Gravação simultânea de áudio e ressonância magnética da articulação temporomandibular
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Antecedentes: A disfunção da articulação temporomandibular é uma doença complexa que requer tratamento multimodal e muitas vezes um diagnóstico tardio. Objetivo: O objetivo principal deste estudo é avaliar a viabilidade de gravação simultânea de sons articulares durante a obtenção de ressonância magnética de 3 tesla (cine-MRI 3T) da articulação temporomandibular (ATM). Um objetivo secundário refere-se à otimização de um protocolo de imagem dinâmico da ATM para maximizar a qualidade e velocidade da imagem, mantendo a sincronicidade. Métodos: Os investigadores inscreveram quatro indivíduos (agosto de 2018 a agosto de 2019) que eliciaram sons articulares audíveis durante movimentos contínuos de abertura e fechamento da mandíbula durante avaliação clínica na Faculdade de Odontologia da Universidade de Nova York. Um microfone de fibra óptica de contato (OptiRhythm 4130, Optoacoustics, Yehuda Israel) foi utilizado para registrar sons articulares provocados com movimentos funcionais durante imagens dinâmicas de RM na NYU Langone Health e todos os dados foram registrados adequadamente. Resultados: Os resultados deste estudo de viabilidade demonstram a integração bem-sucedida de imagens de áudio e RM de 3 Tesla para a ATM em todos os indivíduos. Este protocolo mostrou-se bem tolerado pelos sujeitos. Uma correlação precisa do movimento das estruturas da ATM nas imagens de cine-RM e com observações audíveis foi alcançada e avaliada por um cirurgião oral e maxilofacial experiente e um radiologista experiente. Conclusão: Este protocolo para áudio/cine-RM simultâneo é uma ferramenta viável para estudar a saúde e a doença da ATM. Em estudos futuros, prevemos que este protocolo acabará por refinar nossa compreensão dos sons da ATM e sua relação com a anatomia, fisiologia e patologia. Além disso, esperamos estabelecer um auxílio diagnóstico para orientar com mais precisão a tomada de decisões cirúrgicas e não cirúrgicas.
articulación temporomandibular, cirugía oral, diagnóstico, grabación de audio, imagen de resonancia magnética, odontología, trastornos de la articulación temporomandibular, trastornos temporomandibulares, temporomandibular disordersaudio recording, dentistry, diagnostics, magnetic resonance imaging, oral surgery, temporomandibular joint, temporomandibular joint disordersarticulação temporomandibular, cirurgia oral, diagnóstico, distúrbios da articulação temporomandibular, gravação de áudio, imagem de ressonância magnétic, odontologia, distúrbios temporomandibulares
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