Imaging of traumatic mandibular fractures in young adults using CT-like MRI: a feasibility study

Georg C. Feuerriegel, Lucas M. Ritschl, Nico Sollmann, Benjamin Palla, Yannik Leonhardt, Lisa Maier, Florian T. Gassert, Dimitrios C. Karampinos, Marcus R. Makowski, Claus Zimmer, Klaus Dietrich Wolff, Monika Probst, Andreas M. Fichter, Egon Burian

Research output: Contribution to journalArticlepeer-review

5 Scopus citations

Abstract

Objectives: To assess and compare the diagnostic performance of CT-like images based on a three- dimensional (3D) T1-weighted spoiled gradient-echo sequence (3D T1 GRE) with CT in patients with acute traumatic fractures of the mandible. Materials and methods: Subjects with acute mandibular fractures diagnosed on conventional CT were prospectively recruited and received an additional 3 T MRI with a CT-like 3D T1 GRE sequence. The images were assessed by two radiologists with regard to fracture localization, degree of dislocation, and number of fragments. Bone to soft tissue contrast, diagnostic confidence, artifacts, and overall image quality were rated using a five-point Likert-scale. Agreement of measurements was assessed using an independent t-test. Results: Fourteen subjects and 22 fracture sites were included (26 ± 3.9 years; 4 females, 10 males). All traumatic fractures were accurately detected on CT-like MRI (n = 22, κ 1.00 (95% CI 1.00–1.00)). There was no statistically significant difference in the assessment of the fracture dislocation (axial mean difference (MD) 0.06 mm, p = 0.93, coronal MD, 0.08 mm, p = 0.89 and sagittal MD, 0.04 mm, p = 0.96). The agreement for the fracture classification as well as the inter- and intra-rater agreement was excellent (range κ 0.92–0.98 (95% CI 0.96–0.99)). Conclusion: Assessment of mandibular fractures was feasible and accurate using CT-like MRI based on a 3D T1 GRE sequence and is comparable to conventional CT. Clinical relevance: For the assessment of acute mandibular fractures, CT-like MRI might become a useful alternative to CT in order to reduce radiation exposure particularly in young patients.

Original languageEnglish
Pages (from-to)1227-1233
Number of pages7
JournalClinical Oral Investigations
Volume27
Issue number3
DOIs
StatePublished - Mar 2023
Externally publishedYes

Keywords

  • CT-like MRI
  • Mandible
  • Mandibular fracture
  • T1 GRE sequence
  • Traumatic fracture

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