Diagnostic criteria for temporomandibular joint osteoarthritis using standardized uptake value in single-photon emission computed tomography–computed tomography

Abstract This study aimed to investigate the cutoff values of standardized uptake values (SUVs) and their accuracy using single-photon emission computed tomography–computed tomography (SPECT–CT) for temporomandibular joint (TMJ) osteoarthritis (OA) based on magnetic resonance imaging (MRI) and clini...

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Main Authors: Jae-Young Kim, Chaeyeon Lee, Young Long Park, Jae-Hoon Lee, Young Hoon Ryu, Jong-Ki Huh
Format: Article
Language:English
Published: Nature Portfolio 2024-12-01
Series:Scientific Reports
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Online Access:https://doi.org/10.1038/s41598-024-71639-1
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author Jae-Young Kim
Chaeyeon Lee
Young Long Park
Jae-Hoon Lee
Young Hoon Ryu
Jong-Ki Huh
author_facet Jae-Young Kim
Chaeyeon Lee
Young Long Park
Jae-Hoon Lee
Young Hoon Ryu
Jong-Ki Huh
author_sort Jae-Young Kim
collection DOAJ
description Abstract This study aimed to investigate the cutoff values of standardized uptake values (SUVs) and their accuracy using single-photon emission computed tomography–computed tomography (SPECT–CT) for temporomandibular joint (TMJ) osteoarthritis (OA) based on magnetic resonance imaging (MRI) and clinical examination. We included 106 joints of 53 patients with TMJ OA. SUVmax and SUVpeak of each TMJ was measured. SUVref was set as the SUV at the clivus. The diagnostic performance, including sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV), and accuracy, were evaluated. SUVmax was 5.15, with a sensitivity of 59.375, specificity of 100.000, PPV of 100.000, NPV of 61.765, and accuracy of 75.472. The cutoff value for SUVpeak was 3.635, with sensitivity of 56.250, specificity of 100.000, PPV of 100.000, NPV of 60.000, and accuracy of 73.585. SUVmax was 3.286 ± 0.780 and 6.623 ± 3.442 in the non-OA and OA groups, respectively (p < 0.001). SUVpeak was 2.324 ± 0.688 and 4.913 ± 2.749 in the non-OA and OA groups, respectively (p < 0.001). SPECT–CT can be helpful for the diagnosis of patients clinically suspected of having OA. It is also recommended that clinicians keep in mind that patients with SUVmax values higher than the cutoff value should be managed with a higher possibility of OA.
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spelling doaj-art-0e0e6eb24a714b628d996655d6e09dad2025-01-05T12:26:40ZengNature PortfolioScientific Reports2045-23222024-12-011411710.1038/s41598-024-71639-1Diagnostic criteria for temporomandibular joint osteoarthritis using standardized uptake value in single-photon emission computed tomography–computed tomographyJae-Young Kim0Chaeyeon Lee1Young Long Park2Jae-Hoon Lee3Young Hoon Ryu4Jong-Ki Huh5Department of Oral and Maxillofacial Surgery, Yonsei University College of Dentistry, Gangnam Severance HospitalDepartment of Oral and Maxillofacial Surgery, Yonsei University College of Dentistry, Gangnam Severance HospitalDepartment of Oral and Maxillofacial Surgery, Bundang Cha HospitalDepartment of Nuclear Medicine, Yonsei University College of Medicine, Gangnam Severance HospitalDepartment of Nuclear Medicine, Yonsei University College of Medicine, Gangnam Severance HospitalDepartment of Oral and Maxillofacial Surgery, Yonsei University College of Dentistry, Gangnam Severance HospitalAbstract This study aimed to investigate the cutoff values of standardized uptake values (SUVs) and their accuracy using single-photon emission computed tomography–computed tomography (SPECT–CT) for temporomandibular joint (TMJ) osteoarthritis (OA) based on magnetic resonance imaging (MRI) and clinical examination. We included 106 joints of 53 patients with TMJ OA. SUVmax and SUVpeak of each TMJ was measured. SUVref was set as the SUV at the clivus. The diagnostic performance, including sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV), and accuracy, were evaluated. SUVmax was 5.15, with a sensitivity of 59.375, specificity of 100.000, PPV of 100.000, NPV of 61.765, and accuracy of 75.472. The cutoff value for SUVpeak was 3.635, with sensitivity of 56.250, specificity of 100.000, PPV of 100.000, NPV of 60.000, and accuracy of 73.585. SUVmax was 3.286 ± 0.780 and 6.623 ± 3.442 in the non-OA and OA groups, respectively (p < 0.001). SUVpeak was 2.324 ± 0.688 and 4.913 ± 2.749 in the non-OA and OA groups, respectively (p < 0.001). SPECT–CT can be helpful for the diagnosis of patients clinically suspected of having OA. It is also recommended that clinicians keep in mind that patients with SUVmax values higher than the cutoff value should be managed with a higher possibility of OA.https://doi.org/10.1038/s41598-024-71639-1Temporomandibular jointOsteoarthritisStandardized uptake valueScintigraphyDiagnosis
spellingShingle Jae-Young Kim
Chaeyeon Lee
Young Long Park
Jae-Hoon Lee
Young Hoon Ryu
Jong-Ki Huh
Diagnostic criteria for temporomandibular joint osteoarthritis using standardized uptake value in single-photon emission computed tomography–computed tomography
Scientific Reports
Temporomandibular joint
Osteoarthritis
Standardized uptake value
Scintigraphy
Diagnosis
title Diagnostic criteria for temporomandibular joint osteoarthritis using standardized uptake value in single-photon emission computed tomography–computed tomography
title_full Diagnostic criteria for temporomandibular joint osteoarthritis using standardized uptake value in single-photon emission computed tomography–computed tomography
title_fullStr Diagnostic criteria for temporomandibular joint osteoarthritis using standardized uptake value in single-photon emission computed tomography–computed tomography
title_full_unstemmed Diagnostic criteria for temporomandibular joint osteoarthritis using standardized uptake value in single-photon emission computed tomography–computed tomography
title_short Diagnostic criteria for temporomandibular joint osteoarthritis using standardized uptake value in single-photon emission computed tomography–computed tomography
title_sort diagnostic criteria for temporomandibular joint osteoarthritis using standardized uptake value in single photon emission computed tomography computed tomography
topic Temporomandibular joint
Osteoarthritis
Standardized uptake value
Scintigraphy
Diagnosis
url https://doi.org/10.1038/s41598-024-71639-1
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