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Hilgenfeld T, Saleem MA, Schwindling FS, Ludwig U, Hövener JB, Bock M, Flügge T, Eisenbeiss AK, Nittka M, Mente J, Jende JME, Heiland S, Bendszus M, Juerchott A. High-Resolution Single Tooth MRI With an Inductively Coupled Intraoral Coil-Can MRI Compete With CBCT? Invest Radiol 2022; 57:720-727. [PMID: 35640007 DOI: 10.1097/rli.0000000000000890] [Citation(s) in RCA: 7] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
OBJECTIVES The aims of this study were to quantify T1/T2-relaxation times of the dental pulp, develop a realistic tooth model, and compare image quality between cone-beam computed tomography (CBCT) and high-resolution magnetic resonance imaging (MRI) of single teeth using a wireless inductively coupled intraoral coil. METHODS T1/T2-relaxometry was performed at 3 T in 10 healthy volunteers (283 teeth) to determine relaxation times of healthy dental pulp and develop a realistic tooth model using extracted human teeth. Eight MRI sequences (DESS, CISS, TrueFISP, FLASH, SPACE, TSE, MSVAT-SPACE, and UTE) were optimized for clinically applicable high-resolution imaging of the dental pulp. In model, image quality of all sequences was assessed quantitatively (contrast-to-noise ratio) and qualitatively (visibility of anatomical structures and extent of susceptibility artifacts using a 5-point scoring scale). Cone-beam computed tomography served as the reference modality for qualitative assessment. Statistical analysis was performed using 2-way analysis of variance, Fisher exact test, and Cohen κ. RESULTS In vivo, relaxometry of dental pulps revealed T1/T2 relaxation times at 3 T of 738 ± 100/171 ± 36 milliseconds. For all sequences, an isotropic resolution of (0.21 mm) 3 was achieved, with acquisition times ranging from 6:19 to 8:02 minutes. In model, the highest contrast-to-noise ratio values were observed for UTE, followed by TSE and CISS. The best image/artifact quality, however, was found for DESS (mean ± SD: 1.3 ± 0.3/2.2 ± 0.0), FLASH (1.5 ± 0.3/2.4 ± 0.1), and CISS (1.5 ± 0.4/2.5 ± 0.1), at a level comparable to CBCT (1.2 ± 0.3/2.1 ± 0.1). CONCLUSIONS Optimized MRI protocols using an intraoral coil at 3 T can achieve an image quality comparable to reference modality CBCT within clinically applicable acquisition times. Overall, DESS revealed the best results, followed by FLASH and CISS.
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Affiliation(s)
| | | | | | - Ute Ludwig
- Department of Radiology, Medical Physics, Medical Center-University of Freiburg, Faculty of Medicine, University of Freiburg, Freiburg
| | - Jan-Bernd Hövener
- Section Biomedical Imaging, Department of Radiology and Neuroradiology, University Medical Center Schleswig-Holstein, Kiel University, Kiel
| | - Michael Bock
- Department of Radiology, Medical Physics, Medical Center-University of Freiburg, Faculty of Medicine, University of Freiburg, Freiburg
| | - Tabea Flügge
- Department of Oral and Maxillofacial Surgery, Charité-Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Berlin
| | - Anne-Katrin Eisenbeiss
- Department of Oral and Maxillofacial Surgery, University Medical Center Schleswig-Holstein, Christian-Albrechts-University, Kiel
| | | | - Johannes Mente
- Division of Endodontics and Dental Traumatology, Department of Conservative Dentistry, Heidelberg University Hospital, Heidelberg, Germany
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Ariji Y, Ariji E, Nakashima M, Iohara K. Magnetic resonance imaging in endodontics: a literature review. Oral Radiol 2018; 34:10-16. [PMID: 30484095 DOI: 10.1007/s11282-017-0301-0] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/08/2017] [Accepted: 07/20/2017] [Indexed: 12/16/2022]
Abstract
OBJECTIVES Magnetic resonance imaging (MRI) has recently been used for the evaluation of dental pulp anatomy, vitality, and regeneration. This study reviewed the recent use of MRI in the endodontic field. METHODS Literature published from January 2000 to March 2017 was searched in PubMed using the following Medical Subject Heading (MeSH) terms: (1) MRI and (dental pulp anatomy or endodontic pulp); (2) MRI and dental pulp regeneration. Studies were narrowed down based on specific inclusion criteria and categorized as in vitro, in vivo, or dental pulp regeneration studies. The MRI sequences and imaging findings were summarized. RESULTS In the in vitro studies on dental pulp anatomy, T1-weighted imaging with high resolution was frequently used to evaluate dental pulp morphology, demineralization depth, and tooth abnormalities. Other sequences such as apparent diffusion coefficient mapping and sweep imaging with Fourier transformation were used to evaluate pulpal fluid and decayed teeth, and short-T2 tissues (dentin and enamel), respectively. In the in vivo studies, pulp vitality and reperfusion were visible with fat-saturated T2-weighted imaging or contrast-enhanced T1-weighted imaging. In both the in vitro and in vivo studies, MRI could reveal pulp regeneration after stem cell therapy. Stem cells labeled with superparamagnetic iron oxide particles were also visible on MRI. Angiogenesis induced by stem cells could be confirmed on enhanced T1-weighted imaging. CONCLUSION MRI can be successfully used to visualize pulp morphology as well as pulp vitality and regeneration. The use of MRI in the endodontic field is likely to increase in the future.
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Affiliation(s)
- Yoshiko Ariji
- Department of Oral and Maxillofacial Radiology, Aichi-Gakuin University School of Dentistry, 2-11 Suemori-dori, Chikusa-ku, Nagoya, 464-8651, Japan.
| | - Eiichiro Ariji
- Department of Oral and Maxillofacial Radiology, Aichi-Gakuin University School of Dentistry, 2-11 Suemori-dori, Chikusa-ku, Nagoya, 464-8651, Japan
| | - Misako Nakashima
- Department of Stem Cell Biology and Regenerative Medicine, National Center for Geriatrics and Gerontology, Research Institute, 7-430 Morioka-cho, Obu, 474-8511, Japan
| | - Koichiro Iohara
- Department of Stem Cell Biology and Regenerative Medicine, National Center for Geriatrics and Gerontology, Research Institute, 7-430 Morioka-cho, Obu, 474-8511, Japan
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Di Nardo D, Gambarini G, Capuani S, Testarelli L. Nuclear Magnetic Resonance Imaging in Endodontics: A Review. J Endod 2018; 44:536-542. [DOI: 10.1016/j.joen.2018.01.001] [Citation(s) in RCA: 31] [Impact Index Per Article: 5.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/26/2017] [Revised: 12/30/2017] [Accepted: 01/01/2018] [Indexed: 01/31/2023]
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Detterbeck A, Hofmeister M, Hofmann E, Haddad D, Weber D, Hölzing A, Zabler S, Schmid M, Hiller KH, Jakob P, Engel J, Hiller J, Hirschfelder U. MRI vs. CT for orthodontic applications: comparison of two MRI protocols and three CT (multislice, cone-beam, industrial) technologies. J Orofac Orthop 2016; 77:251-61. [DOI: 10.1007/s00056-016-0028-2] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/11/2015] [Accepted: 11/13/2015] [Indexed: 10/21/2022]
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Bakker CJ, van Gorp JS, Verwoerd JL, Westra AH, Bouwman JG, Zijlstra F, Seevinck PR. Multiple single-point imaging (mSPI) as a tool for capturing and characterizing MR signals and repetitive signal disturbances with high temporal resolution: The MRI scanner as a high-speed camera. Magn Reson Imaging 2013; 31:1037-43. [DOI: 10.1016/j.mri.2013.04.014] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/19/2013] [Revised: 04/26/2013] [Accepted: 04/27/2013] [Indexed: 11/30/2022]
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Bracher AK, Hofmann C, Bornstedt A, Hell E, Janke F, Ulrici J, Haller B, Geibel MA, Rasche V. Ultrashort echo time (UTE) MRI for the assessment of caries lesions. Dentomaxillofac Radiol 2013; 42:20120321. [PMID: 23420857 PMCID: PMC3667523 DOI: 10.1259/dmfr.20120321] [Citation(s) in RCA: 38] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022] Open
Abstract
OBJECTIVE Direct in vivo MRI of dental hard tissues by applying ultrashort echo time (UTE) MRI techniques has recently been reported. The objective of the presented study is to clinically evaluate the applicability of UTE MRI for the identification of caries lesions. METHODS 40 randomly selected patients (mean age 41 ± 15 years) were enrolled in this study. 39 patients underwent a conventional clinical assessment, dental bitewing X-ray and a dental MRI investigation comprising a conventional turbo-spin echo (TSE) and a dedicated UTE scan. One patient had to be excluded owing to claustrophobia. In four patients, the clinical treatment of the lesions was documented by intraoral pictures, and the resulting volume of the cavity after excavation was documented by dental imprints and compared with the MRI findings. RESULTS In total, 161 lesions were identified. 157 (97%) were visible in the UTE images, 27 (17%) in the conventional TSE images and 137 (85%) in the X-ray images. In total, 14 teeth could not be analysed by MR owing to artefacts caused by dental fillings. All lesions appear significantly larger in the UTE images as compared with the X-ray and TSE images. In situ measurements confirm the accuracy of the lesion dimensions as observed in the UTE images. CONCLUSION The presented data provide evidence that UTE MR imaging can be applied for the identification of caries lesions. Although the current data suggest an even higher sensitivity of UTE MRI, some limitations must be expected from dental fillings.
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Affiliation(s)
- A-K Bracher
- Department of Internal Medicine II, University Hospital of Ulm, Germany
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Weiger M, Pruessmann KP, Bracher AK, Köhler S, Lehmann V, Wolfram U, Hennel F, Rasche V. High-resolution ZTE imaging of human teeth. NMR IN BIOMEDICINE 2012; 25:1144-1151. [PMID: 22290744 DOI: 10.1002/nbm.2783] [Citation(s) in RCA: 90] [Impact Index Per Article: 7.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/09/2011] [Revised: 12/21/2011] [Accepted: 12/29/2011] [Indexed: 05/31/2023]
Abstract
MRI with zero echo time (ZTE) is achieved by 3D radial centre-out encoding and hard-pulse RF excitation while the projection gradient is already on. Targeting short-T(2) samples, the efficient, robust and silent ZTE approach was implemented for high-bandwidth high-resolution imaging requiring particularly rapid transmit-receive switching and algebraic image reconstruction. The ZTE technique was applied to image extracted human teeth at 11.7T field strength, yielding detailed depictions with very good delineation of the mineralised dentine and enamel layers. ZTE results are compared with UTE (ultra-short echo time) MRI and micro-computed tomography (μCT), revealing significant differences in SNR and CNR yields. Compared to μCT, ZTE MRI appears to be less susceptible to artefacts caused by dental fillings and to offer superior sensitivity for the detection of early demineralisation and caries lesions.
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Hövener JB, Zwick S, Leupold J, Eisenbeiβ AK, Scheifele C, Schellenberger F, Hennig J, Elverfeldt DV, Ludwig U. Dental MRI: imaging of soft and solid components without ionizing radiation. J Magn Reson Imaging 2012; 36:841-6. [PMID: 22707436 DOI: 10.1002/jmri.23712] [Citation(s) in RCA: 64] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/26/2012] [Accepted: 04/27/2012] [Indexed: 11/06/2022] Open
Abstract
PURPOSE To evaluate the ability of conventional and ultra-short or zero echo time MRI for imaging of soft and solid dental components in and ex vivo. MATERIALS AND METHODS Turbo spin echo (TSE), ultra-short echo time (UTE), and zero echo time (ZTE) MRI were performed on extracted (human and equine) teeth and in vivo using whole-body and small-bore MR systems at 3 T, 7T, and 9.4T, respectively. RESULTS At an isotropic resolution of (600 μm)(3) , strong signal of soft-tissue, e.g., mucosa and nerves with excellent contrast was achieved using TSE at 3T in vivo. No signal, though, was obtained from solid components, e.g., teeth (due to short T(2) ). In contrast, dentin, cementum as well as enamel of extracted teeth were readily depicted using UTE and ZTE at a resolution of ≈ (150 μm)(3) at 7T and 9.4T. In particular, ZTE provided higher signal in enamel. CONCLUSION As an alternative to X-ray based methods like cone-beam computed tomography (CT) or conventional CT, the presented results demonstrate the potential of ZTE and UTE MRI as a radiation-free imaging modality, delivering contrast of soft and solid components at the same time.
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Affiliation(s)
- Jan-Bernd Hövener
- Department of Radiology - Medical Physics, University Medical Center, Freiburg, Germany.
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Idiyatullin D, Corum C, Moeller S, Prasad HS, Garwood M, Nixdorf DR. Dental magnetic resonance imaging: making the invisible visible. J Endod 2011; 37:745-52. [PMID: 21787482 DOI: 10.1016/j.joen.2011.02.022] [Citation(s) in RCA: 99] [Impact Index Per Article: 7.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/28/2010] [Revised: 02/09/2011] [Accepted: 02/21/2011] [Indexed: 01/29/2023]
Abstract
INTRODUCTION Clinical dentistry is in need of noninvasive and accurate diagnostic methods to better evaluate dental pathosis. The purpose of this work was to assess the feasibility of a recently developed magnetic resonance imaging (MRI) technique, called SWeep Imaging with Fourier Transform (SWIFT), to visualize dental tissues. METHODS Three in vitro teeth, representing a limited range of clinical conditions of interest, imaged using a 9.4T system with scanning times ranging from 100 seconds to 25 minutes. In vivo imaging of a subject was performed using a 4T system with a 10-minute scanning time. SWIFT images were compared with traditional two-dimensional radiographs, three-dimensional cone-beam computed tomography (CBCT) scanning, gradient-echo MRI technique, and histological sections. RESULTS A resolution of 100 μm was obtained from in vitro teeth. SWIFT also identified the presence and extent of dental caries and fine structures of the teeth, including cracks and accessory canals, which are not visible with existing clinical radiography techniques. Intraoral positioning of the radiofrequency coil produced initial images of multiple adjacent teeth at a resolution of 400 μm. CONCLUSIONS SWIFT MRI offers simultaneous three-dimensional hard- and soft-tissue imaging of teeth without the use of ionizing radiation. Furthermore, it has the potential to image minute dental structures within clinically relevant scanning times. This technology has implications for endodontists because it offers a potential method to longitudinally evaluate teeth where pulp and root structures have been regenerated.
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Affiliation(s)
- Djaudat Idiyatullin
- The Center for Magnetic Resonance Research and Department of Radiology, University of Minnesota, Minneapolis, MN 55455, USA.
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Sberna MT, Rizzo G, Zacchi E, Capparè P, Rubinacci A. A preliminary study of the use of peripheral quantitative computed tomography for investigating root canal anatomy. Int Endod J 2009; 42:66-75. [DOI: 10.1111/j.1365-2591.2008.01452.x] [Citation(s) in RCA: 32] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Elbaum R, Tal E, Perets AI, Oron D, Ziskind D, Silberberg Y, Wagner HD. Dentin micro-architecture using harmonic generation microscopy. J Dent 2007; 35:150-5. [PMID: 16973251 DOI: 10.1016/j.jdent.2006.07.007] [Citation(s) in RCA: 21] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/20/2006] [Revised: 07/02/2006] [Accepted: 07/04/2006] [Indexed: 11/18/2022] Open
Abstract
OBJECTIVES We present a novel way to create high-resolution three-dimensional images of tooth dentin by harmonic generation scanning laser microscopy. METHODS The images were taken using a pulsed infrared laser. Three-dimensional reconstruction enables the visualization of individual tubules and the collagen fibrils mesh around them with an optical resolution of approximately 1 microm. RESULTS The images show micro-morphological details of the dentinal tubules as well as the collagen fibrils at a depth of up to about 200 microm. The data show that while collagen fibrils are organized in planes perpendicular to the tubules, close to the dentin enamel junction they lie also along the long axis of the tubules. CONCLUSIONS The unique 3D information opens the opportunity to study the collagen fibril arrangement in relation to the tubule orientation within the dentin matrix, and may be applied to study the micro-morphology of normal versus altered dentin.
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Affiliation(s)
- R Elbaum
- Department of Materials and Interfaces, The Weizmann Institute of Science, Rehovot 76100, Israel
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Hannig C, Krieger E, Dullin C, Merten HA, Attin T, Grabbe E, Heidrich G. Volumetry of human molars with flat panel-based volume CT in vitro. Clin Oral Investig 2006; 10:253-7. [PMID: 16715215 DOI: 10.1007/s00784-006-0051-6] [Citation(s) in RCA: 17] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/05/2006] [Accepted: 04/24/2006] [Indexed: 10/24/2022]
Abstract
The flat panel-based volume computed tomography (fpVCT) is a new CT device applicable for experimental, three-dimensional evaluation of teeth at a resolution of about 150 microm in the high contrast region. The aim of this study was to investigate whether fpVCT was suitable for quantification of the volumes of dental hard tissues and the root canal system to establish a new method for morphological studies. Fifty-two extracted third molars (maxillary: 31, mandibular: 21) were examined with a prototype of an fpVCT using a volumetry algorithm at different levels according to the radiographic density of enamel and dentine. Volumetry of the root canal system was performed after "region growing segmentation": starting from a voxel in the centre of the root canal, this algorithm searches voxels of same density in the surrounding. The volumetry of the root canal system was stopped by the investigator at the apical constriction. Results showed that dentine, enamel and root canal system could be well distinguished in three-dimensional images. Volumetry yielded the following data (cm(3), mean+/-SD): dentine 0.438+/-0.111, enamel 0.227+/-0.051, root canal system 0.052+/-0.017 and total volume 0.753+/-0.159. In conclusion, the fpVCT is appropriate for non-destructive volumetry of large numbers of teeth in experimental laboratory studies.
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MESH Headings
- Absorptiometry, Photon/instrumentation
- Absorptiometry, Photon/methods
- Algorithms
- Dental Enamel/anatomy & histology
- Dental Enamel/diagnostic imaging
- Dental Pulp Cavity/anatomy & histology
- Dental Pulp Cavity/diagnostic imaging
- Dentin/anatomy & histology
- Dentin/diagnostic imaging
- Humans
- Image Processing, Computer-Assisted
- Imaging, Three-Dimensional/instrumentation
- Imaging, Three-Dimensional/methods
- Molar, Third/anatomy & histology
- Molar, Third/diagnostic imaging
- Odontometry/instrumentation
- Odontometry/methods
- Pilot Projects
- Software
- Statistics, Nonparametric
- Tomography, X-Ray Computed/instrumentation
- Tomography, X-Ray Computed/methods
- X-Ray Intensifying Screens
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Affiliation(s)
- Christian Hannig
- Department of Operative Dentistry and Periodontology, University of Freiburg, Hugstetter Str. 55, 79102, Freiburg, Germany.
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