Objectives <p>To assess the effectiveness of two enhancement filters for magnetic resonance images of temporomandibular joint (TMJ) in patients with juvenile idiopathic arthritis (JIA).</p> Material <p>Magnetic resonance image (MRI) of 44 patients with JIA (15 males and 29 females) was analysed using OnDemand 3D<sup>®</sup> software. Two experienced evaluators who were previously calibrated and blinded to the images assessed them subjectively regarding the use of Sharpen 1 and Sharpen 2 filters. The quality of the images after using the two different enhancement filters was compared to each other as well as to images without filter.</p> Results <p>There was no statistically significant difference between Sharpen 1 and Sharpen 2 filters. Both filters provided significantly better images compared to images without filter (<i>P</i> = 0.000), resulting in a greater constancy of images with excellent diagnostic conditions. As for the evaluation of the articular eminences, Sharpen 2 filter provided images with better sharpness, despite the lack of a statistically significant difference.</p> Conclusion <p>The use of enhancement filters in MRI of patients with JIA was shown to be a valuable means to improve the diagnostic quality. Both Sharpen 1 and Sharpen 2 filters significantly enhanced the visualisation of mandibular condyles and articular eminences, thus potentially facilitating the detection and follow-up of JIA-related changes in these structures.</p>

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Improving TMJ MRI diagnostics in juvenile idiopathic arthritis: a comparative evaluation of image enhancement filters

  • Ana Carla Raphaelli Nahás,
  • Alessandra Motta Streva,
  • Francis Damico Siqueira,
  • Ariani Suzy de Lima Oliveira Silva,
  • Helio Doyle Pereira da Silva,
  • Thasia Luiz Dias Ferreira,
  • Simone Appenzeller,
  • Andre Luiz Ferreira Costa

摘要

Objectives

To assess the effectiveness of two enhancement filters for magnetic resonance images of temporomandibular joint (TMJ) in patients with juvenile idiopathic arthritis (JIA).

Material

Magnetic resonance image (MRI) of 44 patients with JIA (15 males and 29 females) was analysed using OnDemand 3D® software. Two experienced evaluators who were previously calibrated and blinded to the images assessed them subjectively regarding the use of Sharpen 1 and Sharpen 2 filters. The quality of the images after using the two different enhancement filters was compared to each other as well as to images without filter.

Results

There was no statistically significant difference between Sharpen 1 and Sharpen 2 filters. Both filters provided significantly better images compared to images without filter (P = 0.000), resulting in a greater constancy of images with excellent diagnostic conditions. As for the evaluation of the articular eminences, Sharpen 2 filter provided images with better sharpness, despite the lack of a statistically significant difference.

Conclusion

The use of enhancement filters in MRI of patients with JIA was shown to be a valuable means to improve the diagnostic quality. Both Sharpen 1 and Sharpen 2 filters significantly enhanced the visualisation of mandibular condyles and articular eminences, thus potentially facilitating the detection and follow-up of JIA-related changes in these structures.