Marsh J L, Vannier M W
Department of Surgery, Plastic and Reconstructive, Washington University School of Medicine, St. Louis, Missouri.
J Craniofac Surg. 1994 Jul;5(3):188-94. doi: 10.1097/00001665-199407000-00011.
Contemporary imaging technologies (i.e., computed tomography [CT] and magnetic resonance imaging) generate an overwhelming amount of data. Salient features from these data must be abstracted and presented to facilitate anatomical comprehension and imaging utility. Three-dimensional surface and volumetric reformations of CT data have extended the integration of high resolution CT data to the study and management of craniofacial deformities. Nonetheless, conventional displays of such imaging require multiple images to assess symmetry, sutural status, and traumatic disruption of the skull. We therefore devised a methodology to apply cylindrical cartographic mapping for display of the entire skull on 1 image. Cartographic mapping was used to evaluate the skulls of patients with congenital asymmetry due to hemifacial microsomia, craniosynostosis, and complex comminuted craniofacial fractures. Cartographic mapping does effectively display the entire skull in 1 image. Such images are useful to assess craniofacial symmetry, sutural status, and comminuted fractures. However, cartographic images cannot define anterior-posterior relationships, and they must be augmented with more traditional data displays for assessment of intermaxillary and jaw-cranial base relations.
当代成像技术(即计算机断层扫描[CT]和磁共振成像)产生了海量数据。必须提取并呈现这些数据的显著特征,以促进解剖学理解和成像应用。CT数据的三维表面和容积重建已将高分辨率CT数据的整合扩展到颅面畸形的研究和管理中。尽管如此,此类成像的传统显示需要多张图像来评估对称性、缝合状态和颅骨的创伤性破坏。因此,我们设计了一种方法,应用圆柱制图映射在一张图像上显示整个颅骨。制图映射用于评估因半侧颜面短小、颅缝早闭和复杂粉碎性颅面骨折导致先天性不对称的患者的颅骨。制图映射确实能在一张图像上有效显示整个颅骨。此类图像有助于评估颅面对称性、缝合状态和粉碎性骨折。然而,制图图像无法定义前后关系,并且必须用更传统的数据显示来补充,以评估上颌间和颌骨-颅底关系。