harvard Medical School, Boston, Massachusetts.
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