측두하악관절의 관절염 진단에 있어서 골스캔과 단광자방출 전산화 단층촬영의 유용성에 관한 연구 = A Study on Usefulness of Planar Bone Scan and Bone SPECT in Diagnosis of Temporomandibular Joint Arthritides

다국어 초록 (Multilingual Abstract)

Temporomandibular joint arthritides is divided into osteoarthritis, osteoarthrosis and polyarthritis. Because the signs, symptoms and radiographical features of osteoarthritis and osteoarthrosis are similar without arthralgia, diffenential diagnosis is difficult. Also non-radiographically change in early Osteoarthritis leads to misdiagnose. Planar bone scan and SPECT are useful to detect bone change early. This study was carried out in order to make diagnostic criteria of planar bone scan and SPECT. Three hundred and four temporomandibular joints were examined with clinical examination, computerized tomograph, planar bone scan, and SPECT. The obtained results were as follows. 1. If temporomandibular joint simple uptake ratio of patient in twenties is over 1.397%, it's condition may be osteoarthritis. And simple uptake ratio over in thirties-fourties may mean osteoarthritis. 2. It may mean osteoarthritis of temporomandibular joint that the number of coronal and transverse SPECT frame with hot spot is over four. 3. Destructive stage may goes on, if simple uptake ratio is over 1.370% in tweenties and over 1.104% in thirties-fourties. 4. If the number of coronal SPECT frame with hot spot is over four, temporomandibular joint may be on destructive stage in tweenties, thirties-fourties. And if the number of transverse SPECT frame with hot spot is over three, it may be on destructive stage in all ages. 5. When patient complains subjective arthralgia and palpation arthralgia, bone change may be more active than each arthralgia. 6. Osteoarthritis may progress gradually worse in 4.5 anamnesis. And then it may be stable gradually and turn to osteoarthrosis.

참고문헌 (Reference)

1 "측두하악장애의 진단에서 Bone scan 의 유용성" 29 : 511-517, 1995

2 "측두하악관절장애 환자에서의 평면 골스캔 및 Bone SPECT 소견과 임상적 및 영상학적 소견과의 비교" 34 : 91-97, 2004

3 "전산화단층사진을 이용한 과두걸림을 가진 측두하악관절의 과두면 평가" 29 : 67-77, 2004

4 "구강안면동통과 측두하악장애" 143-185, 1996

5 "골 SPECT를 이용한 정상 성인 측두하악관절의 분석" 1 : 333-338, 1997

6 "Tomography as an aid to detect macroscopic changes of the temporomandibular joint An autopsy study of the aged" 131-140, 1986

7 "Temporomandibular Disorders: Osteoarthritis." 295-306, 1999

8 "Science and Practice of Occlusion" Quintessence Publishing Co illi (illi): 259-270, 1997

9 "Science and Practice of Occlusion" Quintessence Publishing Co illi (illi): 259-270, 1997

10 "Management of temporomandibular disorders and occlusion" Mosby 355 463-358 471, 2003

11 "Internal derangement of the temporomandibular joint detection by single-photon emission computer tomography Works in progress" 557-561, 1983

12 "Interexaminer comparison of bone scintigraphy and panoramic radiography of temporomandibular joints correlation with signs and symptoms" 246-51, 1992

13 "Imaging of the temporomandibular joint" 117-126, 1991

14 "Emission imaging of patients with craniomandibular dysfunction" 65 : 249-54, 1988

15 "Detection of degenerative disease of the temporomandibular joint by bone scintigraphy" 928-930, 1980

16 "Comparison of high-resolution MRI and SPECT bone scintigraphy for noninvasive imaging of the temporomandibular joint" 28 : 1268-74, 1987

17 "Clinical findings during the course of temporomandibular arthropathy" 283-288, 1981