基于磁共振成像的颞下颌关节参数分析方法

D. K. Yudin, S. А. Gette
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引用次数: 0

摘要

背景。颞下颌关节(TMJ)功能障碍的治疗方法多种多样,其诊断方法也多种多样。由于缺乏更新特定诊断方法数据的通用技术,因此不可能评估治疗的有效性。目的:评价磁共振成像(MRI)在颞下颌关节病变诊断及治疗策略确定中的普遍性。材料和方法。将100例不同年龄、性别、有无颞下颌关节病变的患者按Angle分类分为:1 ~ 27例、2 ~ 41例、3 ~ 32例。研究使用Green 18计算机层析成像仪(Vatech,韩国)、Optima MR450W磁共振层析成像仪(通用电气,美国)、Dentograph数字罗希钦轴向仪(prosystem,俄罗斯)、SAM 2PX关节机(SAM Praezisionstechnik GmbH,德国)进行。使用RadiAnt Viewer软件。我们对各种TMJ诊断方法所获得的关节结构相互配置指标进行了比较分析。提出了一种利用MRI数据分析估计颞下颌关节参数的方法。不同诊断方法的适应症之间存在相关性。所建立的TMJ结构分析方法精度高,具有一定的实际应用价值。
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Method of Analysis of the Temporomandibular Joint Parameters According to Magnetic Resonance Imaging
Background. The existing variety of approaches to the treatment of temporomandibular joint (TMJ) dysfunction corresponds to the variety of methods for its diagnosing. The absence of a universal technique of updating a particular diagnostic method data makes it impossible to evaluate the effectiveness of treatment.Objective: to evaluate the universality of magnetic resonance imaging (MRI) in the diagnosis and determination of tactics for the treatment of TMJ pathologies.Material and methods. One hundred patients of different age groups and genders with and without TMJ pathology were divided into groups according to Angle’s classification: Class 1 – 27 persons, Class 2 – 41, Class 3 – 32. The studies were carried out using Green 18 computer tomograph (Vatech, South Korea), Optima MR450W magnetic resonance tomograph (General Electric, USA), Dentograph digital Roshchin axiograph (Prosystom, Russia), SAM 2PX articulator (SAM Praezisionstechnik GmbH, Germany). The RadiAnt Viewer software was used.Results. We conducted a comparative analysis of the indicators of articular structures mutual disposition obtained using various methods of TMJ diagnosis. A technique for estimating TMJ parameters using the analysis of MRI data was proposed. A correlation was revealed between the indications obtained using various diagnostic methods.Conclusion. The developed method of TMJ structures analysis has high accuracy and is applicable in practice.
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审稿时长
36 weeks
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