High-resolution-arthrosonography of the temporomandibular joint with video and computer support

  • Robert Sader
  • , Herbert Deppe
  • , Hans Florian Zeilhofer
  • , Hans Henning Horch
  • , Bettina Kling

Research output: Contribution to journalConference articlepeer-review

Abstract

Ultrasound imaging of the temporomandibular joint has been problematic due to the lower frequency of the transducers used up to the present time. Imaging of temporomandibular joint structures being utilizable for diagnosis and therapy was only possible through time-consuming and expensive radiological image yielding procedures (computertomography, magnetic resonance imaging). 84 temporomandibular joint's in 42 patients were examined clinically, radiologically, by axiographic tracing, magnetic resonance imaging and ultrasound imaging. A ultrasound unit was used with a high frequency 13MHz transducer. The temporomandibular joint was examined preauricularily, by this the lateral section of the joint could be represented. The image sequences in functional condylus movements were taped via a video output into a film recorder. Selected ultrasound images from the beginning to the end of the movement could then be digitalized and read into a personal computer to be evaluated. The computer calculated then a line of movement and the angle of the joint's course. By ultrasound imaging the joint space could be represented and measured clearly. Compared with the space measured in the magnetic resonance image the value determined by ultrasonography was a tenth power more exact. The computer supported image analysis of the condylus movements led to an exact presentation of the condylus course. The sonographically determined condylar guidance corresponded to the value traced by axiography with high significance within a range of 3 degrees. The temporomandibular joint" sdisc could be localised just as exactly as with the magnetic resonance imaging. The use of a 13MHz transducer offers a new low-cost method of noninvasive dynamic imaging of important temporomandibular joint structures. The possibility of video and computer support enables movement analysis and opens new possibilities in the morphological and functional evaluation of the temporomandibular joint.

Original languageEnglish
Pages (from-to)368-376
Number of pages9
JournalProceedings of SPIE - The International Society for Optical Engineering
Volume2433
DOIs
StatePublished - 24 May 1995
EventMedical Imaging 1995: Physiology and Function from Multidimensional Images - San Diego, United States
Duration: 26 Feb 19952 Mar 1995

Keywords

  • Axiography
  • High-frequency ultrasound
  • Sonography
  • Temporomandibular joint

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