Berg Britt-Isabelle, Mueller Andreas A, Augello Marcello, Berg Scott, Jaquiéry Claude
Department of Cranio-Maxillofacial Surgery, University Hospital Basel, 4056 Basel, Switzerland.
Division of Oral and Maxillofacial Radiology, Columbia University Medical Center, New York, NY 10032, USA.
Dent J (Basel). 2016 Sep 2;4(3):29. doi: 10.3390/dj4030029.
Bisphosphonate-associated osteonecrosis of the jaws (MRONJ/BP-ONJ/BRONJ) is a commonly seen disease. During recent decades, major advances in diagnostics have occurred. Once the clinical picture shows typical MRONJ features, imaging is necessary to determine the size of the lesion. Exposed bone is not always painful, therefore a thorough clinical examination and radiological imaging are essential when MRONJ is suspected.
In this paper we will present the latest clinical update on the imaging options in regard to MRONJ: X-ray/Panoramic Radiograph, Cone Beam Computed Tomography (CBCT) and Computed Tomography (CT), Magnetic Resonance Imaging (MRI), Nuclear Imaging, Fluorescence-Guided Bone Resection.
Which image modality is chosen depends not only on the surgeon's/practitioner's preference but also on the available imaging modalities. A three-dimensional imaging modality is desirable, and in severe cases necessary, for extended resections and planning of reconstruction.
双膦酸盐相关颌骨坏死（MRONJ/BP-ONJ/BRONJ）是一种常见疾病。近几十年来，诊断方面取得了重大进展。一旦临床表现显示出典型的MRONJ特征，就需要进行影像学检查以确定病变大小。暴露的骨组织不一定会疼痛，因此，当怀疑患有MRONJ时，进行全面的临床检查和放射影像学检查至关重要。
在本文中，我们将介绍有关MRONJ的影像学检查选项的最新临床进展：X线/全景X线片、锥形束计算机断层扫描（CBCT）和计算机断层扫描（CT）、磁共振成像（MRI）、核成像、荧光引导骨切除术。
选择哪种成像方式不仅取决于外科医生/从业者的偏好，还取决于可用的成像方式。对于扩大切除术和重建规划，三维成像方式是理想的，在严重情况下是必要的。
