Maximum and mean standardized uptake values of medication-related osteonecrosis of the jaw with bone SPECT/CT: comparison of mandibular pathologies, control and temporomandibular joints.

IF 2.9 2区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Dento maxillo facial radiology Pub Date : 2023-09-01 Epub Date: 2023-06-22 DOI:10.1259/dmfr.20230119
Yasuhito Tezuka, Ichiro Ogura
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Abstract

Objective: Recently, single-photon emission CT/CT (SPECT/CT) plays an important role in assessing patients with medication-related osteonecrosis of the jaw (MRONJ). The aim of this study was to investigate maximum and mean standardized uptake values (SUVs) of MRONJ with bone SPECT/CT, especially comparison of mandibular pathologies, control and temporomandibular joints.

Methods: 61 mandibular patients with MRONJ who underwent bone SPECT/CT were included in this study. The maximum and mean SUVs of the lesion, right and left sides of the lesion, opposite side of the lesion as control, right and left temporomandibular joints were analyzed using a workstation and software. The SUVs of MRONJ were analyzed using one-way analysis of variance with Tukey's honestly significant difference test. Patient characteristics with MRONJ and SUVs were analyzed using Mann-Whitney U test. P-values less than 0.05 were considered to indicate statistical significance.

Results: The maximum and mean SUVs for opposite side of the lesions (4.4 ± 2.0 and 1.8 ± 0.7) were significantly lower than those for mandibular lesions (18.3 ± 8.1 and 6.3 ± 2.8), right side of the lesions (8.1 ± 3.9 and 2.9 ± 1.3) and left side of the lesions (8.1 ± 3.9 and 2.8 ± 1.4), respectively. The maximum and mean SUVs for right and left sides of the lesions, and opposite side of the lesions, right and left temporomandibular joints were not significant difference. Furthermore, the maximum SUVs of the mandibular lesions were a significant difference for age and staging.

Conclusions: The maximum and mean SUVs with SPECT/CT can be useful in the quantitative management of MRONJ patients.

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用骨SPECT/CT检测与药物相关的颌骨坏死的最大和平均标准化摄取值:下颌骨病变、对照组和颞下颌关节的比较。
目的:最近,单光子发射CT/CT(SPECT/CT)在评估药物相关性颌骨坏死(MRONJ)患者中发挥了重要作用。本研究旨在通过骨SPECT/CT检查MRONJ的最大和平均标准化摄取值(SUVs),尤其是下颌骨病变、对照组和颞下颌关节的比较。使用工作站和软件分析病变、病变左右侧、作为对照的病变对侧、左右颞下颌关节的最大和平均 SUV 值。MRONJ 的 SUV 值采用单因素方差分析和 Tukey's 诚实显著性差异检验进行分析。使用 Mann-Whitney U 检验分析 MRONJ 和 SUV 的患者特征。P值小于0.05视为具有统计学意义:病变对侧的最大和平均 SUV 值(4.4 ± 2.0 和 1.8 ± 0.7)分别明显低于下颌骨病变(18.3 ± 8.1 和 6.3 ± 2.8)、病变右侧(8.1 ± 3.9 和 2.9 ± 1.3)和病变左侧(8.1 ± 3.9 和 2.8 ± 1.4)。病变左右侧、病变对侧、左右颞下颌关节的最大 SUV 值和平均 SUV 值差异不显著。此外,下颌骨病变的最大 SUV 与年龄和分期有显著差异:SPECT/CT的最大和平均SUV值有助于对MRONJ患者进行量化管理。
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来源期刊
CiteScore
5.60
自引率
9.10%
发文量
65
审稿时长
4-8 weeks
期刊介绍: Dentomaxillofacial Radiology (DMFR) is the journal of the International Association of Dentomaxillofacial Radiology (IADMFR) and covers the closely related fields of oral radiology and head and neck imaging. Established in 1972, DMFR is a key resource keeping dentists, radiologists and clinicians and scientists with an interest in Head and Neck imaging abreast of important research and developments in oral and maxillofacial radiology. The DMFR editorial board features a panel of international experts including Editor-in-Chief Professor Ralf Schulze. Our editorial board provide their expertise and guidance in shaping the content and direction of the journal. Quick Facts: - 2015 Impact Factor - 1.919 - Receipt to first decision - average of 3 weeks - Acceptance to online publication - average of 3 weeks - Open access option - ISSN: 0250-832X - eISSN: 1476-542X
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