Aiken Ashley, Bouloux Gary, Hudgins Patricia
Department of Radiology and Imaging Sciences, Neuroradiology Division, Emory University School of Medicine, 1364 Clifton Road, Atlanta, GA 30322, USA.
Magn Reson Imaging Clin N Am. 2012 Aug;20(3):397-412. doi: 10.1016/j.mric.2012.05.002. Epub 2012 Jul 15.
MR imaging allows detailed evaluation of temporomandibular (TMJ) anatomy because of its inherent tissue contrast and high resolution. Joint biomechanics can be assessed through imaging patients in the closed and open jaw positions. Despite the accuracy of MR imaging in detecting disc position, results must be interpreted together with clinical findings, because an anteriorly displaced disc can be seen in up to one-third of asymptomatic patients, and a normal disc position can be seen in up to one-quarter of symptomatic patients. Interpretation of MR imaging requires knowledge of the normal anatomy and an understanding of normal and abnormal biomechanics.
由于磁共振成像(MR成像)具有固有的组织对比度和高分辨率,它能够对颞下颌关节(TMJ)进行详细评估。通过对处于闭口和开口位置的患者进行成像,可以评估关节生物力学。尽管MR成像在检测盘状结构位置方面具有准确性,但结果必须结合临床发现进行解读,因为在多达三分之一的无症状患者中可观察到盘状结构向前移位,而在多达四分之一的有症状患者中可观察到盘状结构位置正常。MR成像的解读需要具备正常解剖学知识以及对正常和异常生物力学的理解。