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牙科专用 MRI,一种用于牙颌面诊断成像的新方法:技术规范和可行性。

Dental-dedicated MRI, a novel approach for dentomaxillofacial diagnostic imaging: technical specifications and feasibility.

机构信息

Siemens Healthcare GmbH, Erlangen, 91052, Germany.

Section for Oral Radiology and Endodontics, Department of Dentistry and Oral Health, Aarhus University, Aarhus, 8000, Denmark.

出版信息

Dentomaxillofac Radiol. 2024 Jan 11;53(1):74-85. doi: 10.1093/dmfr/twad004.

Abstract

MRI is a noninvasive, ionizing radiation-free imaging modality that has become an indispensable medical diagnostic method. The literature suggests MRI as a potential diagnostic modality in dentomaxillofacial radiology. However, current MRI equipment is designed for medical imaging (eg, brain and body imaging), with general-purpose use in radiology. Hence, it appears expensive for dentists to purchase and maintain, besides being complex to operate. In recent years, MRI has entered some areas of dentistry and has reached a point in which it can be provided following a tailored approach. This technical report introduces a dental-dedicated MRI (ddMRI) system, describing how MRI can be adapted to fit dentomaxillofacial radiology through the appropriate choice of field strength, dental radiofrequency surface coil, and pulse sequences. Also, this technical report illustrates the possible application and feasibility of the suggested ddMRI system in some relevant diagnostic tasks in dentistry. Based on the presented cases, it is fair to consider the suggested ddMRI system as a feasible approach to introducing MRI to dentists and dentomaxillofacial radiology specialists. Further studies are needed to clarify the diagnostic accuracy of ddMRI considering the various diagnostic tasks relevant to the practice of dentistry.

摘要

MRI 是一种非侵入性、无电离辐射的成像方式,已成为不可或缺的医学诊断方法。文献表明 MRI 可作为口腔颌面放射学的一种潜在诊断方式。然而,目前的 MRI 设备是专为医学成像(例如大脑和身体成像)设计的,在放射学中通用。因此,对于牙医来说,购买和维护 MRI 设备既昂贵又复杂。近年来,MRI 已进入一些牙科领域,并且已经达到可以根据具体情况提供的程度。本技术报告介绍了一种专用口腔 MRI(ddMRI)系统,描述了如何通过适当选择磁场强度、口腔射频表面线圈和脉冲序列,使 MRI 适应口腔颌面放射学。此外,本技术报告还说明了所建议的 ddMRI 系统在一些相关诊断任务中的可能应用和可行性。基于所呈现的病例,可以认为所建议的 ddMRI 系统是向牙医和口腔颌面放射学专家引入 MRI 的一种可行方法。需要进一步的研究来明确考虑到与牙科实践相关的各种诊断任务的 ddMRI 的诊断准确性。

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