Magnetic resonance imaging of the temporomandibular joint: preliminary evaluation of partial flip angle three-dimensional volume acquisitions against conventional single and multiecho pulse sequences.

The authors imaged 20 temporomandibular joints (TMJs) in 20 patients with high field surface coil magnetic resonance imaging, to compare the accuracy and the clinical utility of thin section partial flip angle (PFA) three dimensional (3D) volume acquisitions with T1-weighted images (T1WI), spin echo, multiecho, long TR/short and long TE images, PFA gradient recalled acquisition in the steady state (GRASS) images in the diagnosis of internal derangement of the TMJ. Pathological conditions demonstrated on imaging studies included disk derangement, joint effusion, and osteocartilaginous lesions, such as degenerative arthritis, osteoporosis, osteochondritis dissecans and early avascular necrosis of the mandibular condyle.