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Tempromandibular joint disorders (TMDs) include any clinical conditions associated with masticatory musculature, temporomandibular joint (TMJ), surrounding bony and soft tissue components, and any combinations of these structures.
A combination of stem cells and biomaterials affords tissue engineering of both hard and soft tissue components of teeth, as well as other tissues required for maxillofacial reconstruction.
X-rays were previously used to diagnose these injuries [11, 12, 13], but we believe MRI scans provide a more accurate picture of the anatomical disruption including the soft tissue components [6, 13].
Moreover, due to the diverse nature of TMD symptoms, patient evaluation with clinical examination alone is insufficient to fully assess the osseous and soft tissue components of the TMJ and often requires imaging to strengthen the diagnostic process [8, 9].
MRI is also highly sensitive for detection of cartilage damage and subchondral fracture and contusion, and provides additional information on the integrity of the soft tissue components of the extensor mechanism.
In the spine, imaging studies may reveal variable vertebral involvement, ranging from isolated lytic lesions to a more significant vertebral collapse that involves the pedicles and posterior vertebral elements (vertebra plana), peridural spread and paraspinal soft tissue components [20, 25].
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The soft tissue component enhances.
T2-weighted images often have a low to intermediate signal soft tissue component (Fig. 7).
Post-contrast images can show enhancement of the soft tissue component (Fig. 7).
MRI is far superior for evaluation of the soft tissue component of the lesion.
The presence of an associated soft tissue component is one of the most important imaging malignancy predictors in bone tumours.
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