The use of magnetic resonance imaging in the diagnosis of unilocular radiolucent images of the jawbone: a systematic review of the literature

Introduction: Magnetic Resonance Imaging (MRI) is a recent and non-irradiating imaging technique allowing an optimal analysis of soft tissues. The goal of this review was to investigate the contribution of MRI in differentiating benign lesions of the jawbone presenting with the same appearance (radi...

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Main Authors: Zaghden Olfa, Debré Timothé, Nguyen Thien Huong, Duong Lucas, Ferré François
Format: Article
Language:English
Published: EDP Sciences 2024-01-01
Series:Journal of Oral Medicine and Oral Surgery
Subjects:
Online Access:https://www.jomos.org/articles/mbcb/full_html/2024/03/mbcb230230/mbcb230230.html
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author Zaghden Olfa
Debré Timothé
Nguyen Thien Huong
Duong Lucas
Ferré François
author_facet Zaghden Olfa
Debré Timothé
Nguyen Thien Huong
Duong Lucas
Ferré François
author_sort Zaghden Olfa
collection DOAJ
description Introduction: Magnetic Resonance Imaging (MRI) is a recent and non-irradiating imaging technique allowing an optimal analysis of soft tissues. The goal of this review was to investigate the contribution of MRI in differentiating benign lesions of the jawbone presenting with the same appearance (radiolucent image) on panoramic radiograph, CT scan, or Cone Beam Computed Tomography (CBCT). Materials and methods: A literature review was performed on Medline and Embase. The MeSH keyword indexing language was used. The following keywords have been used. (Magnetic Resonance Imaging) AND ((odontogenic tumors) OR (ameloblastoma) OR (Cementoma) OR (odontogenic cyst, calcifying) OR (odontogenic tumor, squamous) OR (Odontoma) OR (Odontogenic cysts) OR (Basal cell nevus syndrome) OR (dentigerous cyst) OR (Odontogenic cyst, Calcifying) OR (Periodontal cyst)). This review was completed by a manual search in the bibliography of the selected articles. Results: A total of 220 articles were identified. After applying the non-inclusion criteria, 35 articles were retained for reading. After reading, 24 articles were included in data synthesis. MRI sequences including T1 weighted (T1w), T2 weighted (T2w) postcontrast T1 weighted with fat saturation (T1wFS+C) and diffusion-weighted images (DWI) may allow the operator to differentiate a cystic process from a tumor process. MRI can identify dentigerous cysts (DCs), inflammatory cysts, odontogenic keratocysts (OKs), or other unusual lesions, such as ameloblastoma (AB). A list of diagnostic criteria can therefore allow a more detailed analysis compared to CT or CBCT and establish a more accurate presumptive diagnosis. Discussion: MRI can allow a more precise orientation compared to CT scan analysis. The signal homogeneity on T1w and T2w, the postcontrast enhancement and the apparent diffusion coefficient are the three main parameters to be studied in order to make an accurate presumptive diagnosis. Conclusion: Based on this review, it can be concluded that the inclusion of MRI in the diagnosis process for unilocular radiolucent jaw lesions is beneficial for distinguishing between cystic and tumor process.
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spelling doaj-art-b5e5e5f936b249c7b79a624af61398612025-02-07T08:24:28ZengEDP SciencesJournal of Oral Medicine and Oral Surgery2608-13262024-01-013033710.1051/mbcb/2024024mbcb230230The use of magnetic resonance imaging in the diagnosis of unilocular radiolucent images of the jawbone: a systematic review of the literatureZaghden Olfa0https://orcid.org/0000-0002-9353-1649Debré Timothé1Nguyen Thien Huong2Duong Lucas3Ferré François4Department of Oral Radiology, University Dental Clinic, Monastir UniversityDental Department, Charles Foix HospitalDepartment of Neuro Imaging, C.H.N.O. des Quinze-VingtsDental Department, Charles Foix HospitalDental Department, Charles Foix HospitalIntroduction: Magnetic Resonance Imaging (MRI) is a recent and non-irradiating imaging technique allowing an optimal analysis of soft tissues. The goal of this review was to investigate the contribution of MRI in differentiating benign lesions of the jawbone presenting with the same appearance (radiolucent image) on panoramic radiograph, CT scan, or Cone Beam Computed Tomography (CBCT). Materials and methods: A literature review was performed on Medline and Embase. The MeSH keyword indexing language was used. The following keywords have been used. (Magnetic Resonance Imaging) AND ((odontogenic tumors) OR (ameloblastoma) OR (Cementoma) OR (odontogenic cyst, calcifying) OR (odontogenic tumor, squamous) OR (Odontoma) OR (Odontogenic cysts) OR (Basal cell nevus syndrome) OR (dentigerous cyst) OR (Odontogenic cyst, Calcifying) OR (Periodontal cyst)). This review was completed by a manual search in the bibliography of the selected articles. Results: A total of 220 articles were identified. After applying the non-inclusion criteria, 35 articles were retained for reading. After reading, 24 articles were included in data synthesis. MRI sequences including T1 weighted (T1w), T2 weighted (T2w) postcontrast T1 weighted with fat saturation (T1wFS+C) and diffusion-weighted images (DWI) may allow the operator to differentiate a cystic process from a tumor process. MRI can identify dentigerous cysts (DCs), inflammatory cysts, odontogenic keratocysts (OKs), or other unusual lesions, such as ameloblastoma (AB). A list of diagnostic criteria can therefore allow a more detailed analysis compared to CT or CBCT and establish a more accurate presumptive diagnosis. Discussion: MRI can allow a more precise orientation compared to CT scan analysis. The signal homogeneity on T1w and T2w, the postcontrast enhancement and the apparent diffusion coefficient are the three main parameters to be studied in order to make an accurate presumptive diagnosis. Conclusion: Based on this review, it can be concluded that the inclusion of MRI in the diagnosis process for unilocular radiolucent jaw lesions is beneficial for distinguishing between cystic and tumor process.https://www.jomos.org/articles/mbcb/full_html/2024/03/mbcb230230/mbcb230230.htmlmagnetic resonance imagingodontogenic tumorsodontogenic cystsradiolucent lesions
spellingShingle Zaghden Olfa
Debré Timothé
Nguyen Thien Huong
Duong Lucas
Ferré François
The use of magnetic resonance imaging in the diagnosis of unilocular radiolucent images of the jawbone: a systematic review of the literature
Journal of Oral Medicine and Oral Surgery
magnetic resonance imaging
odontogenic tumors
odontogenic cysts
radiolucent lesions
title The use of magnetic resonance imaging in the diagnosis of unilocular radiolucent images of the jawbone: a systematic review of the literature
title_full The use of magnetic resonance imaging in the diagnosis of unilocular radiolucent images of the jawbone: a systematic review of the literature
title_fullStr The use of magnetic resonance imaging in the diagnosis of unilocular radiolucent images of the jawbone: a systematic review of the literature
title_full_unstemmed The use of magnetic resonance imaging in the diagnosis of unilocular radiolucent images of the jawbone: a systematic review of the literature
title_short The use of magnetic resonance imaging in the diagnosis of unilocular radiolucent images of the jawbone: a systematic review of the literature
title_sort use of magnetic resonance imaging in the diagnosis of unilocular radiolucent images of the jawbone a systematic review of the literature
topic magnetic resonance imaging
odontogenic tumors
odontogenic cysts
radiolucent lesions
url https://www.jomos.org/articles/mbcb/full_html/2024/03/mbcb230230/mbcb230230.html
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