3D-visualization of the temporomandibular joint with focus on the articular disc based on clinical T1-, T2-, and proton density weighted MR images |
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Authors: | Cornelia Kober Yoshihiko Hayakawa Gero Kinzinger Luigi Gallo Mika Otonari-Yamamoto Tsukasa Sano Robert Alexander Sader |
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Institution: | (1) Faculty of Engineering and Computer Science, University of Applied Science - Osnabrueck, Osnabrueck, Germany;(2) Department of Computer Sciences, Kitami Institute of Technology, Kitami, Japan;(3) Department of Orthodontics, RWTH Aachen University, Aachen, Germany;(4) Dental School, KFS-KAB, University of Zurich, Zurich, Switzerland;(5) Department of Oral and Maxillofacial Radiology, Tokyo Dental College, Chiba, Japan;(6) Klinik fuer Mund-, Kiefer- und Plastische Gesichtschirurgie, University of Frankfurt, Frankfurt, Germany |
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Abstract: | Objective An approach of 3D-visualization of the temporomandibular joint (TMJ) with special focus on the articular disc based on magnetic
resonance imaging (MRI) was developed for the purpose of diagnosis support.
Materials and methods Mandibular condyle and fossa were reconstructed as 3D-surfaces. Articular disc, retrocondylar tissue, and the lateral pterygoid
muscle were visualized by means of direct volume rendering. By simultaneous visualization of both, the bony surfaces and the
soft tissue, anterior disc displacement could be recognized in 3D-context. Additional superposition of the 3D-visualization
with the original 2D-MRI slices allowed for a combination with conventional diagnostics. The method was tested for clinical
T1-, T2-, and proton density weighted MRI data from four independent medical institutions.
Results For all cases, the skeletal anatomy could be reproduced. Applied validation approaches showed good results. Anterior disc
displacement could be clearly depicted as well as the incidence of reduction of the disc. By several experienced observers,
the approach was rated as significant.
Conclusion Although partially non-standard in the clinical routine the new method provided promising results for efficient diagnosis
support. Its validity in the medical practice, namely, its impact for dislocation/deformity of the mandibular disc will be
further analyzed.
This paper has been written on behalf of a publication request following Cars 2006 conference held in June 2006 in Osaka,
Japan. The title of the talk at Cars 2006 conference was “An approach for three-dimensional rendering of the mandibular disc
based on high-resolution MR images” authored by Kober C, Hayakawa Y, Kinzinger G, Yamamoto M, Sano T, Sader R, see Int J Comput
Assist Radiol Surg 2006 1(Suppl 1): 405–406. I apologize for the delay which was caused by very dense time schedule. In return,
the article is a considerable extension of the work presented at Cars 2006. |
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Keywords: | MRI Temporomandibular joint Articular disc 3D-reconstruction Visualization |
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