基于图像的下管变体的临床管理:PR-CBCT-选择性MRI
Ingrid C Landfald1,2, Magdalena Łapot1, Łukasz Olewnik1,2
1Department of Clinical Anatomy, Mazovian Academy, Plac Dąbrowskiego 2, 09-402 Płock, Poland.
Biomedicines
|November 27, 2025
概括
了解下管 (MC) 变体对于牙科手术至关重要. 本综述强调了像CBCT和MRI这样的成像技术以及具体定义如何影响流行率估计,并指导更安全的手术规划.
科学领域:
- 人体解剖学 解剖学 解剖学
- 放射学 放射学是一门学科.
- 在口腔外科手术.
背景情况:
- 管 (MC) 变异是经常遇到的,并且在各种牙科手术中具有重要的临床意义.
- 由于成像方式,获取参数和诊断标准的变化,MC变异的现有流行数据不一致.
- 精确识别MC变体对于麻醉,植入物安置,第三手术和骨折术至关重要.
研究的目的:
- 对下沟变异的流行和成像进行专注的叙事审查.
- 根据成像方式,参数和诊断值,将流行数据置于背景.
- 在临床实践中提出一种成像主导的工作流程,用于管理MC变体.
主要方法:
- 从PubMed/MEDLINE和Scopus (2000-2025) 中对文学进行结构化的叙事评论.
- 使用了预先定义的资格标准和双重独立选.
- 流行数据被分析并根据成像模式 (PR,CBCT,MRI),获取参数和诊断值 (例如前环标准) 进行了背景分析.
主要成果:
- 圆束计算机断层扫描 (CBCT) 比全景放射 (PR) 识别了更多的MC变体.
- 在CBCT上,双眼MC的流行率通常在单位至低两位数范围内,受格大小和定义的影响.
- 磁共振成像 (MRI) 可以可视化软组织分支在骨成像上不明显,补充CBCT.
结论:
- 以临床为重点的方法,通过成像模式和定义将患病率置于背景,增强后下部的规划和安全性.
- 一个以成像为主导,变异意识的工作流程,结合PR进行查和CBCT/MRI,如有需要,提高程序安全.
- 兰福德临床框架 (LCF) 可以务实地应用于降低风险,尽管需要进一步验证.
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