颞下颌关节的现代成像方式

C. Aktuna Belgin, G. Serindere, K. Orhan
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引用次数: 0

摘要

有不同的成像方法用于评估骨结构,椎间盘,韧带和肌肉组成的颞下颌关节(TMJ)。本文综述了过去和现在TMJ疾病的影像学方法的选择。过去,传统的x线片经常用于TMJ成像,但现在磁共振成像是软组织成像和椎间盘位置确定的金标准。另一项新技术,超声可用于椎间盘移位、积液、关节内缺损的诊断。圆锥束ct,用于评价颞下颌关节骨构件的皮质和小梁结构、发育异常和影响颞下颌关节的外伤性损伤、骨赘、糜烂、骨折、强直、关节窝-髁关系等病理改变。目前,随着技术的发展,TMJ的成像不再采用单一的成像方法,而是采用多种成像方法进行评估。影像学方法的选择应综合考虑放疗剂量、对诊断和治疗方案的贡献、适用性等因素。
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Contemporary Imaging Modalities for Temporomandibular Joint
There are different imaging methods used in the evaluation of bone structure, disc, ligaments and muscles that make up Temporomandibular Joint (TMJ). The aim of this review is give information about choice of suitable imaging methods for TMJ diseases from past to present. In the past, conventional radiographs have often been used for TMJ imaging, but nowadays magnetic resonance imaging is the gold standard for soft tissue imaging and disc position determination. Another new technology, ultrasonography can be used for disc displacement, effusion, diagnosis of intraarticular defects. Cone beam computed tomography, it is used for the evaluation of cortical and trabecular structure of bone components of TMJ, developmental anomalies and traumatic injuries affecting TMJ, pathological changes such as osteophyte, erosion, fractures, ankylosis, glenoid fossa-condyle relationship. Nowadays, in parallel with the developing technology, a single imaging method is not used for TMJ imaging and evaluation is performed with several imaging methods. Imaging methods should be selected by evaluating the factors such as radiation dose, contribution to diagnosis and treatment plan, easy applicability.
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