Evidence map›Paper›PMID 42309810›Full record

ArticleJournal of clinical periodontology2026

A Pilot Comparative Study of Multi-Contrast Dental MRI and CBCT: Clinical Correlates of Disease Status and Inflammatory Burden in Periodontitis.

Nouha Tekiki, Arne Lauer, Katharina Hartung, Marietta Kirchner, Luisa Schulte, Hao Li, Alexander Juerchott, Meysam Sohani, Christopher Herpel, Maurice Ruetters and 4 more

Abstract readComparative Study
In one paragraph

Article in Journal of clinical periodontology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

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0 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

14 authors.

Nouha TekikiDepartment of Neuroradiology, Heidelberg University Hospital, Heidelberg, Germany.
Arne LauerDepartment of Neuroradiology, Heidelberg University Hospital, Heidelberg, Germany.
Katharina HartungDepartment of Neuroradiology, Heidelberg University Hospital, Heidelberg, Germany.
Marietta KirchnerInstitute of Medical Biometry, Heidelberg University Hospital, Heidelberg, Germany.ORCID https://orcid.org/0000-0003-0294-2483
Luisa SchulteDepartment of Neuroradiology, Heidelberg University Hospital, Heidelberg, Germany.
Hao LiDepartment of Neuroradiology, Heidelberg University Hospital, Heidelberg, Germany.ORCID https://orcid.org/0009-0001-2054-4721
Alexander JuerchottDepartment of Neuroradiology, Heidelberg University Hospital, Heidelberg, Germany.ORCID https://orcid.org/0000-0003-0556-908X
Meysam SohaniPrivate Practice, Schwalmtal, Germany.
Christopher HerpelDepartment of Prosthodontics, Heidelberg University Hospital, Heidelberg, Germany.
Maurice RuettersSection of Periodontology, Department of Operative Dentistry, Heidelberg University Hospital, Heidelberg, Germany.
Mathias NittkaResearch & Clinical Translation, Magnetic Resonance, Siemens Healthineers AG, Erlangen, Germany.
Sabine HeilandDepartment of Neuroradiology, Heidelberg University Hospital, Heidelberg, Germany.
Martin BendszusDepartment of Neuroradiology, Heidelberg University Hospital, Heidelberg, Germany.
Tim HilgenfeldDepartment of Neuroradiology, Heidelberg University Hospital, Heidelberg, Germany.ORCID https://orcid.org/0000-0002-3458-8899

Funding

Dietmar Hopp Stiftung 1DH2011152
6 · The paper itself

Abstract

aimTo evaluate the reliability of multi-contrast dental MRI (dMRI) for periodontal lesion assessment in comparison to cone-beam computed tomography (CBCT). Associations between imaging findings and clinical indicators of periodontal inflammation (i.e., bleeding on probing [BOP], periodontal probing depth [PPD] and periodontal inflamed surface area [PISA]) were analysed to explore the potential of dMRI to reflect disease status and inflammatory burden. MATERIALS AND

methodsIn this prospective study, patients with severe periodontitis underwent clinical examination, CBCT and 3T dMRI. Site-level detectability of periodontal osseous defects and/or marrow signal changes at the six standard clinical probing sites per tooth, as well as tooth-level lesion volumetry, were evaluated across CBCT, T1-weighted (T1W), contrast-enhanced T1W and T2-weighted (T2W). Reliability (κ, ICC) and clinical-imaging associations (Kruskal-Wallis and mixed-effect models) were analysed.

resultsNineteen patients with severe periodontitis stages III and IV were included. Reliability of dMRI matched CBCT (site-level κ = 0.631-0.771; tooth-level ICC = 0.832-0.973). Increasing PPD and BOP raised lesion detectability and volumes across all modalities, with dMRI being consistently more sensitive than CBCT. T1W MRI showed lesions and bone loss similar to CBCT and was unaffected by BOP (p = 0.132) or PPD (p = 0.252). T2W MRI identified most lesions regardless of PPD and reflected high correlations with BOP (p < 0.05), PPD (p < 0.001) and PISA (p < 0.001).

conclusionsReliability of dMRI for lesion identification and quantification was comparable to that of CBCT. The presence of T2W marrow oedema at sites with a CBCT-normal periodontal ligament space and no radiographically detectable bone loss may represent a promising imaging marker for early periodontal disease recognition and assessment of inflammatory burden.

Indexed as

Cone-Beam Computed TomographyMagnetic Resonance ImagingPeriodontitisAdultAgedAlveolar Bone LossContrast MediaFemaleHumansMaleMiddle AgedPeriodontal IndexPeriodontal PocketPilot ProjectsProspective StudiesReproducibility of ResultsContrast Mediacone‐beam computed tomographydental MRImagnetic resonance imagingperiodontal inflamed surface areaperiodontitisperiodontiumreliability

Identifiers

PMID42309810
PMCPMC13477842

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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.