螺旋CT三维重建技术在牙齿正畸临床应用价值的探讨资料.docVIP

　　吉林省科学技术成果项目(编号:2003246 作者单位:130011长春,吉林大学第四医院 螺旋CT 三维重建技术在牙齿正畸临床应用价值的探讨 江笑露　韩本谊　郭建力　刘　英　张玉佩　张　坚 　　【摘要】　目的　运用螺旋CT 三维重建技术对牙齿正畸临床价值进行探讨。方法　选择37例病人,采用GE Hispeed/i 螺旋CT 扫描机,自下颌骨下缘向颅顶行横轴位螺旋扫描,条件:120KV ,240mA ,1.0S ,设计扫描层厚3.0mm ,扫描20~25层,间隔1.0mm 密度重建,扫描视野21cm ,矩阵512×512,对重建图像采用最大密度投影法(MIP ,表面遮盖法(SSD ,和多层面重建术法(MPR 成像。结果　螺旋CT 三维重建技术中横轴位观察牙齿旋 转,牙根间距效果好;SSD 观察牙齿与颌骨的整体关系满意;MIP 观察牙齿全貌与颌骨的关系效果理想;MPR 观察牙齿根尖部骨质、根尖与牙槽骨的局部关系显示清晰。并可测量换算出实际距离。结论　螺旋CT 三维重建技术弥补了X 线片的缺陷,影像显示清晰,此技术应用在牙齿正畸临床上,尤其在有埋伏牙的矫治上,有着极高的应用价值。 　　【关键词】　螺旋CT 　　错牙合　　正畸　　埋伏牙 Investigation of the clinical application of 3D reconstruction technique with helical CT in the f ield of orthodontics 　JIA N G Xiaolu ,HA N Benyi ,GUO Jianli ,et al.　Fourth A f f iliated Hospital of Jilin U niversity ,Changchun 130011 　　【Abstract 】　Objective 　To discuss the clinical application of 3D reconsturction technique in the field of orthodontics by using helical CT.Methods 　GE Hi S peed CT/I helical CT was used to scan from the bottom of mandible to the to p of skull along the transverse axis in 41cases ,at 120kV ,240mA ,1.0s.After scannin g with 3mm thickness ,20to 25layers ,21cm scan range and 512×512array ,3D reconstruction image was obtained by means of (maximum intensity projection MIP ,(surfaceshaded dis play SSD and (multiplanar reconstructions MPR with the scan datum.R esults 　3D reconsturction image along the transverse axis by using helix CT could show clear image of rotary teeth and more accurate distance among the roots of teeth.In our study ,SSD 3D reconsturction could offer perfect configurations of teeth and jaw bones ,MIP 3D reconstruction could indicate precise relations between all teeth and alveoli ,and MPR 3K reconstruction could show clearly local relations between roots and alveoli.Conclusion 　3D reconstruction technique with helical CT could offer us clearer and more accurate 3D image than common X -ray at any random angle.It might play a key role for diagnosis ,make the correct treatment plan in the field of orthodont