Temporomandibular joint MR images: Incidental head and neck findings and pathologies

Cranio. 2019 Mar;37(2):121-128. doi: 10.1080/08869634.2017.1383744. Epub 2017 Oct 17.

Abstract

Objective: To report the number and frequency of incidental findings (IFs) detected during magnetic resonance (MR) imaging screening of the temporomandibular joint (TMJ) and to define related diseases.

Methods: Bilateral TMJ MR images in the sagittal and coronal sections, from 518 patients with TMJ symptoms were evaluated retrospectively. Patients who were diagnosed with IFs were sent for consultation and clarification of the findings. Patient age, gender, IFs, locations, and diseases were classified and noted. Results: Seventy-eight (15%) patients were diagnosed with 117 IFs. Of them, 43 were diagnosed with a single IF, and 35 were diagnosed with more than one IF. The most frequent locations were paranasal sinuses and mastoid air cells. The most frequent diseases were inflammatory and cystic lesions. Discussion: While examining TMJ MR images, it is important to check for evidence of IFs or pathologies that may have mimicked signs and symptoms of TMJ disorders.

Keywords: Incidental finding; field of view; magnetic resonance imaging; pathology; screening; surface coil; temporomandibular disorder; temporomandibular joint.

MeSH terms

  • Adult
  • Aged
  • Carotid Artery, Internal, Dissection / diagnostic imaging
  • Cysticercosis / diagnostic imaging
  • Cysts / diagnostic imaging
  • Diagnosis, Differential
  • Diffusion Magnetic Resonance Imaging*
  • Female
  • Hemangiopericytoma / diagnostic imaging
  • Humans
  • Incidental Findings*
  • Male
  • Masseter Muscle / diagnostic imaging
  • Maxillary Sinusitis / diagnostic imaging
  • Middle Aged
  • Neglected Diseases / diagnostic imaging
  • Prevalence
  • Retrospective Studies
  • Temporomandibular Joint / diagnostic imaging*
  • Temporomandibular Joint Disorders / diagnostic imaging