图像配准技术在颞下颌关节紊乱病诊疗中的应用及展望

Application and prospect of image registration technology in the diagnosis and treatment of temporomandibular joint disorders

随着影像学、内窥镜技术、手术治疗、细胞生物学和分子生物学的进步,人们对颞下颌关节紊乱病(temporomandibular joint disorders,TMD)的认识也在不断加深。颞下颌关节(temporomandibular joint,TMJ)是一个包含软组织和硬组织的复杂结构,在TMJ中,颞下颌关节盘是连接下颌骨和颅骨之间的软组织结构,为关节运动提供缓冲和稳定的作用。不同的成像技术在TMD诊疗中各有优势和局限性,因此,利用图像配准技术对关节盘的状况与位置进行评估,为评估TMD提供了新的研究思路,或有助于TMD的诊断和治疗。本文回顾了TMJ成像的最新进展,探讨了各种图像配准技术的应用,特别是在TMD诊疗中的应用及前景。文章结合国内外部分学者的研究结果和笔者的临床经验,旨在为临床医生提供有价值的见解。

With advancements in radiology,endoscopic techniques,surgical treatments,cell biology and molecular biology,the understanding of temporomandibular disorders(TMD)has increased.The temporomandibular joint(TMJ)is a complex structure comprising both soft and hard tissues.Within the TMJ,the temporomandibular disc is a soft tissue structure that connects the mandible to the skull,providing cushioning and stability during joint movement.Different imaging techniques have their own advantages and limitations in the diagnosis and treatment of TMD.Therefore,using image registration technology to assess the condition and position of the articular disc provides new research perspectives for evaluating TMD,which may contribute to the diagnosis and treatment.This article reviews the latest advancements in TMJ imaging,explores the applications of various image registration techniques,particularly in the context of TMD diagnosis and treatment,and discusses future prospects.Combining the research results of some scholars at home and abroad with the author’s clinical experience,the article aims to provide valuable insights for clinicians.