REGINA LUCIA ELIA GOMES
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4
Projetos de Pesquisa
Unidades Organizacionais
Instituto de Radiologia, Hospital das Clínicas, Faculdade de Medicina - Médico
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- Characteristics related to TMJ arthralgia, visualized by magnetic resonance imaging (3.0 Tesla)(2013) GALHARDO, Alessandra Pucci Mantelli; BARACAT, Edmund Chada; LEITE, Claudia da Costa; GEBRIM, Eloisa Maria Mello Santiago; GOMES, Regina Lucia Elia; MUKAI, Marcio Katsuyoshi; MORI, Matsuyoshi; GIL, CarlosPatients: Six women, with ages ranging from 52 to 64 years old, clinically evaluated (Research Diagnostic Criteria for Temporomandibular Disorders) by a single examiner were submitted to MRI (3.0 T). They had only arthralgia diagnosis. The images were evaluated by two radiologists who were not informed about the patients' clinical conditions, in which discs displacements, osteophytes and morphological irregularities, as well as completely normal images, i.e., without any characteristics were identified. Discussion: TMJ arthralgia can be caused by various conditions, few of which are objectively observed when investigating its causes or diagnose temporomandibular disorders (TMD). In some cases, imaging exams can detect some conditions and magnetic resonance imaging (MRI) is commonly used for this purpose. Here, the MRI (3.0 T) enabled a detailed visualization of the structures of the TMJ, allowing the characterization of the symptomology in some cases. Despite, some images were completely normal. Conclusion: This case report detected some features seen on the MRI that justified a clinical diagnosis arthralgia, not associated with other clinical diagnosis. However, the detailed clinical examination should be sovereign even in the face of equipment with advanced technology.
- Metabolomics of thyroid nodules and the future(2018) GOMES, Regina Lucia Elia; GEBRIM, Eloisa M. M. Santiago
- The correlation of research diagnostic criteria for temporomandibular disorders and magnetic resonance imaging: a study of diagnostic accuracy(2013) GALHARDO, Alessandra Pucci Mantelli; LEITE, Claudia da Costa; GEBRIM, Eloisa Maria Mello Santiago; GOMES, Regina Lucia Elia; MUKAI, Marcio Katsuyoshi; YAMAGUCHI, Claudio Akira; BERNARDO, Wanderley Marques; SOARES JR., Jose Maria; BARACAT, Edmund Chada; GIL, CarlosObjective. The aim of this study was to evaluate the performance of research diagnostic criteria for temporomandibular disorders (RDC/TMD) as a diagnostic test for temporomandibular joint problems using magnetic resonance imaging (MRI) as the gold standard. Study Design. Sixty-seven women were assessed with RDC/TMD (2 examiners) and underwent MRI examination (3.0 T). Images were evaluated by 2 independent radiologists blinded to the clinical diagnoses. Results were analyzed by the Catmaker system. Results. Of the 67 patients, 44 were diagnosed with temporomandibular disorders (TMD) according to RDC/TMD, but 21 (32%) of the diagnoses were not confirmed by MRI. The RDC/TMD sensitivity was 83.0%, specificity was 53.0%, and the positive likelihood ratio was 1.77, whereas the negative likelihood ratio was 0.32 (P = 0.16). Conclusions. Our data suggest that RDC/TMD is a good research tool, but the high rate of false-positive results limits its use in clinical practice. (Oral Surg Oral Med Oral Pathol Oral Radiol 2013;115:277-284)
- Review and update of temporal bone imaging(2019) GOMES, Regina Lúcia Elia
- Fighting the invisible enemy: providing support and structure to radiology resident during the COVID-19 pandemic(2020) GOMES, Regina Lucia Elia; FARIA, Luisa Leitão de; HOLZMANN, Hernane Ajuz; FUJIWARA, Natalia Kimie de Faria; ANDO, Sabrina de Mello; SAWAMURA, Marcio Valente Yamada; LEITE, Claudia da Costa; CERRI, Giovanni GuidoAbstract The objective of this article is to share the strategy we used in order to restructure the radiology and diagnostic imaging department of a referral institution during the coronavirus disease 2019 pandemic, on the basis of the current recommendations. It is essential to integrate the work of supervisors, preceptors, and residents, maintaining communication and sharing decisions, with mutual support, as well as to determine the best strategy to be adopted in this scenario of uncertainty and constant change, while also ensuring adequate emotional support for all parties.
- Postoperative Imaging of the Temporal Bone(2021) TAMES, Hugo L. V. C.; PADULA, Mario; SARPI, Maira O.; GOMES, Regina L. E.; TOYAMA, Carlos; MURAKOSHI, Rodrigo W.; OLIVETTI, Bruno C.; GEBRIM, Eloisa M. M. S.The anatomy of the temporal bone is complex, and postoperative imaging evaluation of this bone can be challenging. Surgical approaches to the temporal bone can be categorized didactically into tympanoplasty and ossicular reconstruction, mastoidectomy, and approaches to the cerebellopontine angle and internal auditory canal (IAC). In clinical practice, different approaches can be combined for greater surgical exposure. Postoperative imaging may be required for follow-up of neoplastic lesions and to evaluate unexpected outcomes or complications of surgery. CT is the preferred modality for assessing the continuity of the reconstructed conductive mechanism, from the tympanic membrane to the oval window, with use of grafts or prostheses. It is also used to evaluate aeration of the tympanic and mastoid surgical cavities, as well as the integrity of the labyrinth, ossicular chain, and tegmen. MRI is excellent for evaluation of soft tissue. Use of a contrast-enhanced fat-suppressed MRI sequence is optimal for follow-up after IAC procedures. Non-echo-planar diffusion-weighted imaging is optimal for detection of residual or recurrent cholesteatoma.The expected imaging findings and complications of the most commonly performed surgeries involving the temporal bone are summarized in this review.
- Postsurgical Imaging of the Oral Cavity and Oropharynx: What Radiologists Need to Know(2015) GARCIA, Marcio R. T.; PASSOS, Ula L.; EZZEDINE, Tamara A.; ZUPPANI, Henrique B.; GOMES, Regina L. E.; GEBRIM, Eloisa M. S.The oral cavity and oropharynx are common locations of neoplastic lesions; neoplasms at these sites are often treated with surgery. The goal of this surgical treatment is to achieve tumor control while preserving, whenever possible, the function of local structures. The procedure used depends largely on the location and extension of the tumor and the disease stage. Follow-up evaluation of patients is done with computed tomography (CT) and magnetic resonance (MR) imaging. The ability to interpret characteristic features at CT and MR imaging is particularly important because normal anatomic structures are altered in specific patterns according to the distinct surgical technique applied. Anatomic changes resulting from the most commonly performed procedures (eg, glossectomy, pelvectomy, and mandibulectomy) will be presented with CT and MR images, multiplanar reconstructions, and schematic illustrations. Understanding of postsurgical CT and MR imaging findings is important to avoid misinterpretation and confusion. Familiarity with the typical postsurgical imaging appearance of the oral cavity and oropharynx is crucial for differentiating normal postsurgical changes from persistent or recurrent disease and for diagnosis of associated second primary malignancies. Knowledge of postsurgical findings is essential for analysis of the oral cavity and oropharynx and allows early diagnosis of tumor recurrence or typical complications after surgical reconstruction. (C) RSNA, 2015 . radiographics.rsna.org