パノラマＸ線撮影装置を利用した顎関節撮影法 第五報 顎関節側面パノラマ４分割撮影法における断層域の検討

• 資料種別: 記事
• タイトル: パノラマＸ線撮影装置を利用した顎関節撮影法 第五報 顎関節側面パノラマ４分割撮影法における断層域の検討
• 著者標目: 川口 真一; 竹内 徹; 天野 稔; 下村 学; 細木 秀彦; 工藤 隆治; 前田 直樹; 多田 章久; 坂野 啓一; 岩崎 裕一; 安友 基勝; 上村 修三郎
• 出版年月日等: 2000
• 出版年（W3CDTF）: 2000
• タイトル（掲載誌）: 歯科放射線
• 巻号年月日等（掲載誌）: 40 4
• 掲載巻: 40
• 掲載号: 4
• 掲載ページ: 242-250
• 掲載年月日（W3CDTF）: 2000
• ISSN（掲載誌）: 03899705
• 出版事項（掲載誌）: Japanese Society for Oral and Maxillofacial Radiology
• 本文の言語コード: ja
• 件名標目: Temporomandibular Joint; Panoramic Radiography; Image Layer; 顎関節; パノラマX線撮影; 断層域
• 対象利用者: 一般
• DOI: 10.11242/dentalradiology1960.40.242; https://doi.org/10.11242/dentalradiology1960.40.242
• 関連情報（URI）: https://search.jamas.or.jp/link/ui/2001167775
• 連携機関・データベース: 国立情報学研究所 : CiNii Research; https://cir.nii.ac.jp/
• 提供元機関・データベース: Japan Link Center; https://japanlinkcenter.org/top; CiNii Articles
• NII論文ID: 130003753850; 10020458283

• 要約等: Purpose: A panoramic TMJ projection for lateral views has been reported as very useful for the observation of the condylar position in the fossa. We reported the visibility of bony outlines on lateral panoramic TMJ images with an AZ3000^TM rotational panoramic X-ray unit (ASAHI Roentgen Industry Company, Limited, Kyoto, JAPAN) in a previous study (part 4). In this study, we investigated the optimal image layer thickness to improve the visibility of the TMJ images. Material and Method: We altered the AZ3000^TM so that we could adjust the width of slit (named AZ3000TU) to change the image layer thickness. The image layer thicknesses at various combinations of the first and second slits were defined with a wire mesh phantom. A tissue equivalent phantom was positioned and the panoramic lateral TMJ projection was taken with different image layer thickness. The phantom shifted 2.5-5mm inside and outside from standard position in the horizontal plane to simulate miss-positioning of the patient using various combinations of the slits. Four sites, postglenoid spine, glenoid fossa, articular eminence and condyle, in the radiographs were evaluated to find out the best slit combination and whether the sites could be observed or not by two oral radiologists. Results: The image layer thickness was 6mm at 1.2/8mm slit combination, 8mm at 1.0/7mm, 11mm at 0.5/5mm and 25mm at standard lateral mode. When the image layer thickness was at 6, 8 and 11mm, the four sites of TMJ were all observed. At 25mm image layer thickness, the mid cranial base superimposed TMJ strongly. In the case of 6mm-image layer thick ness, by positioning the phantom 5mm lateral from the standard position in the horizontal plane the postglenoid spine was difficult to observe in the radiograph. Conclusion: In the radiographs at the standard position where the image layer was less than 11mm, all four sites of TMJ were observed. However, at 6mm image layer thickness (the thinnest), when the object was positioned 5 mm lateral from the standard position, the postglenoid spine was difficult to detect.
• DOI: 10.11242/dentalradiology1960.40.242
• オンライン閲覧公開範囲: インターネット公開
• 連携機関・データベース: 科学技術振興機構 : J-STAGE; http://www.jstage.jst.go.jp