颞下颌关节的数字医学影像解剖与断面解剖对比研究-中国数字医学.pdf

数字诊疗设备与技术 Equipment and Technology in Digital Diagnosis and Treatment 颞下颌关节的 数字医学影像解剖与断面解剖对比研究 范刘奕① 欧阳钧② 刘军 ＊ 摘 要 目的：通过数字医学影像解剖与成人头颅标本断层解剖图像的比较，明确颞下颌关节在头颅CT、磁共振影像中的 形态、结构及影像特点。方法：选取2例成人头颅标本行斜矢状面断层标本制作，30名健康志愿者分别行CT、磁共振检查， 对比观察颞下颌关节的数字影像解剖与断层解剖特点。结果：颞下颌关节在CT图像中显示为清晰的骨质结构。在磁共振 T2WI图中，颞前附着、下颌前附着、颞后附着、下颌后附着、上板、下板、双板区、关节盘前带、关节盘中带、关节盘后 带均显示为结构清晰的高信号结构，在磁共振T1WI图中这些结构显示为等信号影像。外耳道和骨皮质在T1及T2图像中均显 示为结构清晰的低信号影像，骨髓质均显示为结构清晰的高信号影像。结论：数字医学影像的CT、磁共振成像可清楚地显 示颞下颌关节的形态和结构。 关键词 颞下颌关节 数字医学影像 断面解剖学 关节盘 Doi:10.3969/j.issn.1673-7571.2013.04.023 Comparison Research Between Digital Medical Imaging Anatomy and Sectional Snatomy of Temporomandibular Ioint / FAN Liu- yi, OU-YANG Jun, LIU Jun//China Digital Medicine.-2013 8(4): 79 to 82 Abstract Objective: To explore the morphology and structures and images feature of temporomandibular joint in the cranium CT，magnetic resonance imaging by comparing between digital medical imaging and sectional anatomy images of the specimens of human adult head. Methods:2 specimens of human adult head were selected to perform sectional anatomy of oblique sagittal plane of temporomandibular joint，30 asymptomatic volunteers were selected to perform examination of CT，MRI of temporomandibular joint，compare the image between digital imaging anatomy and sectional anatomy of temporomandibular joint. Results: In CT images, temporomandibular joint showed a sharp substantia ossea structure. In MRI T2 images, anterior temporalis insertio, anterior mandibular insertio, posterior temporalis insertion, posterior mandibular insertion, superior lamina, inferior lamina, bilaminar zone, anterior band of articular disc, middle band of articular disc, posterior band of articular disc showed hyper-signals sharply and in the T1 image these structures