Evidence map›Paper›PMID 38365709›Full record

ArticleHead & face medicine2024

Reliability of landmark identification for analysis of the temporomandibular joint in real-time MRI.

Jérémy Mouchoux, Philipp Meyer-Marcotty, Florian Sojka, Peter Dechent, Daniela Klenke, Bernhard Wiechens, Anja Quast

Open access · goldAbstract read
In one paragraph

Article in Head & face medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
3.5field-weighted citation impact, top 9% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 7 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 1 institution in 1 country.

Jérémy MouchouxPoliklinik Für Kieferorthopädie, Universitätmedizin Göttingen (UMG), Göttingen, Germany. jeremy.mouchoux@med.uni-goettingen.de.
Philipp Meyer-MarcottyPoliklinik Für Kieferorthopädie, Universitätmedizin Göttingen (UMG), Göttingen, Germany.
Florian SojkaPoliklinik Für Kieferorthopädie, Universitätmedizin Göttingen (UMG), Göttingen, Germany.
Peter DechentInstitut Für Kognitive Neurologie, Universitätmedizin Göttingen (UMG), Göttingen, Germany.
Daniela KlenkePoliklinik Für Kieferorthopädie, Universitätmedizin Göttingen (UMG), Göttingen, Germany.
Bernhard WiechensPoliklinik Für Kieferorthopädie, Universitätmedizin Göttingen (UMG), Göttingen, Germany.
Anja QuastPoliklinik Für Kieferorthopädie, Universitätmedizin Göttingen (UMG), Göttingen, Germany.
Universitätsmedizin Göttingen · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundReal-time magnetic resonance imaging (rtMRI) is essential for diagnosing and comprehending temporomandibular joint (TMJ) movements. Current methods for tracking and analysis require manual landmark placement on each acquisition frame. Therefore, our study aimed to assess the inter- and intra-rater reliability of placing cephalometric landmarks in frames from a dynamic real-time TMJ MRI. MATERIAL AND

methodsFour real-time MRIs of the right TMJ were taken during mandibular movement at ten frames per second. Seven dentists identified ten landmarks on two frames (intercuspal position-ICP-and maximum mouth opening-MMO) twice at a two-week interval, yielding 112 tracings. Six typical cephalometric measurements (angles and distances) were derived from these landmarks. The reliabilities of landmarks and measurements were evaluated using distance-based (dbICC), linear mixed effect model intraclass correlation (lmeICC), and standard ICC.

resultsThe average inter-rater reliability for the landmarks stood at 0.92 (dbICC) and 0.93 (lmeICC). The intra-rater reliability scores were 0.97 and 0.98. Over 80% of the landmarks showed an ICC greater than 0.98 (inter-rater) and over 0.99 (intra-rater). The lowest landmark ICC was observed for the orbitale and the oblique ridge of the mandibular ramus. However, the cephalometric angle and distance measurements derived from these landmarks showed only moderate to good reliability, whereas the reliability in the frames with ICP was better than those with MMO. Measurements performed in the ICP frame were more reliable than measurements in the MMO frame.

conclusionWhile dentists reliably localize isolated landmarks in real-time MRIs, the cephalometric measurements derived from them remain inconsistent. The better results in ICP than MMO are probably due to a more familiar jaw position. The higher error rate of the TMJ measurements in MMO could be associated with a lack of training in real-time MRI analysis in dentistry.

Indexed as

Magnetic Resonance ImagingTemporomandibular JointCephalometryHumansMandibleObserver VariationReproducibility of ResultsCine magnetic resonance imagingMagnetic resonance imagingQuantitative evaluationReliabilityTemporomandibular joint

Identifiers

PMID38365709
PMCPMC10874088
OpenAlexW4391898597

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.