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Magnetic resonance imaging texture analysis for quantitative evaluation of the mandibular condyle in juvenile idiopathic arthritis

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Abstract

Objectives

Juvenile idiopathic arthritis (JIA) is a chronic inflammatory disease that affects the joints and other organs, including the development of the former in a growing child. This study aimed to evaluate the feasibility of texture analysis (TA) based on magnetic resonance imaging (MRI) to provide biomarkers that serve to identify patients likely to progress to temporomandibular joint damage by associating JIA with age, gender and disease onset age.

Methods

The radiological database was retrospectively reviewed. A total of 45 patients were first divided into control group (23) and JIA group (22). TA was performed using grey-level co-occurrence matrix (GLCM) parameters, in which 11 textural parameters were calculated using MaZda software. These 11 parameters were ranked based on the p value obtained with ANOVA and then correlated with age, gender and disease onset age.

Results

Significant differences in texture parameters of condyle were demonstrated between JIA group and control group (p < 0.05). There was a progressive loss of uniformity in the grayscale pixels of MRI with an increasing age in JIA group.

Conclusions

MRI TA of the condyle can make it possible to detect the alterations in bone marrow of patients with JIA and promising tool which may help the image analysis.

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Abbreviations

JIA:

Juvenile idiopathic arthritis

MRI:

Magnetic resonance imaging

TA:

Texture analysis

TMJ:

Temporomandibular joint

ILAR:

International League of Associations for Rheumatology

DICOM:

Digital Imaging and Communications in Medicine

FOV:

Field of view

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Funding

This study was supported by FAPESP (São Paulo Research Foundation) Grants: 2017/09550-4, 2019/00495-6 and 20/08883-2.

Author information

Author notes

  1. Ana Lúcia Franco Ricardo and Gabriel Araújo da Silva contributed equally to this work.

Authors and Affiliations

  1. Postgraduate Program in Dentistry, Cruzeiro Do Sul University (UNICSUL), São Paulo, 01506-000, Brazil

    Ana Lúcia Franco Ricardo, Celso Massahiro Ogawa, Amanda D. Nussi & Andre Luiz Ferreira Costa

  2. Division of Oral Radiology, Department of Oral Diagnosis, Piracicaba Dental School, University of Campinas (UNICAMP), Campinas, Brazil

    Gabriel Araújo da Silva

  3. Department of Stomatology, School of Dentistry, University of São Paulo (USP), São Paulo, Brazil

    Catharina Simione De Rosa & Paulo Henrique Braz-Silva

  4. Rheumatology Department, Faculty of Medical Sciences, University of Campinas (UNICAMP), Campinas, SP, Brazil

    Jaqueline Serra Martins & Simone Appenzeller

  5. Department of Diagnosis and Surgery, São José Dos Campos School of Dentistry, São Paulo State University (UNESP), São José dos Campos, SP, Brazil

    Sérgio Lúcio Pereira de Castro Lopes

Authors
  1. Ana Lúcia Franco Ricardo
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  2. Gabriel Araújo da Silva
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  3. Celso Massahiro Ogawa
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  4. Amanda D. Nussi
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  5. Catharina Simione De Rosa
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  6. Jaqueline Serra Martins
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  9. Paulo Henrique Braz-Silva
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  10. Andre Luiz Ferreira Costa
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Corresponding author

Correspondence to Andre Luiz Ferreira Costa.

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Conflict of interests

All authors of this work declare no conflict of interest.

Ethics approval

The study was approved by the Institutional Review Board of UNICAMP, according to Protocol Number 54900216.9.0000.5404. All procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation (institutional and national) and with the Helsinki Declaration of 1975, as revised in 2008. Informed consent was obtained from all patients for being included in the study.

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Written informed consent was obtained from the guardian of each participant, after informed about the study.

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Ricardo, A.L.F., da Silva, G.A., Ogawa, C.M. et al. Magnetic resonance imaging texture analysis for quantitative evaluation of the mandibular condyle in juvenile idiopathic arthritis. Oral Radiol 39, 329–340 (2023). https://doi.org/10.1007/s11282-022-00641-y

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  • DOI: https://doi.org/10.1007/s11282-022-00641-y

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