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  • 标题:Several issues regarding the diagnostic imaging of medication-related osteonecrosis of the jaw
  • 本地全文:下载
  • 作者:Jo-Eun Kim ; Sumin Yoo ; Soon-Chul Choi
  • 期刊名称:Imaging Science in Dentistry
  • 印刷版ISSN:2233-7822
  • 出版年度:2020
  • 卷号:50
  • 期号:4
  • 页码:273-279
  • DOI:10.5624/isd.2020.50.4.273
  • 出版社:Korean Academy of Oral and Maxillofacial Radiology
  • 摘要:This review presents an overview of some diagnostic imaging-related issues regarding medication-related osteonecrosis of the jaws (MRONJ), including imaging signs that can predict MRONJ in patients taking antiresorptive drugs, the early imaging features of MRONJ, the relationship between the presence or absence of bone exposure and imaging features, and differences in imaging features by stage, between advanced MRONJ and conventional osteomyelitis, between oncologic and osteoporotic patients with MRONJ, and depending on the type of medication, method of administration, and duration of medication. The early diagnosis of MRONJ can be made by the presence of subtle imaging changes such as thickening of the lamina dura or cortical bone, not by the presence of bone exposure. Most of the imaging features are relatively non-specific, and each patient's clinical findings and history should be referenced. Oral and maxillofacial radiologists and dentists should closely monitor plain radiographs of patients taking antiresorptive/antiangiogenic drugs. Copyright © 2020 by Korean Academy of Oral and Maxillofacial Radiology.
  • 关键词:Bisphosphonate-Associated Osteonecrosis of the Jaw;Osteomyelitis;Radiography;Review
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