Magnetic resonance imaging texture analysis of the mandibular condyle in acute mandibular osteomyelitis

Naoya Nakamura1, Hirotaka Muraoka1, Satoshi Tokunaga1

  • 1Department of Radiology, Nihon University School of Dentistry at Matsudo, 2-870-1 Sakaecho-Nishi, Matsudo, Chiba 271-8587, Japan.

Abstract

Insights

This study found significant MRI texture differences in the mandibular condyle of patients with acute osteomyelitis (OM). These findings highlight the temporomandibular joint

Area of Science:

  • Radiology
  • Orthopedic Surgery
  • Medical Imaging

Background:

  • Osteomyelitis (OM) of the mandibular condyle presents diagnostic challenges.
  • Accurate assessment of the temporomandibular joint (TMJ) is crucial for patient management.

Purpose of the Study:

  • To quantitatively assess MRI texture features in the mandibular condyle of patients with acute osteomyelitis.
  • To identify potential imaging biomarkers for acute mandibular OM.

Main Methods:

  • MRI examinations of 29 patients with acute OM and 29 controls.
  • Extraction and statistical comparison of 279 texture features using MaZda software.
  • Mann-Whitney U test applied for group comparisons with Bonferroni correction.

Main Results:

  • Seven MRI texture features demonstrated statistically significant differences between acute OM-affected and control condyles.
  • All significant features showed P < 0.001, indicating robust findings.

Conclusions:

  • Observed texture feature differences likely reflect inflammatory bone marrow changes in acute mandibular OM.
  • TMJ evaluation using MRI texture analysis is clinically relevant for diagnosing and managing acute OM.