口腔医学 ›› 2024, Vol. 44 ›› Issue (10): 770-774.doi: 10.13591/j.cnki.kqyx.2024.10.009

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图像配准技术在颞下颌关节紊乱病诊疗中的应用及展望

谢玉婷1,2,3,4,5,唐雯1,2,6,吴玥1,2,6,曹立波4,马家俊7,陈艳1,4,8,曹丹1,2,6,严斌1,2,6,朱琳琳2,9(),谢理哲1,2()   

  1. 1.南京医科大学口腔数字化医疗技术工程中心,江苏南京(210029)
    2.口腔疾病研究与防治国家级重点实验室培育建设点,江苏南京(210029)
    3.江苏省口腔转化医学工程研究中心,江苏南京(210029)
    4.南京医科大学口腔医学院,江苏南京(210029)
    5.南京医科大学生物医学工程与信息学院,江苏南京(211166)
    6.南京医科大学附属口腔医院正畸科, 江苏南京(210029)
    7.东南大学网络空间安全学院,江苏南京(223300)
    8.淮安市第二人民医院医疗设备处,江苏淮安(211189)
    9.南京医科大学附属口腔医院第三门诊部,江苏南京(210029)
  • 收稿日期:2024-01-01 出版日期:2024-10-28 发布日期:2024-10-23
  • 通讯作者: 谢理哲 E-mail:xielizhe@njmu.edu.cn;朱琳琳 E-mail:zhulynn768@126.com
  • 基金资助:
    国家自然科学基金项目(82101079);江苏省重点研发计划项目(SBE2023740336);南京医科大学2023年度教育研究课题(2023LX080)

Application and prospect of image registration technology in the diagnosis and treatment of temporomandibular joint disorders

XIE Yuting1,2,3,4,5,TANG Wen1,2,6,WU Yue1,2,6,CAO Libo4,MA Jiajun7,IZADIKHAH Iman1,2,6,CHEN Yan1,4,8,CAO Dan1,2,6,YAN Bin1,2,6,ZHU Linlin2,9(),XIE Lizhe1,2()   

  1. Dental Digital Medical Technology Engineering Center, Nanjing Medical University, Nanjing 210029, China
  • Received:2024-01-01 Online:2024-10-28 Published:2024-10-23

摘要:

随着影像学、内窥镜技术、手术治疗、细胞生物学和分子生物学的进步,人们对颞下颌关节紊乱病(temporomandibular joint disorders,TMD)的认识也在不断加深。颞下颌关节(temporomandibular joint,TMJ)是一个包含软组织和硬组织的复杂结构,在TMJ中,颞下颌关节盘是连接下颌骨和颅骨之间的软组织结构,为关节运动提供缓冲和稳定的作用。不同的成像技术在TMD诊疗中各有优势和局限性,因此,利用图像配准技术对关节盘的状况与位置进行评估,为评估TMD提供了新的研究思路,或有助于TMD的诊断和治疗。本文回顾了TMJ成像的最新进展,探讨了各种图像配准技术的应用,特别是在TMD诊疗中的应用及前景。文章结合国内外部分学者的研究结果和笔者的临床经验,旨在为临床医生提供有价值的见解。

关键词: 颞下颌关节, 颞下颌关节紊乱病, 图像配准技术

Abstract:

With advancements in radiology, endoscopic techniques, surgical treatments, cell biology and molecular biology, the understanding of temporomandibular disorders(TMD)has increased. The temporomandibular joint (TMJ) is a complex structure comprising both soft and hard tissues. Within the TMJ, the temporomandibular disc is a soft tissue structure that connects the mandible to the skull, providing cushioning and stability during joint movement. Different imaging techniques have their own advantages and limitations in the diagnosis and treatment of TMD. Therefore, using image registration technology to assess the condition and position of the articular disc provides new research perspectives for evaluating TMD, which may contribute to the diagnosis and treatment. This article reviews the latest advancements in TMJ imaging, explores the applications of various image registration techniques, particularly in the context of TMD diagnosis and treatment, and discusses future prospects. Combining the research results of some scholars at home and abroad with the author’s clinical experience, the article aims to provide valuable insights for clinicians.

Key words: temporomandibular joint, temporomandibular joint disorder, image registration technology

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