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OBJECTIVES: This study conducted a receiver operating characteristic (ROC) analysis by applying improved cluster signal-to-noise (CSN) analysis to digital intraoral radiographs and develop an observer-free method of analyzing image quality related to the observer performance in the detection task. METHODS: Two aluminum step phantoms with a thickness interval of 1.0 mm were used for this study. One phantom had holes of increasing depth (from 0.05 to 0.35 mm) and the other had no holes. Phantom images were obtained under various exposure dose and image capture modes using a dental X-ray unit, a photostimulable phosphor imaging plate, and scanner system. These phantom images were analyzed using the FindFoci plugin in ImageJ software. Subsequently, true positive rates (TPRs) and false positive rates (FPRs) were calculated by analyzing phantom images with and without holes. We constructed ROC curves by plotting the TPRs against the FPRs and calculated the area under the ROC curve (AUC). Using the same phantom images with holes, eight observers assessed the number of detectable holes. Correlations between observer detection performance and AUC values were evaluated. RESULTS: AUC values increased as the exposure dose increased and showed different tendencies depending on the image capture mode. The AUC values showed a high correlation with observer detection performance (r = 0.76). CONCLUSIONS: AUC values obtained from CSN analysis reflect image quality and replace the observer detection performance test of image quality.
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Radiografía Dental Digital , Fantasmas de ImagenRESUMEN
OBJECTIVE: To determine whether the γ distribution (GD) model of diffusion MRI is useful in the evaluation of the isocitrate dehydrogenase (IDH) mutation status of glioblastomas. METHODS: 12 patients with IDH-mutant glioblastomas and 54 patients with IDH-wildtype glioblastomas were imaged with diffusion-weighted imaging using 13 b-values from 0 to 1000 s/mm2. The shape parameter (κ) and scale parameter (θ) were obtained with the GD model. Fractions of three different areas under the probability density function curve (f1, f2, f3) were defined as follows: f1, diffusion coefficient (D) < 1.0×10-3 mm2/s; f2, D > 1.0×10-3 and <3.0×10-3 mm2/s; f3, D > 3.0 × 10-3 mm2/s. The GD model-derived parameters measured in gadolinium-enhancing lesions were compared between the IDH-mutant and IDH-wildtype groups. Receiver operating curve analyses were performed to assess the parameters' diagnostic performances. RESULTS: The IDH-mutant group's f1 (0.474 ± 0.143) was significantly larger than the IDH-wildtype group's (0.347 ± 0.122, p = 0.0024). The IDH-mutant group's f2 (0.417 ± 0.131) was significantly smaller than the IDH-wildtype group's (0.504 ± 0.126, p = 0.036). The IDH-mutant group's f3 (0.109 ± 0.060) was significantly smaller than the IDH-wildtype group's (0.149 ± 0.063, p = 0.0466). The f1 showed the best diagnostic performance among the GD model-derived parameters with the area under the curve value of 0.753. CONCLUSION: The GD model could well describe the pathological features of IDH-mutant and IDH-wildtype glioblastomas, and was useful in the differentiation of these tumors. ADVANCES IN KNOWLEDGE: Diffusion MRI based on the γ distribution model could well describe the pathological features of IDH-mutant and IDH-wildtype glioblastomas, and its use enabled the significant differentiation of these tumors. The γ distribution model may contribute to the non-invasive identification of the IDH mutation status based on histological viewpoint.
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Neoplasias Encefálicas , Glioblastoma , Neoplasias Encefálicas/diagnóstico por imagen , Neoplasias Encefálicas/genética , Neoplasias Encefálicas/patología , Imagen de Difusión por Resonancia Magnética , Glioblastoma/diagnóstico por imagen , Glioblastoma/genética , Humanos , Isocitrato Deshidrogenasa/genética , Imagen por Resonancia Magnética/métodos , Mutación , Estudios RetrospectivosRESUMEN
OBJECTIVES: To compare the gamma distribution (GD), intravoxel incoherent motion (IVIM), and monoexponential (ME) models in terms of their goodness-of-fit, correlations among the parameters, and the effectiveness in the differential diagnosis of various orofacial lesions. METHODS: A total of 85 patients underwent turbo spin-echo diffusion-weighted imaging with six b-values. The goodness-of-fit of three models was assessed using Akaike Information Criterion. We analysed the correlations and compared the effectiveness in the differential diagnosis among the parameters of GD model (κ, shape parameter; θ, scale parameter; fractions of diffusion: ƒ1, cellular component; ƒ2, extracellular diffusion; ƒ3, perfusion component), IVIM model (D, true diffusion coefficient; D*, pseudodiffusion coefficient; f, perfusion fraction), and ME model (apparent diffusion coefficient, ADC). RESULTS: The GD and IVIM models showed a better goodness-of-fit than the ME model (p < 0.05). ƒ1 had strong negative correlations with D and ADC (ρ = -0.901 and -0.937, respectively), while ƒ3 had a moderate positive correlation with f (ρ = 0.661). Malignant entity presented significantly higher ƒ1 and lower D and ADC than benign entity (p < 0.0001). Malignant lymphoma had significantly higher ƒ1 in comparison to squamous cell carcinoma (p = 0.0007) and granulation (p = 0.0075). The trend in ƒ1 was opposite to the trend in D. Malignant lymphoma had significant lower ƒ3 than squamous cell carcinoma (p = 0.005) or granulation (p = 0.0075). CONCLUSIONS: The strong correlations were found between the GD- and IVIM-derived parameters. Furthermore, the GD model's parameters were useful for characterising the pathological structure in orofacial lesions.
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Imagen de Difusión por Resonancia Magnética , Imagen por Resonancia Magnética , Diagnóstico Diferencial , Humanos , Movimiento (Física) , Reproducibilidad de los Resultados , Sensibilidad y EspecificidadRESUMEN
OBJECTIVES: This study evaluated the correlation among the diffusion-derived parameters obtained by monoexponential (ME), intravoxel incoherent motion (IVIM) and γ distribution (GD) models and compared these parameters among representative orofacial tumours. METHODS: Ninety-two patients who underwent 1.5 T MRI including diffusion-weighted imaging were included. The shape parameter (κ), scale parameter (θ), ratio of the intracellular diffusion (ƒ1), extracellular diffusion (ƒ2) and perfusion (ƒ3) were obtained by the GD model; the true diffusion coefficient (D) and perfusion fraction (f) were obtained by the IVIM model; and the apparent diffusion coefficient (ADC) was obtained by the ME model. RESULTS: ƒ1 had a strongly negative correlation with the ADC (ρ = -0.993) and D (ρ = -0.926). A strong positive correlation between f and ƒ3 (ρ = 0.709) was found. Malignant lymphoma (ML) had the highest ƒ1, followed by squamous cell carcinoma (SCC), malignant salivary gland tumours, pleomorphic adenoma (Pleo) and angioma. Both the IVIM and GD models suggested the highest perfusion in angioma and the lowest perfusion in ML. The GD model demonstrated a high extracellular component in Pleo and revealed that the T4a+T4b SCC group had a lower ƒ2 than the T2+T3 SCC group, and poor to moderately differentiated SCC had a higher ƒ1 than highly differentiated SCC. CONCLUSIONS: Given the correlation among the diffusion-derived parameters, the GD model might be a good alternative to the IVIM model. Furthermore, the GD model's parameters were useful for characterizing the pathological structure.
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Carcinoma de Células Escamosas , Imagen de Difusión por Resonancia Magnética , Carcinoma de Células Escamosas/diagnóstico por imagen , Humanos , Imagen por Resonancia Magnética , Movimiento (Física) , PerfusiónRESUMEN
The preoperative imaging-based differentiation of primary central nervous system lymphomas (PCNSLs) and glioblastomas (GBs) is of high importance since the therapeutic strategies differ substantially between these tumors. In this study, we investigate whether the gamma distribution (GD) model is useful in this differentiation of PNCSLs and GBs. Twenty-seven patients with PCNSLs and 57 patients with GBs were imaged with diffusion-weighted imaging using 13 b-values ranging from 0 to 1000 sec/mm2. The shape parameter (κ) and scale parameter (θ) were obtained with the GD model. Fractions of three different areas under the probability density function curve (f1, f2, f3) were defined as follows: f1, diffusion coefficient (D) <1.0×10-3 mm2/sec; f2, D >1.0×10-3 and <3.0×10-3 mm2/sec; f3, D >3.0 × 10-3 mm2/sec. The GD model-derived parameters were compared between PCNSLs and GBs. Receiver operating characteristic (ROC) curve analyses were performed to assess diagnostic performance. The correlations with intravoxel incoherent motion (IVIM)-derived parameters were evaluated. The PCNSL group's κ (2.26 ± 1.00) was significantly smaller than the GB group's (3.62 ± 2.01, p = 0.0004). The PCNSL group's f1 (0.542 ± 0.107) was significantly larger than the GB group's (0.348 ± 0.132, p<0.0001). The PCNSL group's f2 (0.372 ± 0.098) was significantly smaller than the GB group's (0.508 ± 0.127, p<0.0001). The PCNSL group's f3 (0.086 ± 0.043) was significantly smaller than the GB group's (0.144 ± 0.062, p<0.0001). The combination of κ, f1, and f3 showed excellent diagnostic performance (area under the curve, 0.909). The f1 had an almost perfect inverse correlation with D. The f2 and f3 had very strong positive correlations with D and f, respectively. The GD model is useful for the differentiation of GBs and PCNSLs.
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Neoplasias del Sistema Nervioso Central/diagnóstico por imagen , Neoplasias del Sistema Nervioso Central/diagnóstico , Glioblastoma/diagnóstico por imagen , Glioblastoma/diagnóstico , Linfoma/diagnóstico por imagen , Linfoma/diagnóstico , Imagen por Resonancia Magnética , Modelos Biológicos , Anciano , Diagnóstico Diferencial , Femenino , Gadolinio/química , Humanos , Masculino , Persona de Mediana Edad , Movimiento (Física) , Curva ROCRESUMEN
OBJECTIVES: To compare the results of a new quantitative image quality evaluation method that requires no observers with the results of receiver operating characteristic (ROC) analysis in detecting the mandibular canal (MC) in cone beam CT (CBCT) images. METHODS: A Teflon (polytetrafluoroethylene) plate phantom with holes of different depths was scanned with two CBCT systems. One CBCT system was equipped with an image intensifier (Experiment 1), and the other was equipped with a flat panel detector (Experiment 2). Holes that were above the threshold gray value (ΔG), calculated using just-noticeable difference (JND), were extracted. The number of extracted holes was used as the index of the image quality, and was compared with the Az values calculated by ROC analysis to detect the MC. RESULTS: The number of extracted holes reflected the influence of different scanning conditions, and showed a strong correlation with the Az values calculated by ROC analysis. Indices of the number of extracted holes corresponding to high Az values for detecting the MC were obtained in both experiments. CONCLUSIONS: Our image quality evaluation method applying JND to images of a standardized phantom is a quantitative method that could be useful for evaluating the detectability of the MC in CBCT images.
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Tomografía Computarizada de Haz Cónico/métodos , Mandíbula/anatomía & histología , Mandíbula/diagnóstico por imagen , Interpretación de Imagen Radiográfica Asistida por Computador/métodos , Humanos , Fantasmas de Imagen , Curva ROCRESUMEN
OBJECTIVES: To develop an observer-free method for quantitatively evaluating the image quality of CBCT images by applying just-noticeable difference (JND). METHODS: We used two test objects: (1) a Teflon (polytetrafluoroethylene) plate phantom attached to a dry human mandible; and (2) a block phantom consisting of a Teflon step phantom and an aluminium step phantom. These phantoms had holes with different depths. They were immersed in water and scanned with a CB MercuRay (Hitachi Medical Corporation, Tokyo, Japan) at tube voltages of 120 kV, 100 kV, 80 kV and 60 kV. Superimposed images of the phantoms with holes were used for evaluation. The number of detectable holes was used as an index of image quality. In detecting holes quantitatively, the threshold grey value (ΔG), which differentiated holes from the background, was calculated using a specific threshold (the JND), and we extracted the holes with grey values above ΔG. The indices obtained by this quantitative method (the extracted hole values) were compared with the observer evaluations (the observed hole values). In addition, the contrast-to-noise ratio (CNR) of the shallowest detectable holes and the deepest undetectable holes were measured to evaluate the contribution of CNR to detectability. RESULTS: The results of this evaluation method corresponded almost exactly with the evaluations made by observers. The extracted hole values reflected the influence of different tube voltages. All extracted holes had an area with a CNR of ≥1.5. CONCLUSIONS: This quantitative method of evaluating CBCT image quality may be more useful and less time-consuming than evaluation by observation.
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Tomografía Computarizada de Haz Cónico/normas , Tomografía Computarizada de Haz Cónico/estadística & datos numéricos , Fantasmas de ImagenRESUMEN
OBJECTIVES: The purpose of this study was to clarify the effects of exposure parameters and image-processing methods when using CBCT to detect clear and unclear mandibular canals (MCs). METHODS: 24 dry half mandibles were divided into 2 groups with clear and unclear MCs based on a previous CBCT study. Mandibles were scanned using a CBCT system with varying exposure parameters (tube voltages 60 kV, 70 kV and 90 kV; and tube currents 2 mA, 5 mA, 10 mA and 15 mA) to obtain a total of 144 scans. The images were processed with different slice thicknesses using ImageJ software (National Institutes of Health, Bethesda, MD). Five radiologists evaluated the cross-sectional images of the first molar region to detect the MCs. The diagnostic accuracy of varying exposure parameters and image-processing conditions was compared with the area under the curve (Az) in receiver-operating characteristic analysis. RESULTS: The Az values for clear MCs were higher than those for unclear MCs (p < 0.0001). With increasing exposure voltages and currents, Az values increased, but no significant differences were found with high voltages and currents in clear MCs (p = 1.0000 and p = 0.9340). The Az values of serial images were higher than those of overlaid images (p < 0.0001), and those for thicker slices were higher than those for thinner slices (p < 0.0001). CONCLUSIONS: Our findings indicate that detection of unclear MCs requires either higher exposure parameters or processing of the images with thicker slices. To detect clear MCs, lower exposure parameters can be used.
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Tomografía Computarizada de Haz Cónico/métodos , Mandíbula/diagnóstico por imagen , Interpretación de Imagen Radiográfica Asistida por Computador/métodos , Humanos , Técnicas In Vitro , UruguayRESUMEN
The primary taste cortex is located in the insula. However, exactly where in the insula the human primary taste cortex is located remains a controversial issue. Human neuroimaging studies have shown prominent variation concerning the location of taste-responsive activation within the insula. A standard protocol for gustatory testing in neuroimaging studies has not been developed, which might underlie such variations. In order to localize the primary taste cortex in an fMRI experiment, we used a taste delivery system to suppress non-taste stimuli and psychological effects. Then, we compared brain response to taste solution during a passive tasting task condition and a taste quality identification task condition to verify whether this cognitive task affected the location of taste-responsive activation within the insula. To examine which part of insula is the primary taste area, we performed dynamic causal modeling (DCM) to verify the neural network of the taste coding-related region and random-effects Bayesian model selection (BMS) at the family level to reveal the optimal input region. Passive tasting resulted in activation of the right middle insula (MI), and the most favorable model selected by DCM analysis showed that taste effect directly influenced the MI. Additionally, BMS results at the family level suggested that the taste inputs entered into the MI. Taken together, our results suggest that the human primary taste cortex is located in the MI.
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Atención/fisiología , Mapeo Encefálico , Corteza Somatosensorial/fisiología , Gusto/fisiología , Adulto , Causalidad , Discriminación en Psicología , Femenino , Humanos , Procesamiento de Imagen Asistido por Computador , Modelos Lineales , Imagen por Resonancia Magnética , Masculino , Percepción de Movimiento/fisiología , Dinámicas no Lineales , Oxígeno/sangre , Estimulación Luminosa , Cloruro de Sodio/farmacología , Glutamato de Sodio/farmacología , Corteza Somatosensorial/irrigación sanguínea , Corteza Visual/fisiología , Adulto JovenRESUMEN
It remains unclear how the cerebral cortex of humans perceives taste temporally, and whether or not such objective data about the brain show a correlation with the current widely used conventional methods of taste-intensity sensory evaluation. The aim of this study was to investigate the difference in the time-intensity profile between salty and sweet tastes in the human brain. The time-intensity profiles of functional MRI (fMRI) data of the human taste cortex were analyzed using finite impulse response analysis for a direct interpretation in terms of the peristimulus time signal. Also, time-intensity sensory evaluations for tastes were performed under the same condition as fMRI to confirm the reliability of the temporal profile in the fMRI data. The time-intensity profile for the brain activations due to a salty taste changed more rapidly than those due to a sweet taste in the human brain cortex and was also similar to the time-intensity sensory evaluation, confirming the reliability of the temporal profile of the fMRI data. In conclusion, the time-intensity profile using finite impulse response analysis for fMRI data showed that there was a temporal difference in the neural responses between salty and sweet tastes over a given period of time. This indicates that there might be taste-specific temporal profiles of activations in the human brain.
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Encéfalo/fisiología , Imagen por Resonancia Magnética , Cloruro de Sodio/farmacología , Sacarosa/farmacología , Gusto/fisiología , Adulto , Encéfalo/anatomía & histología , Mapeo Encefálico , Femenino , Humanos , Masculino , Factores de Tiempo , Adulto JovenRESUMEN
AIM: To assess the three-dimensional (3D) position of the temporomandibular joint (TMJ) in the cranial base structure, the 3D morphology of the TMJ, and the fossa-condyle interspaces in subjects with normal occlusion and patients with mandibular asymmetries using 3D computed tomography (CT) images. We hypothesized that the fossa-condyle interspaces and the shape or size of the TMJ would correlate with mandibular asymmetry. METHODS: Twenty women with mandibular asymmetry and nine control subjects were recruited. The TMJ position, linear distances, angles, surface areas, and the fossa-condyle relationship were assessed with 3D CT images of the TMJ. RESULTS: The fossa surface area was larger on the contralateral side, although no significant difference was observed in the linear or angular measurements of the fossa. The condylar neck height and condylar angle on the contralateral side were larger than those on the deviated side, and the frontal neck angle on the deviated side was larger than that on the contralateral side and of the control. No significant difference was observed in the condylar area. The fossa-condyle interspaces in the posterolateral section of the TMJ were smaller on the deviated side. CONCLUSION: The condyle in the patients with mandibular asymmetry was rotated posterolaterally within the fossa on the deviated side. Patients with mandibular asymmetry showed larger fossas and longer condylar processes on the contralateral side and narrower fossa-condyle interspaces on the deviated side, especially in the posterolateral section of the TMJ.
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Asimetría Facial/diagnóstico por imagen , Cóndilo Mandibular/diagnóstico por imagen , Hueso Temporal/diagnóstico por imagen , Articulación Temporomandibular/diagnóstico por imagen , Estudios de Casos y Controles , Cefalometría , Femenino , Humanos , Imagenología Tridimensional , Mandíbula/diagnóstico por imagen , Valores de Referencia , Base del Cráneo/diagnóstico por imagen , Estadísticas no Paramétricas , Tomografía Computarizada por Rayos XRESUMEN
There are no credible data to support the notion that individual taste qualities have dedicated pathways leading from the tongue to the end of the pathway in the brain. Moreover, the insular cortex is activated not only by taste but also by non-taste information from oral stimuli. These responses are invariably excitatory, and it is difficult to determine whether they are sensory, motor, or proprioceptive in origin. Furthermore, umami is a more unfamiliar and complex taste than other basic tastes. Considering these issues, it may be effective to minimize somatosensory stimuli, oral movement, and psychological effects in a neuroimaging study to elicit cerebral activity by pure umami on the human tongue. For this purpose, we developed an original taste delivery system for functional magnetic resonance imaging (fMRI) studies for umami. Then, we compared the results produced by two authorized models, namely, the block design model and event-related design model, to decide the appropriate model for detecting activation by umami. Activation by the umami taste was well localized in the insular cortex using our new system and block design model analysis. The peaks of the activated areas in the middle insular cortex by umami were very close to another prototypical taste quality (salty). Although we have to carefully interpret the perceiving intensities and brain activations by taste from different sessions, this study design might be effective for detecting the accession area in the cortex of pure umami taste on the tongue.
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Mapeo Encefálico , Encéfalo/fisiología , Inosina Monofosfato , Glutamato de Sodio , Gusto/fisiología , Adulto , Encéfalo/irrigación sanguínea , Relación Dosis-Respuesta a Droga , Femenino , Humanos , Procesamiento de Imagen Asistido por Computador , Inosina Monofosfato/administración & dosificación , Imagen por Resonancia Magnética , Masculino , Vías Nerviosas/irrigación sanguínea , Oxígeno/sangre , Reproducibilidad de los Resultados , Glutamato de Sodio/administración & dosificación , Estimulación Química , Umbral Gustativo/fisiología , Adulto JovenRESUMEN
The purpose of this study was to compare a dental cone beam computed tomography (dental CBCT) and a multi-detector row CT (MDCT) using effective doses and physical image quality. A dental mode (D-mode) and an implant mode (I-mode) were employed for calculating effective doses. Field of view (FOV) size of the MDCT was 150 mm. Three types of images were obtained using 3 different reconstruction functions: FC1 (for abdomen images), FC30 (for internal ear and bone images) and FC81 (for high resolution images). Effective doses obtained with the D-mode and with the I-mode were about 20% and 50% of those obtained with the MDCT, respectively. Resolution properties obtained with the D-mode and I-mode were superior to that of the MDCT in a high frequency range. Noise properties of the D-mode and the I-mode were better than those with FC81. It was found that the dental CBCT has better potential as compared with MDCT in both dental and implant modes.
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Tomografía Computarizada de Haz Cónico , Procesamiento de Imagen Asistido por Computador/métodos , Dosis de Radiación , Radiografía Dental/métodos , Tomografía Computarizada Espiral , Tomografía Computarizada de Haz Cónico/instrumentación , Tomografía Computarizada de Haz Cónico/métodos , Fantasmas de Imagen , Radiografía Dental/instrumentación , Tomografía Computarizada Espiral/instrumentación , Tomografía Computarizada Espiral/métodosRESUMEN
BACKGROUND: The persistent muscle contractions during clenching are thought to cause some temporomandibular disorders. However, no report has so far evaluated the effect of clenching on the masticatory muscles by magnetic resonance imaging (MRI). PURPOSE: To investigate the effect of clenching with maximum voluntary contraction on the T(1), T(2), and signal intensity (SI) of the balanced fast field-echo (b FFE) of the masseter muscle. MATERIAL AND METHODS: A total of 11 volunteers participated. Multi-echo spin-echo echo-planar imaging was used for T(2) measurements, and multi-shot Look-Locker sequence for T(1) measurements. The Look-Locker sequence has been used for fast T(1) mapping and this method has been applied for the imaging of various tissues. In addition, the b FFE was used due to the high temporal resolution. These three sequences lasted for 10 min and the participants were instructed to clench from 60 s to 80 s after the start of the data acquisition. T(2), T(1), and SI were normalized compared to pre-clenching values. RESULTS: T(2) decreased by clenching, which reflected a decrease of tissue perfusion due to the mechanical pressure. It increased rapidly after the clenching (peak value, 1.11+/-0.03; peak time, 16.8+/-7.6 s after the clenching), which corresponded to the reactive hyperemia and later, it gradually returned to the initial values (half period, 2.22+/-0.84 min). The change in the SI of the b FFE was triphasic and similar to that of T(2) clenching. T(1) increased after the cessation of the clenching and later gradually decreased during the recovery periods. However, the change of T(1) was quite different from that of T(2), with a lower peak value (1.04+/-0.02), a later peak time (36.0+/-28.0 s), and a longer half period (4.76+/-3.40 min) (P<0.0001, 0.0066, 0.02, respectively). CONCLUSION: The change in T(2) was triphasic and we considered that it predominantly reflected the tissue perfusion.
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Imagen por Resonancia Magnética/métodos , Músculo Masetero/anatomía & histología , Contracción Muscular , Adulto , Femenino , Humanos , Maxilares/anatomía & histología , Masculino , Persona de Mediana EdadRESUMEN
INTRODUCTION: Traditionally, cephalograms have been used to evaluate a patient's maxillofacial skeleton and facial soft-tissue morphology. However, magnification and distortion of the cephalograms make detailed morphologic analysis difficult in patients with complex deformities. The purpose of this article was to introduce a new method for visualizing deformation and deviation of the maxillofacial skeleton and facial soft tissues. METHODS: Standard 3-dimensional Japanese head models were sized to match the sella-to-nasion distance obtained from 2 patients' (1 man, 1 woman) maxillofacial skeletal images. Then, the scaled standard model was superimposed on each patient's 3-dimensional computed tomography image. RESULTS: This system provided clear shape information independent of size and facilitated the visualization of shape variations in maxillofacial skeletal and facial soft-tissue morphology. CONCLUSIONS: This method will be useful for 3-dimensional morphologic analysis of patients with jaw deformities.
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Cefalometría/métodos , Diagnóstico por Computador/métodos , Interpretación de Imagen Asistida por Computador/métodos , Imagenología Tridimensional/instrumentación , Maloclusión/diagnóstico por imagen , Mandíbula/anomalías , Anomalías Maxilofaciales/diagnóstico , Adolescente , Diagnóstico por Computador/instrumentación , Femenino , Humanos , Imagenología Tridimensional/métodos , Masculino , Maloclusión/terapia , Anomalías Maxilofaciales/terapia , Tomografía Computarizada por Rayos X , Adulto JovenRESUMEN
INTRODUCTION: Traditional cephalometric radiographs can analyze facial soft-tissues 2 dimensionally. Because they cannot provide information about the nose, lips, cheeks, and mouth, another method is needed to analyze these soft tissues. We introduce a new method for analyzing the 3-dimensional (3D) shape and size of facial soft-tissue morphology. METHODS: A 3D average face model was constructed based on 3D computed tomography images of Japanese male and female adult volunteers who had well-balanced faces and normal occlusions. To test the feasibility of evaluating the quantitative effects of surgery, preoperative and postoperative 3D computed tomography images of facial soft tissues of 1 man and 1 woman were superimposed on the average faces. RESULTS: This quantitative assessment provided a comprehensive evaluation of the characteristics that separate size and shape. It was possible to view the superimposed images from any desired angle on a personal computer. CONCLUSIONS: This method provides easy-to-understand information for patients and appears to be useful for clinical diagnosis and pretreatment and posttreatment soft-tissue morphologic evaluations of patients with jaw deformities.
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Cefalometría/métodos , Cara , Imagenología Tridimensional/métodos , Anomalías Maxilomandibulares/patología , Adulto , Conducto Auditivo Externo/anatomía & histología , Ojo/anatomía & histología , Estudios de Factibilidad , Femenino , Humanos , Procesamiento de Imagen Asistido por Computador/métodos , Anomalías Maxilomandibulares/cirugía , Masculino , Maloclusión de Angle Clase III/patología , Maloclusión de Angle Clase III/cirugía , Boca/anatomía & histología , Nariz/anatomía & histología , Órbita/anatomía & histología , Osteotomía/métodos , Osteotomía Le Fort/métodos , Prognatismo/patología , Prognatismo/cirugía , Programas Informáticos , Tomografía Computarizada por Rayos X/métodosRESUMEN
Many researchers have attempted to clarify the complex relationships between stomatognathic function and craniofacial morphology. Most studies investigated the trajectories of incisal or condylar points and measured temporomandibular morphology projected onto 2-dimensional radiographic films. Although these methods provided valuable information, their diagnostic capabilities were limited. We introduce a new 4-dimensional (4D) analysis of stomatognathic function that combines the 3-dimensional (3D) computed tomography of the cranium and mandible, dental surface imaging with a noncontact 3D laser scanner, and mandibular movement data recorded with a 6 degrees of freedom jaw-movement analyzer. This method performs dynamic and precise simulations that can analyze and display condyle to fossa distances and occlusal contacts during mandibular function. These comprehensive relationships can be analyzed and displayed not only at intercuspal position, but also at any mandibular position during functional movements. We believe that our 4D analyzing system will be useful for diagnosing temporomandibular disorders of patients with jaw deformities and other malocclusions.
Asunto(s)
Cefalometría/métodos , Anomalías Maxilomandibulares/fisiopatología , Registro de la Relación Maxilomandibular/instrumentación , Rango del Movimiento Articular , Trastornos de la Articulación Temporomandibular/fisiopatología , Articulación Temporomandibular/anatomía & histología , Adolescente , Fenómenos Biomecánicos , Femenino , Humanos , Procesamiento de Imagen Asistido por Computador , Imagenología Tridimensional/instrumentación , Imagenología Tridimensional/métodos , Anomalías Maxilomandibulares/complicaciones , Anomalías Maxilomandibulares/diagnóstico por imagen , Registro de la Relación Maxilomandibular/métodos , Mandíbula/anatomía & histología , Mandíbula/diagnóstico por imagen , Mandíbula/fisiología , Cráneo/anatomía & histología , Cráneo/diagnóstico por imagen , Cráneo/fisiología , Sistema Estomatognático/anatomía & histología , Sistema Estomatognático/diagnóstico por imagen , Sistema Estomatognático/fisiología , Articulación Temporomandibular/diagnóstico por imagen , Articulación Temporomandibular/fisiología , Trastornos de la Articulación Temporomandibular/diagnóstico por imagen , Trastornos de la Articulación Temporomandibular/etiología , Tomografía Computarizada por Rayos XRESUMEN
INTRODUCTION: Traditionally, lateral and frontal cephalograms are used with facial photographs to evaluate a patient's maxillofacial skeletal and facial soft-tissue morphology. However, the enlargement and distortion of 2-dimensional radiography made it difficult to accurately conceptualize the patient's anatomy. The purpose of this article was to introduce a new method for comparing 3-dimensional (3D) standard values of the maxillofacial skeletal and facial soft-tissue morphology before and after orthognathic surgery. METHODS: Normative 3D standard values of the maxillofacial skeletal and facial soft-tissue morphology were calculated from normal women. The pre- and postoperative morphology of one woman who underwent orthognathic surgery was compared with the normative data. RESULTS: This 3D analysis has clinical value to evaluate patients before and after surgical treatment. CONCLUSIONS: This quantitative assessment of 3D maxillofacial morphology can evaluate the area and degree of displacement and rotation of the facial skeleton and facial soft tissues. This method is sufficiently useful for routine clinical applications.
Asunto(s)
Cefalometría/métodos , Imagenología Tridimensional/métodos , Anomalías Maxilomandibulares/cirugía , Tomografía Computarizada por Rayos X/métodos , Adulto , Mentón/anatomía & histología , Suturas Craneales/anatomía & histología , Cara/anatomía & histología , Huesos Faciales/anatomía & histología , Femenino , Hueso Frontal/anatomía & histología , Humanos , Procesamiento de Imagen Asistido por Computador/métodos , Maloclusión/cirugía , Mandíbula/anatomía & histología , Mandíbula/cirugía , Cóndilo Mandibular/anatomía & histología , Maxilar/anatomía & histología , Hueso Nasal/anatomía & histología , Nariz/anatomía & histología , Órbita/anatomía & histología , Osteotomía/métodos , Hueso Parietal/anatomía & histología , Cigoma/anatomía & histologíaRESUMEN
fMRI indicated that the primary taste cortex is activated not only by taste but also by non-taste information from oral stimuli. Head movements caused by swallowing are very critical problem in fMRI and inherent difficulties to modulate taste stimuli in the mouth exist to elucidate functional segregation of human brain. We developed a novel automated taste stimulus delivery system for fMRI studies to segregate the pure taste area in the primary taste cortex in humans. As a novel intra-oral device, an elliptic cylinder was attached to an individual mouthpiece and then subject placed the tongue tip in it. Using a computer-controlled extra-oral device, the solutions ran through the intra-oral device in constant conditions. Three adult volunteers participated in the experimental session, alternately consisting of 30 pairs of taste stimuli (0.5 mol/l sucrose solution) and control (water) blocks. The typical findings of the three subjects revealed activation only in the primary taste cortex (P<0.001), and none in the secondary taste cortex. This is the first system that delivers the taste stimuli automatically to a standardized area on the subject's tongue under constant conditions, thus allowing us to successfully segregate the pure taste area in the primary taste cortex in humans.
Asunto(s)
Corteza Cerebral/irrigación sanguínea , Sistemas de Liberación de Medicamentos/instrumentación , Imagen por Resonancia Magnética , Gusto/fisiología , Administración Oral , Adulto , Mapeo Encefálico , Corteza Cerebral/fisiología , Sistemas de Liberación de Medicamentos/métodos , Femenino , Aromatizantes/administración & dosificación , Humanos , Procesamiento de Imagen Asistido por Computador/métodos , Oxígeno/sangre , Sacarosa/administración & dosificación , Gusto/efectos de los fármacosRESUMEN
OBJECTIVE: The purpose of this study was to investigate in vitro the accuracy of three-dimensional (3D) magnetic resonance imaging (MRI) to measure the mandible. STUDY DESIGN: The optimal MRI sequence for 3D mandible from the data of 2 volunteers was determined to be 3D vibe. MRI and computed tomography (CT) scans of tube, mandible, and hemimandible phantoms were obtained. MRI with 3D vibe and standard parameters used in clinical practice for 3D reconstructions of jawbones on CT were used. Pearson's correlation coefficient, standard deviation (SD), and accuracy in measurement on reconstructed 3D MRI and CT were compared to direct osteometric measurement of the phantoms. RESULTS: The correlation coefficient between MRI and direct osteometry was high, with r = 0.85 to 0.99 (P < .001). The difference ranged from -1.5 to 0.7 mm (-8.9%-11.1%) on smaller distances, which is important for orthognathic surgery. The accuracy of MRI was similar to that of CT. CONCLUSION: 3D vibe MRI provided adequate dimensional accuracy and image quality during in vitro examination of the mandible.