Magnetic Resonance Imaging of the Temporomandibular Joint : a Study of Inter- and Intraobserver Agreement

Objective. The purpose of this study was to estimate the inter- and intraobserver agreement for interpreting magnetic resonance (MR) images of the temporomandibular joint (TMJ). Methods. The study was based on MR images of 30 TMJs. The images were interpreted by seven observers for disk configuration, disk position, joint fluid, bone marrow changes, and diagnosis. The observers were not calibrated. Kappa statistics were used. Results. The kappa values were, for interobserver agreement of disk configuration, 0.10; for disk position in the sagittal plane with closed mouth, 0.35; for a combination of closed mouth and open mouth, 0.44; for disk position in the coronal plane, 0.17; for joint fluid 0.36; for bone marrow changes, 0.01; and for diagnosis, 0.39. Intraobserver agreement was generally higher than interobserver agreement. Conclusion. Agreement on disk position in the sagittal plane, on presence and amount of joint fluid, and on diagnosis was fair to moderate. Agreement on disk configuration, on disk position in the coronal plane, and on bone marrow changes was poor

Acid-Catalyzed Condensation Reaction of Phenylsilanetriol: Unexpected Formation of <i>cis,trans</i>-1,3,5-Trihydroxy-1,3,5-triphenylcyclotrisiloxane as the Main Product and Its Isolation

<i>cis,trans-</i>1,3,5-Trihydroxy-1,3,5-triphenylcyclotrisiloxane was successfully isolated and fully characterized by spectroscopic methods and single-crystal X-ray diffraction. This compound was believed to be highly unstable and only exist as a transient species in low concentration during the condensation reaction of phenylsilanetriol or its precursors. The isolated pure cyclotrisiloxane is, however, surprisingly stable even in acidic solution and partially isomerizes to the <i>cis,cis</i> isomer