Öcbe Melisa
Kocaeli Health and Technology University, Faculty of Dentistry, Department of Oral and Maxillofacial Radiology, KocaeliTürkiye.
Eur Oral Res. 2025 Jan 5;59(1):58-67. doi: 10.26650/eor.2024145664.
Magnetic Resonance Imaging (MRI) has emerged as a pivotal diagnostic tool in dentomaxillofacial radiology, surpassing conventional imaging techniques by offering superior contrast resolution for soft tissue lesions without the use of ionizing radiation. This comprehensive review explores the expanding applications of MRI in dentistry, highlighting its integration into routine diagnostic protocols and its significance in the evaluation of oral and maxillofacial structures. The article delves into the physics of MRI, detailing the various sequences such as Spin Echo (SE), Gradient Echo (GRE), and Short-Tau Inversion Recovery (STIR), each tailored for specific diagnostic needs. Advanced techniques like Dynamic Contrast-Enhanced MRI and Diffusion-Weighted Imaging (DWI) are discussed for their roles in assessing tissue perfusion and differentiating between benign and malignant lesions. The review emphasizes the necessity of appropriate coil selection and parameter optimization to enhance image quality, particularly in dental applications where artifacts from restorative and prosthetic materials can pose challenges. Furthermore, the article addresses the utility of MRI in visualizing dental hard tissues, the temporomandibular joint, and neurovascular structures, providing a comprehensive overview of its diagnostic capabilities. The integration of MRI into global health systems and the role of Personal Electronic Health Records in reducing redundant imaging are also examined. Conclusively, the review underscores the transformative impact of MRI on dentomaxillofacial diagnostics, advocating for its broader adoption in clinical practice to facilitate accurate diagnosis and effective treatment planning.
磁共振成像（MRI）已成为牙颌面放射学中一种关键的诊断工具，它通过在不使用电离辐射的情况下为软组织病变提供卓越的对比分辨率，超越了传统成像技术。这篇全面的综述探讨了MRI在牙科领域不断扩展的应用，强调了其融入常规诊断方案的情况以及在评估口腔和颌面结构方面的重要性。文章深入研究了MRI的物理原理，详细介绍了各种序列，如自旋回波（SE）、梯度回波（GRE）和短反转时间反转恢复（STIR），每种序列都针对特定的诊断需求进行了定制。还讨论了动态对比增强MRI和扩散加权成像（DWI）等先进技术在评估组织灌注以及区分良性和恶性病变方面的作用。综述强调了选择合适的线圈和优化参数以提高图像质量的必要性，特别是在牙科应用中，修复材料和假体材料产生的伪影可能会带来挑战。此外，文章阐述了MRI在可视化牙齿硬组织、颞下颌关节和神经血管结构方面的效用，全面概述了其诊断能力。还研究了MRI融入全球卫生系统的情况以及个人电子健康记录在减少重复成像方面的作用。总之，该综述强调了MRI对牙颌面诊断的变革性影响，主张在临床实践中更广泛地采用它，以促进准确诊断和有效的治疗计划。
