华西口腔医学杂志

• 基础研究 • 上一篇    下一篇

CT和MRI图像融合三维重建颞下颌关节的研究

林有籁1, 2, 刘月华1, 王冬梅3, 王成焘3   

  1. 1.同济大学口腔医院正畸科, 上海200072; 2.福建省立医院口腔科, 福建福州350001; 3.上海交通大学机械与动力工程学院, 上海200240
  • 收稿日期:2008-04-25 修回日期:2008-04-25 出版日期:2008-04-20 发布日期:2008-04-20
  • 通讯作者: 刘月华,Tel:021- 66311623
  • 作者简介:林有籁(1978-),女,福建人,住院医师,硕士

Thr ee - dimensional r econstruction of temporomandibular joint with CT and MRI medical image fusion technology

LIN You- lai1, 2, LIU Yue- hua1, WANG Dong-mei3, WANG Cheng- tao3   

  1. 1. Dept. of Orthodontics, School of Stomatology, Tongji University, Shanghai 200072, China; 2. Dept. of Stomatology, Fujian Provincial Hospital, Fuzhou 350001, China;3. School of Mechanical Engineering, Jiaotong University, Shanghai 200240, China
  • Received:2008-04-25 Revised:2008-04-25 Online:2008-04-20 Published:2008-04-20
  • Contact: LIU Yue- hua,Tel:021- 66311623

摘要:

目的利用CT和MRI扫描图像,探讨采用模型融合技术对颞下颌关节(TMJ)软硬组织进行三维重建的方法,为TMJ生物力学研究及其临床分析提供依据。方法选择1例健康青年男性志愿者,在其双侧TMJ区和颏部共放置12个人造球形标记,经CT和MRI扫描,获取含有所有球形标记的TMJ医学图像,分别采用CT和MRI两套数据建立TMJ软硬组织的三维几何模型。基于人造球形标记在三维空间上配准,对TMJ软硬组织进行三维重建。结果建立了具有良好几何相似性的TMJ三维几何模型,包括关节盘、关节窝、下颌骨和下牙列。TMJ三维几何模型的建立方法简便快捷,模型逼真,解剖结构清楚,能较真实地反映TMJ各结构的空间位置关系。结论利用CT和MRI医学图像融合技术,基于人造球形标记的配准过程进行TMJ三维重建,所建立的模型具有良好的几何相似性。在三维水平上进行图像的融合,具有定位精确,配准过程简单等特点,能真实、合理地对TMJ软硬组织进行三维重建。

关键词: 医学图像融合, 颞下颌关节, 三维重建

Abstract:

Objective To investigate the method of the three - dimensional reconstruction of temporomandibular joint(TMJ) on the basis of CT and MRI medical image fusion technology, which establishes good foundation for a series biomechanical studies and clinical analysis. Methods The geometric data for the TMJ model were obtained from a young and healthy male volunteer. Twelve spherical markers were located on the regions of both TMJ and mental tubercles, where CT and MRI scans can reach. The three- dimensional geometric of the hard and soft tissues of TMJ was reconstructed by CT and MRI scans data, which was based on the registration procedures of spherical markers located on the face of the volunteer. Results The three- dimensional geometric model of TMJ was obtained, including hibateral articular disc, mandible, glenoid fossa and inferior teeth, and it had better geometric similarity. The results showed that the methods of three- dimensional reconstruction of TMJ with CT and MRI medical image fusion technology can be operated easily and promptly. The constructed model had good morphology. Conclusion It is feasible to construct the three - dimensional model of TMJ on the basis of the registration procedures of spherical markers and CT-MRI medical image fusion technology. It has the advantage of simulating both hard and soft tissues reasonably. The model well expresses the shape of the TMJ.

Key words: medical image fusion, temporomandibular joint, three- dimensional reconstruction