記述言語：英語   出版者・発行元：John Wiley & Sons Australia, Ltd  

真正な顎関節症によく似ていた頭頸部領域の関節外疾患の有病率を3テスラ(3T)MRIでの画像所見から決定し、その臨床症状についても明らかにした。2019年7月～2022年4月に当院で3T MRI検査を行って顎関節症と臨床診断していた患者108名のうち、適格とした100名(女性71名、年齢15～79歳)を後ろ向きに組み入れた。そのうち3名(全員男性、年齢20～64歳)で、T2強調画像上、頭頸部領域に異常な高信号が認められた。この3名はいずれも臨床症状として開口障害を発症しており、病変の部位は、左側の内側・外側翼突筋、右側の耳下腺の深葉、下顎骨体の左側部であった。うち2名の病変は悪性腫瘍であった。以上のように、当院受診患者では関節外疾患の有病率は3%となったが、その症例のいずれもが真正な顎関節症の症状を発症していた。開口障害は関節外疾患の存在を示す重要な臨床症状であり、開口障害がみられる例では精査または画像検査が必要になると考えられた。

記述言語：英語   出版者・発行元：エルゼビア・ジャパン(株)  

口腔上顎歯肉の扁平上皮癌症例において頸部リンパ節への転移が生じているか鑑別する目的で、頸部リンパ節超音波画像のテクスチャ解析を行った。2018年1月～2022年4月に上記の癌に対する未治療例と診断し、初回切除術と頸部郭清術を行った患者17名(女性9名、年齢48～91歳)を後ろ向きに組み入れた。それらの症例における頸部リンパ節のうち、転移が陽性であった25個と非転移性の28個を解析対象とした。術前には全患者の頸部リンパ節を超音波検査を実施しており、その装置にはプロサウンドα7を使用していた。使用した超音波プローブはBモードリニアアレイを装備しており、10MHzで動作させた。テクスチャ解析にはフリーソフトウェアのLIFEx(バージョン7.30)を使用した。転移性・非転移性リンパ節の両画像間で統計学的に有意差がみられるテクスチャ特徴量を検索した。その結果、26種の特徴量が選出された。中でも最も有用であった特徴量はzone size non uniformity(ZSNU)であった。受信者動作特性曲線(ROC)解析の結果、ZSNUの鑑別診断能を表す曲線下面積の値は0.811となり、カットオフ値を適切に設定した場合の感度は0.8、特異度は0.821となった。口腔上顎歯肉の扁平上皮癌例で非転移性の頸部リンパ節と鑑別して転移性リンパ節を予測する上で、ZSNUは最も良いテクスチャ特徴量になると考えられた。

記述言語：英語   掲載種別：研究論文（学術雑誌）  

DOI： 10.1016/j.jds.2023.09.024

PubMed

記述言語：英語   掲載種別：研究論文（学術雑誌）  

DOI： 10.21037/qims-23-948

PubMed

記述言語：英語  

DOI： 10.3233/BME-230217

PubMed

記述言語：日本語   出版者・発行元：(NPO)日本歯科放射線学会  

記述言語：日本語   掲載種別：研究論文（学術雑誌）   出版者・発行元：特定非営利活動法人 日本歯科放射線学会  

DOI： 10.11242/dentalradiology.63.20

CiNii Research

その他リンク： https://kaken.nii.ac.jp/grant/KAKENHI-PROJECT-20K10165/

記述言語：英語   掲載種別：研究論文（学術雑誌）  

The purpose of this study was to elucidate the imaging characteristics of the gubernaculum tracts in successional teeth related to fused deciduous teeth on computed tomography. The imaging findings of 15 gubernaculum tracts in successional teeth related to fused deciduous teeth were retrospectively analyzed using cone-beam computed tomography or multidetector computed tomography. In cases without a congenitally defected successor, the two gubernaculum tracts of two successional teeth related to fused deciduous teeth were fused into one. Gubernaculum tracts (GTs) in mesial successors were vertical, but in distal successors they were inclined to mesial. The major abnormalities of the successional teeth related to fused deciduous teeth were delayed eruption and delayed formation. No inclined mesial successors were found, whereas most of the distal successors were inclined to mesial along with the inclined GT. The gubernaculum tracts of successors with a congenital defect of the other successors were vertical, and such successors had no abnormalities. The present study showed the imaging characteristics of gubernaculum tracts in successional teeth related to fused deciduous teeth. The abnormal eruption of successional teeth related to fused deciduous teeth may be associated with the characteristics of their gubernaculum tracts.

DOI： 10.1111/cga.12493

PubMed

記述言語：英語   出版者・発行元：John Wiley & Sons Australia, Ltd  

先天的に欠損した後継歯を認めない症例、後継歯に先天性欠損を認める症例について、導帯管15ヶ所の画像所見をコーンビームCTまたはマルチディテクターCTを用いてレトロスペクティブに解析した。その結果、乳歯癒合歯に関連する代生歯の導帯管の画像的特徴が明らかとなり、更に乳歯癒合歯に関連する代生歯の異所放出に導帯管が関連している可能性も示された。

記述言語：英語   掲載種別：研究論文（学術雑誌）  

DOI： 10.3390/jcm11206137

PubMed

記述言語：日本語   出版者・発行元：(一社)日本口腔診断学会  

記述言語：日本語   出版者・発行元：特定非営利活動法人 日本歯科放射線学会  

DOI： 10.11242/dentalradiology.61.69

CiNii Research

記述言語：日本語   出版者・発行元：特定非営利活動法人 日本歯科放射線学会  

DOI： 10.11242/dentalradiology.61.64

CiNii Research

記述言語：英語  

DOI： 10.1155/2022/5383893

PubMed

記述言語：日本語   出版者・発行元：特定非営利活動法人 日本歯科放射線学会  

DOI： 10.11242/dentalradiology.62.47

CiNii Research

記述言語：日本語   出版者・発行元：特定非営利活動法人 日本歯科放射線学会  

DOI： 10.11242/dentalradiology.62.43

CiNii Research

記述言語：日本語   出版者・発行元：(一社)日本口腔内科学会  

掲載種別：研究論文（学術雑誌）   出版者・発行元：MDPI AG  

The eruption pathway from the dental follicle to the gingiva for permanent teeth is known as the gubernaculum tract (GT), a physiologic structure thought to play a role in tooth eruption. Cone beam computed tomography and multi-detector computed tomography have recently been used to visualize the GT, with the results indicating that this structure might be related to the normal eruption of teeth. By contrast, curved and/or constricted GTs may lead to abnormal tooth eruption. In addition, complex odontomas have been reported from within the GT or dental sac of unerupted permanent teeth. If an odontoma occurs within the GT, the tooth will not erupt normally. Moreover, the imaging characteristics of the GT from the top of the odontogenic mass to the alveolar crest are extremely useful for making a differential pathological diagnosis and for differentiating between odontogenic and non-odontogenic masses. Therefore, radiological studies on the GT have been attracting increasing attention. Given this background, the present review aims to clarify the imaging characteristics and review recent studies on the GT considering the importance of the research.

DOI： 10.3390/jcm10143051

掲載種別：研究論文（学術雑誌）   出版者・発行元：Wiley  

DOI： 10.1002/cre2.452

その他リンク： https://onlinelibrary.wiley.com/doi/full-xml/10.1002/cre2.452

記述言語：日本語   出版者・発行元：(NPO)日本歯科放射線学会  

記述言語：日本語   出版者・発行元：九州歯科学会  

記述言語：英語   掲載種別：研究論文（学術雑誌）  

BACKGROUND: Tonsilloliths are related clinically to halitosis and tonsillar abscess. However, the dynamics of tonsilloliths over time are unknown. The aim of the study was to evaluate change in the characteristics of tonsilloliths in a time-dependent fashion by follow-up computed tomography (CT). METHODS: Tonsilloliths were analyzed in 326 CT scan pair sets of initial and at least two follow-up CT examinations of patients with whole palatine tonsils and various diseases of the oral and maxillofacial regions. RESULTS: Over the follow-up period, 12.1% of tonsilloliths disappeared. Approximately 26.1% of tonsilloliths changed in size during follow-up, mostly increasing in size. In tonsilloliths that showed enlargement, the mean (± standard deviation) growth rate was 0.61 ± 0.41 mm per year. Approximately 37.3% of tonsilloliths changed position during the follow-up period; of these, movement was toward the respiratory tract in 92% at a mean rate of - 1.38 ± 1.59 mm per year. The calcification levels of almost all tonsilloliths showed dynamic change: HU number increased in 84.3% and decreased in 12.7% of tonsilloliths over the follow-up period. The mean rate of HU increase was 63.8 ± 96.3 HU/year, and the mean rate of HU decrease was - 38.4 ± 66.8 HU/year. CONCLUSIONS: The calcification levels of all tonsilloliths showed dynamic fluctuation, and a tendency for excretion of tonsilloliths from the body. Their dynamics over time suggest that tonsilloliths may be in a permanently active phase which functions to remove foreign matter.

DOI： 10.1186/s12903-021-01426-1

PubMed

記述言語：日本語   出版者・発行元：(一社)日本口腔診断学会  

記述言語：日本語   出版者・発行元：(一社)日本口腔診断学会  

記述言語：日本語   出版者・発行元：特定非営利活動法人 日本歯科放射線学会  

DOI： 10.11242/dentalradiology.61.16

CiNii Research

記述言語：日本語   出版者・発行元：特定非営利活動法人 日本歯科放射線学会  

DOI： 10.11242/dentalradiology.60.66

CiNii Research

掲載種別：研究論文（学術雑誌）   出版者・発行元：MDPI AG  

This study was done to determine whether the sublingual gland ducts could be visualized and/or their function assessed by MR sialography and dynamic MR sialography and to elucidate the clinical significance of the visualization and/or evaluation of the function of sublingual gland ducts by clinical application of these techniques. In 20 adult volunteers, 19 elderly volunteers, and 7 patients with sublingual gland disease, morphological and functional evaluations were done by MR sialography and dynamic MR sialography. Next, four parameters, including the time-dependent changes (change ratio) in the maximum area of the detectable sublingual gland ducts in dynamic MR sialographic images and data were analyzed. Sublingual gland ducts could be accurately visualized in 16 adult volunteers, 12 elderly volunteers, and 5 patients. No significant differences in the four parameters in detectable duct areas of sublingual glands were found among the three groups. In one patient with a ranula, the lesion could be correctly diagnosed as a ranula by MR sialography because the mass was clearly derived from sublingual gland ducts. This is the first report of successful visualization of sublingual gland ducts. In addition, the present study suggests that MR sialography can be more useful in the diagnosis of patients with lesions of sublingual gland ducts.

DOI： 10.3390/jcm9113676

記述言語：英語   掲載種別：研究論文（学術雑誌）  

OBJECTIVE: The aim of this study was to evaluate whether a new cine-magnetic resonance imaging (CMRI) technique might be useful for evaluating swallowing function in patients with different types of oral cancers by assessing 12 CMRI-related parameters. STUDY DESIGN: In total, 111 patients with oral cancers were evaluated. We examined whether visualization of fluid flow and determination of flow direction to the trachea or the esophagus were possible with CMRI. We evaluated the correlations between CMRI-related parameters and self-reported dysphagia scores as the status of dysphagia, T classification groups as tumor staging for preoperative patients, alterations in CMRI-related parameters between pre- and postoperative patients, and the degree of invasiveness of oral cancer surgery. RESULTS: We could judge the flow direction to the esophagus on CMRI in all 111 patients. Six CMRI-related parameters showed significant correlations with dysphagia status. Increases in CMRI-related parameters were significantly related to deterioration of swallowing status, as shown by a decrease in self-reported dysphagia scores, advances in the T classification, and degree of invasiveness of oral cancer surgery. CONCLUSIONS: The results of the present study suggest that CMRI can be used to directly visualize swallowing dynamics and objectively evaluate the swallowing complaints of patients with oral cancer.

DOI： 10.1016/j.oooo.2020.05.009

PubMed

記述言語：英語   掲載種別：研究論文（学術雑誌）  

The objective was to introduce a new technique for visualizing the three-dimensional (3D) movements of velopharyngeal-related muscles using high-speed cine-magnetic resonance imaging (MRI) based on T2-weighted sequences. The evaluation of phonation- and water swallowing-related events was performed in 11 healthy subjects. Specifically, whether cine-MRI could precisely visualize normal velopharyngeal function during these two events was examined. The 3D movements of the soft palate, superior pharyngeal constrictor muscles, and levator veli palatini muscles were visualized in all 11 subjects. A noteworthy finding was that the magnetic resonance signals of the superior constrictor pharyngeal muscles and the levator veli palatini muscles were significantly higher during phonation and during water swallowing than at rest. This initial study suggests that the 3D movements of velopharyngeal-related muscles can be successfully and precisely visualized without side effects. The magnetic resonance signal changes seen in the superior pharyngeal constrictor and levator veli palatini muscles using the technique described here should be useful to develop better methods of evaluation of velopharyngeal function.

DOI： 10.1016/j.ijom.2019.08.001

PubMed

掲載種別：研究論文（学術雑誌）   出版者・発行元：British Institute of Radiology  

<sec><title>Objective:</title> The aim of this study was to examine whether a decreased occurrence rate of adverse drug reactions (ADRs) to contrast media in contrast-enhanced CT and MRI was attributable to appropriate criteria for patients with some diseases. A secondary aim was to elucidate safety profiles for contrast media and factors influencing the occurrence of ADRs.

</sec><sec><title>Methods:</title> Clinical data of patients who underwent contrast-enhanced CT (5576 cases) or MRI (3357 cases) were retrospectively analyzed to evaluate rates of ADRs to contrast media, symptoms of ADRs, treatments for ADRs, and differences in medical history, blood test results, and other factors between patients with and without ADRs in a dental hospital.

</sec><sec><title>Results:</title> The rate of ADRs to contrast media was 0.54% for CT and 0.09% for MRI. The most frequent ADRs in contrast-enhanced CT or MRI were nausea and vomiting as physiologic reactions. Two serious reactions were seen for CT, but none for MRI. Significant differences between patients with and without ADRs were seen in liver function according to blood tests for CT, and in digestive disorders elicited from medical interviews for MRI.

</sec><sec><title>Conclusion:</title> The lower occurrence rate of ADRs to contrast media in dental hospitals could be due to the adoption of appropriate criteria for patients with some diseases undergoing enhanced CT or MRI. Complete suppression of ADRs to contrast media for CT or MRI is unrealistic, so attention is warranted for patients with decreased liver function when performing enhanced CT, and for patients with digestive disorders when performing enhanced MRI.

</sec>

DOI： 10.1259/dmfr.20190214

掲載種別：研究論文（学術雑誌）   出版者・発行元：Springer Science and Business Media LLC  

<title>Abstract</title>
<sec>
<title>Background</title>
The purpose of the present study was to describe the CT imaging findings of normal incisive canals and incisive canal cysts and propose cut-off values to differentiate between them.


</sec>
<sec>
<title>Methods</title>
A total of 220 normal subjects and 40 patients with incisive canal cysts on multi-detector row computed tomography (MDCT) were retrospectively analyzed. The shapes, sizes, anatomic variations, Hounsfield scale values, and so on of maxillary incisive canals and the sizes and Hounsfield scale values of maxillary incisive canal cysts were analyzed.


</sec>
<sec>
<title>Results</title>
A significant difference in sizes of maxillary incisive canals in normal subjects was found between males and females. The sizes of maxillary incisive canals were significantly wider during aging, but shapes, anatomic variations, and Hounsfield scale values in the maxillary incisive canals were not significantly different with aging. A significant difference in sizes but not Hounsfield scale values was found between normal maxillary incisive canals and maxillary incisive canal cysts. Based on a cut-off of over 6 mm in the width of incisive canals, maxillary incisive canal cysts could not be appropriately diagnosed for subjects over 60 years of age. Over 60 years of age, maxillary incisive canal cysts could be appropriately diagnosed based on a cut-off of over 7.1 mm in width of incisive canals. When maxillary incisive canals of the hourglass types were seen on sagittal sections, significantly more patients had maxillary incisive canal cysts than other types.


</sec>
<sec>
<title>Conclusion</title>
In coincidentally diagnosing asymptomatic incisive canal cysts on imaging, we should apply different cut-offs for the size of the maxillary incisive canal for patients over and under 60 years of age. Specifically, the cut-offs for the long axis of maxillary incisive canal cysts were 7.1 mm for patients over 60 years of age and 6.0 mm for those under 60 years of age. In addition, we should pay attention to wider canals with hourglass shapes as indicative of cystic change of maxillary incisive canals.


</sec>

DOI： 10.1186/s13005-019-0209-5

その他リンク： http://link.springer.com/article/10.1186/s13005-019-0209-5/fulltext.html

掲載種別：研究論文（学術雑誌）   出版者・発行元：Elsevier BV  

DOI： 10.1016/j.oooo.2018.09.002

記述言語：日本語   出版者・発行元：(NPO)日本歯科放射線学会  

記述言語：日本語   出版者・発行元：(NPO)日本歯科放射線学会  

記述言語：日本語   出版者・発行元：(NPO)日本歯科放射線学会  

記述言語：日本語   出版者・発行元：(一社)日本外傷歯学会  

2020年の4月より放射線防護のための法律が施行された。具体的には医療機関の管理者が確保する安全管理体制の一つに「医療放射線の安全管理」が追加された。この改正により歯科医院では医療放射線安全管理責任者を選任し、放射線を安全に使用するための講習会を開催することが必須化された。そこで、歯科医院の先生に医療放射線の安全管理の法制化についてその概要を示し、併せて医療放射線安全管理責任者の具体的な業務のエッセンスを説明した。(著者抄録)

記述言語：日本語   出版者・発行元：(NPO)日本歯科放射線学会  

記述言語：日本語   出版者・発行元：(NPO)日本歯科放射線学会  

J-GLOBAL

J-GLOBAL

記述言語：日本語   出版者・発行元：(NPO)日本歯科放射線学会  

記述言語：日本語   出版者・発行元：(一社)日本口腔診断学会  

容易で非侵襲的な超音波検査は口腔・顎・顔面領域における軟組織疾患に対する検査法として有効である。唾液腺疾患、頸部リンパ節転移および口腔癌に対する超音波検査の実践と診断法を示した。その際、超音波画像ガイド下での穿刺吸引生検の有効性やカラー・ドップラー法を用いた血管描出の有効性についても説明した。また、超音波エラストグラフィーの将来性についても述べた。

記述言語：日本語  

記述言語：日本語  

記述言語：日本語  

記述言語：日本語  

記述言語：日本語  

記述言語：日本語  

記述言語：日本語  

記述言語：日本語  

記述言語：日本語  

記述言語：日本語  

記述言語：日本語  

記述言語：日本語  

記述言語：日本語  

記述言語：日本語  

記述言語：英語