Several issues regarding the diagnostic imaging of medication-related osteonecrosis of the jaw
김조은, 유수민, 최순철,
소속 상세정보
김조은 ( Kim Jo-Eun ) - Seoul National University Dental Hospital Department of Oral and Maxillofacial Radiology
유수민 ( Yoo Su-Min ) - Kyungdong University Department of Dental Hygiene
최순철 ( Choi Soon-Chul ) - Seoul National University School of Dentistry Department of Oral and Maxillofacial Radiology
Abstract
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.
키워드
Bisphosphonate-Associated Osteonecrosis of the Jaw; Radiography; Osteomyelitis; Radiography; Review
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