DENTAL OVERVIEW MAP COMPILATION
20210158514 · 2021-05-27
Assignee
Inventors
- Andreas Greiser (Erlangen, DE)
- Lars Lauer (Neunkirchen, DE)
- Rene Kartmann (Nuernberg, DE)
- David Grodzki (Erlangen, DE)
- Mario Zeller (Erlangen, DE)
Cpc classification
A61B5/055
HUMAN NECESSITIES
G01R33/4816
PHYSICS
A61B5/0033
HUMAN NECESSITIES
A61B5/1076
HUMAN NECESSITIES
A61B2576/00
HUMAN NECESSITIES
International classification
A61B5/00
HUMAN NECESSITIES
Abstract
A method for compiling a dental overview map of the dentition of an examination object on the basis of magnetic resonance (MR) data from a MR measurement of the dentition. An MR measurement for acquiring MR data if performed from the dentition. An analysis of sections of the dentition is performed in order to determine an abnormality on the basis of the MR data, wherein a section of the dentition includes a subset of the number of teeth in the dentition, and an abnormality is determined in at least one section. A dental overview map is compiled as a function of the MR data and the abnormality of the at least one section of the dentition. The dental overview map is provided. Also, an MR apparatus with a computer, and a computer program product directly loadable into a data storage device of a computer of an MR apparatus in order to carry out the method.
Claims
1. A method for compiling a dental overview map of a dentition of an examination object on the basis of magnetic resonance (MR) data from a magnetic resonance measurement of the dentition, comprising: performing an MR measurement for acquiring MR data from the dentition, wherein an imaging volume of the MR measurement is matched with a volume of the dentition, and the imaging volume includes a number of teeth in the dentition; performing an analysis of sections of the dentition, each of which includes a subset of the number of teeth in the dentition in order to determine an abnormality on the basis of the MR data, wherein an abnormality is determined in at least one section; compiling a dental overview map as a function of the MR data and the abnormality of the at least one section of the dentition, wherein the dental overview map comprises a representation of a tooth of the examination object's dentition and a representation of the abnormality of the at least one section of the dentition; and providing the dental overview map.
2. The method as claimed in claim 1, wherein the at least one section in which the abnormality is determined is a first section, and during the performance of the analysis of sections of the dentition, the presence of an abnormality in a second section is excluded.
3. The method as claimed in claim 1, wherein the performance of the analysis of sections of the dentition includes the determination of inflammation or dental caries.
4. The method as claimed in claim 1, further comprising: determining a relative position between an abnormality of the at least one section and at least one tooth with the at least one section, wherein the compilation of the dental overview map takes place as a function of the relative position between the abnormality of the at least one section and the at least one tooth.
5. The method as claimed in claim 1, wherein the MR measurement is a first MR measurement, the first MR measurement for acquiring first MR data from the dentition is performed at a first time point, a first imaging volume of the first MR measurement is matched with a first volume of the dentition and includes a first number of teeth, and the at least one section in which the abnormality is determined is a first section, and wherein in one step, a second MR measurement for acquiring second MR data from the dentition is performed at a second time point, wherein a second imaging volume of the second MR measurement with a second volume of the dentition and includes at least one tooth and wherein at least one imaging parameter of the second MR measurement is determined as a function of the abnormality of the first section.
6. The method as claimed in claim 5, wherein the performance of the second MR measurement for acquiring second MR data from the first section takes place with a second recording quality, and the second recording quality is higher than or equal to the one first recording quality used during the performance of the first MR measurement for the acquisition of the first MR data from the first section.
7. The method as claimed in claim 5, wherein the performance of the second MR measurement for acquiring second MR data from the second section takes place with a third recording quality, and the third recording quality is lower than a first recording quality used during the performance of the first MR measurement for the acquisition of the first MR data from the first section.
8. The method as claimed in claim 5, wherein the performance of the second MR measurement for the acquisition of second MR data from the first section takes place with a second recording quality and the performance of the second MR measurement for the acquisition of second MR data from the second section takes place with a third recording quality, and the second recording quality is higher than the third recording quality.
9. The method as claimed in claim 5, wherein the second imaging volume of the second MR measurement is restricted to the first section of the dentition.
10. The method as claimed in claim 5, wherein the performance of the second MR measurement for recording second MR data takes place with a second imaging sequence, and the second imaging sequence is determined as a function of the abnormality of the first section.
11. The method as claimed in claim 6, wherein first MR images are compiled on the basis of the first MR data, second MR images are compiled on the basis of the second MR data, and the first MR images are registered with the second MR images.
12. The method as claimed in claim 5, further comprising: determining a deviation between the first MR data and the second MR data, wherein information on the deviation is output together with the dental overview map.
13. A magnetic resonance (MR) apparatus comprising a computer, wherein the computer is configured to coordinate a method for compiling a dental overview map of a dentition of an examination object on the basis of MR data from a magnetic resonance measurement of the dentition, the computer configured to: perform an MR measurement for acquiring MR data from the dentition, wherein an imaging volume of the MR measurement is matched with a volume of the dentition, and the imaging volume includes a number of teeth in the dentition; perform an analysis of sections of the dentition, each of which includes a subset of the number of teeth in the dentition in order to determine an abnormality on the basis of the MR data, wherein an abnormality is determined in at least one section; compile a dental overview map as a function of the MR data and the abnormality of the at least one section of the dentition, wherein the dental overview map comprises a representation of a tooth of the examination object's dentition and a representation of the abnormality of the at least one section of the dentition; and provide the dental overview map.
14. A non-transitory computer program product having stored thereon program code that, when executed by a computer of a magnetic resonance (MR) apparatus, causes the computer to carry out the method of claim 1.
Description
BRIEF DESCRIPTION OF THE DRAWINGS
[0061] Further advantages and details of the present disclosure may be derived from the exemplary aspects described in the following and with reference to the drawings, in which:
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[0068] The following description of the figures refers to a human patient as an examination object since this is a conventional application for an imaging examination. Obviously, this does not exclude the application of the method according to the disclosure to other examination objects.
DETAILED DESCRIPTION
[0069]
[0070] The patient can be positioned in the patient-receiving region 14 by means of a patient support apparatus 16 of the magnetic resonance apparatus 10. For this purpose, the patient support apparatus 16 comprises a patient table 17 that can be moved within the patient-receiving region 14. The magnet unit 11 furthermore comprises a gradient coil 18 for generating magnetic gradient fields used for spatial encoding during imaging. The gradient coil 18 is actuated by means of a gradient control unit 19 of the magnetic resonance apparatus 10. The magnet unit 11 can furthermore include a radio-frequency antenna embodied in the present exemplary aspect as a body coil 20 permanently integrated in the magnetic resonance apparatus 10. The body coil 20 is designed to excite nuclear spins located in the main magnetic field 13 generated by the main magnet 12. The body coil 20 is actuated by a radio-frequency unit 21 of the magnetic resonance apparatus 10 and radiates radio-frequency excitation pulses into an image-recording region substantially formed by a patient-receiving region 14 of the magnetic resonance apparatus 10. The body coil 20 is furthermore embodied to receive nuclear magnetic resonances.
[0071] To control the main magnet 12, the gradient control unit 19 and to control the radio-frequency unit 21 the magnetic resonance apparatus 10 comprises a control unit 22. The control unit 22 is embodied to control the performance of a sequence, such as, for example, an imaging GRE (gradient echo) sequence, a TSE (turbo spin echo) sequence or a UTE (ultra-short echo time) sequence. The control unit 22 also includes a computing unit 28 for evaluating magnetic resonance data acquired during a magnetic resonance measurement. The computing unit 28 of the magnetic resonance apparatus 10 can be embodied to use reconstruction methods in order to reconstruct magnetic resonance images on the basis of the magnetic resonance data. Further, the computing unit can be embodied to compile a dental overview map 40 as a function of the magnetic resonance data. In the present example, the computing unit 28 is connected to a storage unit 29 and a cloud storage 30. The computing unit can be configured to store data such as, for example, magnetic resonance images, magnetic resonance data and/or dental overview maps 40 on the storage unit 29 and the cloud storage 30 and retrieve this data from this storage unit or the cloud storage by means of a suitable interface. It is also conceivable, by means of a suitable application, for the patient 15 to use a mobile device (not shown) to access a storage region containing magnetic resonance images and/or dental overview maps of the patient 15. Accordingly, the software application can be configured to output the magnetic resonance images and/or the dental overview map 40 on a screen of the mobile device.
[0072] The magnetic resonance apparatus 10 also includes a user interface 23 with a signal connection to the control unit 22. Control information, such as, for example, imaging parameters, but also reconstructed magnetic resonance images and/or dental overview maps 40, can be displayed on a display unit 24, for example, on at least one monitor, of the user interface 23 for a user. Furthermore, the user interface 23 comprises an input unit 25 by means of which parameters of a magnetic resonance measurement can be input by the user.
[0073] The magnetic resonance apparatus 10 can further comprise a local receiving antenna 26 positioned on the dentition of a patient 15 which acquires nuclear magnetic resonances of a tooth or a plurality of teeth of the patient 15 and transmits them to the computing unit 28 of the control unit 22. The local receiving antenna 26 preferably comprises an electrical connecting lead 27 providing a signal connection to the radio-frequency unit 21 and the control unit 22. Like the body coil 20, the local receiving antenna 26 can also be embodied to excite nuclear spins and receive nuclear magnetic resonances. For this purpose, the local receiving antenna 26 can in particular have a drum-shaped structure enclosing the head of the patient 15. To emit radio-frequency excitation pulses, the local receiving antenna 26 is actuated by the radio-frequency unit 21.
[0074] The magnetic resonance apparatus 10 depicted can obviously include further components usually comprised by magnetic resonance apparatuses. It is also conceivable, instead of a cylindrical structure, for the magnetic resonance apparatus 10 to have a C-shaped, triangular or asymmetrical structure of the magnetic-field-generating components. The magnetic resonance apparatus 10 can in particular be embodied to perform a magnetic resonance examination of a standing or seated patient 15. It is further conceivable for the magnetic resonance apparatus 10 to be specially embodied to perform imaging examinations of the dentition of a patient 15.
[0075]
[0076] The dental overview map 40 further comprises a marking 54a indicating inflammation of the tooth numbered “17” at the seventh position on the left side of the upper jaw. In the example shown, the marking 54a is shown as a frame enclosing the tooth numbered “17”. On the other hand, the tooth numbered “34” at the fourth position of the right lower jaw has dental caries, for example. Herein, the representation of the dental caries 42a is positioned on the representation of the tooth 41 such that a relative position between the representation of the tooth 41 and the representation of the dental caries 42b approximately matches an anatomically correct relative position between the dental caries and the tooth in question. Herein, the shape and/or dimension of the representation of the dental caries 42a can be correlated with a shape and/or a dimension of the dental caries. In the example shown, the tooth numbered “34” additionally has a marking 54b which has a different color from the marking 54a and indicates the presence of inflammation. On the other hand, the tooth numbered “44” only has a representation of dental caries 42a. Therefore, any additional inflammation of the tooth can be excluded in the case of this tooth.
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[0080] In a second example, incisors of the lower jaw of the patient 15 have periodontitis in a transitional region to the gingival tissue. The degree of the inflamed gum tissue determined on the basis of the first magnetic resonance data is depicted by means of the representation of the periodontitis 42i in the combined dental overview map 40c. Since, as the result of a corresponding therapeutic measure, the inflammation of the gum tissue has reduced between the first time point and the second time point, the region identified by means of the representation of the periodontitis 42ii has a smaller area than the region identified by means of the representation 42i.
[0081] A dental overview map 40 shown in
[0082]
[0083] In a step S1 of the method according to the disclosure, a magnetic resonance measurement for acquiring magnetic resonance data from the dentition is performed, wherein an imaging volume of the magnetic resonance measurement is matched with a volume of the dentition and wherein the imaging volume includes a number of teeth in the dentition. For this purpose, the patient 15 is initially positioned in a patient-receiving region 14 such that a diagnostically relevant region of the dentition matches the imaging region of the magnetic resonance apparatus 10. The patient 15 is preferably positioned by means of a patient support apparatus 16 for transporting the patient 15 into the cylindrical patient-receiving region 14 of a conventional radiological magnetic resonance apparatus 10. However, it is also conceivable for the magnetic resonance apparatus 10 to be a dedicated imaging apparatus for recording magnetic resonance data from a dental region of the patient 15 with which the patient-receiving region 14 can be adapted to a head of the patient 15 in any way desired. It is, for example, conceivable for the magnetic resonance apparatus 10 to be positioned along a mechanical guide in relation to the head of the patient 15 until the imaging volume matches the diagnostically relevant region of the dentition. Herein, the diagnostically relevant region includes a number of teeth, from which magnetic resonance data is to be acquired in the context of an evaluation of the condition of the dentition. The diagnostically relevant region can, for example, be established in advance of the magnetic resonance measurement by the attending medical practitioner. The magnetic resonance measurement can be performed as described above.
[0084] In one aspect, multiple magnetic resonance measurements of the dentition of the patient 15 are performed in the context of a longitudinal imaging study of the patient 15. Here, the step (S1) includes the performance of a first magnetic resonance measurement for acquiring first magnetic resonance data from the dentition at a first time point, wherein a first imaging volume of the first magnetic resonance measurement is matched with a first volume of the dentition and includes a first number of teeth.
[0085] In a further step S2, an analysis of sections of the dentition each of which include a subset of the number of teeth in the dentition is performed in order to determine an abnormality on the basis of the magnetic resonance data, wherein an abnormality is determined in at least one section. For this purpose, the magnetic resonance data is divided into sections, wherein a section preferably includes magnetic resonance data from exactly one tooth of the number of teeth. It is also conceivable for the analysis of the sections of the dentition to take place on the basis of magnetic resonance images which are reconstructed from the magnetic resonance data. Herein, a section can, for example, be a segment of a magnetic resonance image which includes exactly one tooth of the number of teeth. Herein, the analysis of the sections takes place section-by-section, i.e. for each individual section, until all the sections of the magnetic resonance data and/or magnetic resonance images have been analyzed. The sections are preferably analyzed by means of a suitable image-processing unit which in each case analyzes exactly one section or a plurality of sections in parallel as the function of the configuration of a processor of the image-processing unit. The analysis can, for example, include the correlation of contrasts or signal intensities of picture elements and/or volume elements of the magnetic resonance images with a reference value from a database and/or a normal value of the magnetic resonance images. The reference value can, for example, be a typical dental caries contrast in a magnetic resonance image with a given imaging sequence. It is also conceivable for characteristic structures to be derived from the contrasts or signal intensities of a plurality of picture elements, wherein said characteristic structures can be assigned to an anatomical structure and/or an abnormality. For example, a hole in a tooth can be identified on the basis of a different contrast from the dental enamel or dentin of the tooth by means of the image-processing unit and distinguished from an intact part of the tooth in question.
[0086] In one aspect, the at least one section in which an abnormality is established is a first section, wherein, during the performance of the analysis of sections of the dentition, a presence of an abnormality in a second section is excluded. This can mean that an abnormality is determined in at least one tooth in the dentition while abnormalities on further teeth are excluded. However, it can also mean that an abnormality is excluded in at least one tooth in the dentition while the further teeth in the dentition have an abnormality. Obviously, the number of teeth can have a plurality of sections with an abnormality and a plurality of sections without abnormalities as long as at least one section with an abnormality is determined and one section has no abnormality.
[0087] In a further aspect, the performance of the analysis of sections of the dentition includes the determination of inflammation and/or dental caries. Preferably, the inflammation and/or the dental caries is determined during the analysis of the sections of the dentition as a function of the contrast or signal intensity of the magnetic resonance data and/or the magnetic resonance images. For this, the magnetic resonance measurement can be performed with an imaging sequence which provides a high soft-tissue contrast. An example of such an imaging sequence is a SE (spin echo) or a GRE (gradient echo) sequence with high echo times. However, in particular in the case of the suspicion of dental caries with hole formation, it is also possible to use an imaging sequence which maps the dentin and/or the dental enamel with a high signal intensity. Possible imaging sequences can, for example, have very short echo times in order to compensate a short T2 relaxation time of spins of the dentin or of the enamel. Very short echo times can, for example, be below 150 μs or below 70 μs. Examples of possible imaging sequences are FLASH (fast low-angle shot) or UTE (ultra-short echo time) sequences.
[0088] In an optional step S3, a relative position between an abnormality of the at least one section and at least one tooth with the at least one section is determined. The determination of the relative position between the abnormality of the at least one section and the at least one tooth preferably takes place on the basis of contrasts or signal intensities of the magnetic resonance data and/or the magnetic resonance image of the at least one tooth. For example, contrasts of one or more picture elements can have a characteristic structure and/or an abnormal deviation of the signal intensity compared to surrounding and/or adjacent picture elements. In particular, when using a UTE sequence, the contour of the at least one tooth can be determined on the basis of a characteristic distribution of signal-intensive picture elements while the contour of dental disease can be distinguished from the at least one tooth due to abnormally low signal intensities, for example. In other words, a circumferential contour of the dental disease can be determined on the basis of contrast differences to the at least one tooth. Finally, items of positional information, such as, for example, the coordinates of points on the circumferential contours of the at least one tooth and the dental disease can be correlated with one another in order to determine the relative position between the at least one tooth and the dental disease.
[0089] In an optional step S4, a second magnetic resonance measurement for acquiring second magnetic resonance data from the dentition of the patient 15 is performed at a second time point, wherein a second imaging volume of the second magnetic resonance measurement is matched with a second volume of the dentition and includes at least one tooth and wherein at least one imaging parameter of the second magnetic resonance measurement is determined as a function of the abnormality of the first section. As described above, the second time point is later than the first time point. Preferably, at least one imaging parameter of the second magnetic resonance measurement is changed compared to the first magnetic resonance measurement in order to adapt the second imaging volume to the volume of the dentition with the first section. This can mean that only magnetic resonance data from sections with abnormalities is acquired during the second magnetic resonance measurement. As
[0090] In one aspect, the performance of the second magnetic resonance measurement for acquiring second magnetic resonance data from the first section takes place with a second recording quality, wherein the second recording quality is higher than or equal to the first recording quality used during the performance of the first magnetic resonance measurement for the acquisition of the first magnetic resonance data from the first section. Preferably, the recording of second magnetic resonance data from teeth in which dental disease was determined during the analysis of the sections of the dentition on the basis of the first magnetic resonance data takes place with higher spatial resolution. The spatial resolution of the second magnetic resonance measurement can, for example, be increased by reducing the slice thickness. Preferably, herein the spatial resolution is increased selectively in teeth with dental disease.
[0091] In a further aspect, the performance of the second magnetic resonance measurement acquiring second magnetic resonance data from the second section takes place with a third recording quality, wherein the third recording quality is lower than the first recording quality used during the performance of the first magnetic resonance measurement for the acquisition of the first magnetic resonance data from the first section. This can mean that the recording of second magnetic resonance data from teeth without abnormalities takes place with lower spatial resolution. For example, the spatial resolution of such sections during the performance of the second magnetic resonance measurement can be so low that exact quantification of the degree of dental disease is inexpedient. However, the spatial resolution can be sufficient to enable the presence of dental disease to be reliably determined by means of an analysis of the sections of the second magnetic resonance data.
[0092] In one possible aspect, the performance of the second magnetic resonance measurement for the acquisition of second magnetic resonance data from the first section takes place with a second recording quality and the performance of the second magnetic resonance measurement for the acquisition of second magnetic resonance data from the second section takes place with a third recording quality, wherein the second recording quality is higher than the third recording quality. Preferably, with this aspect, the second magnetic resonance measurement comprises a plurality of imaging sequences. Herein, during one imaging sequence of the plurality of imaging sequences, in each case second magnetic resonance data can be acquired from exactly one tooth or a plurality of teeth with an abnormality that are adjacent to one another and/or positioned on above the other. Herein, the imaging sequences can have different imaging volumes adapted to the exactly one tooth or the plurality of teeth positioned next to one another and/or on above the other. Herein, the spatial resolution of teeth with an abnormality is increased compared to teeth without abnormalities by adapting the slice thickness, for example.
[0093] In a further aspect, first magnetic resonance images are compiled on the basis of the first magnetic resonance data and second magnetic resonance images are compiled on the basis of the second magnetic resonance data, wherein the first magnetic resonance images are registered with the second magnetic resonance images. The registration of the first magnetic resonance images and the second magnetic resonance images takes place, for example, by means of rigid or elastic image registration methods. Preferably, the combined dental overview map 40c is compiled on the basis of the registered first magnetic resonance images and second magnetic resonance images. Herein, segments of the registered magnetic resonance images, such as, for example, magnetic resonance images of individual teeth, can be output together with the combined dental overview map 40c.
[0094] In a further step S5, a dental overview map 40 is compiled as a function of the magnetic resonance data and the abnormality of the section of the dentition, wherein the dental overview map 40 comprises a representation of the number of teeth 41 of the dentition of the patient 15 and a representation of the abnormality 42 of the section of the dentition. It is conceivable for the number of teeth to be analyzed on the basis of contrasts or signal intensities of the magnetic resonance data in order to identify the type of each tooth of the number of teeth. For each tooth type identified, it is, for example, possible to read in a corresponding representation from a storage unit 28 or a cloud storage 30 and use it for the compilation of the dental overview map 40. However, it is also conceivable for the dental overview map 40 to be compiled on the basis of reconstructed magnetic resonance images of the magnetic resonance measurement. The magnetic resonance images enable, for example, a shape and/or an outline contour of the teeth to be derived and used as a representation. The representations of the teeth 41 are preferably structured during the compilation of the dental overview map 40, i.e. depicted corresponding to an anatomically correct arrangement of the teeth. Furthermore, the teeth can be provided with numbering 52 and/or an identifier 53 which, for example, include information on a type and/or a position of a tooth in the dentition of the patient 15. Likewise, the representation of the abnormality 42 can be compiled on the basis of an identified shape and/or an identified outline contour or read from a data storage device. As shown in
[0095] In one possible aspect, the compilation of the dental overview map 40 takes place as a function of the relative position between the abnormality of a section and the at least one tooth of the section. As shown in
[0096] In an optional step S6, a deviation between the first magnetic resonance data and the second magnetic resonance data is determined, wherein information on the deviation is output together with the dental overview map 40. The determination of the deviation in particular takes place on the basis of a difference of contrast values or signal intensity values of the first magnetic resonance data and the second magnetic resonance data. It is however also conceivable for the determination of the deviation to take place on the basis of contrasts of picture elements of first magnetic resonance images and second magnetic resonance images which are reconstructed from the first magnetic resonance data and second magnetic resonance data. The determination of the deviation can, for example, include the correlation of positional information on a tooth or an abnormality. The deviation of the positional information between the first time point and the second time point can be used as the basis for deriving the development of dental disease or a tooth position depicted, for example, in the form of an indication 51, a marking 54 and/or a representation of the abnormality 42 on the combined dental overview map 40c. As shown in
[0097] In a further step S7 of the method, the dental overview map 40 is provided. It is conceivable for the dental overview map 40 to be transmitted to a storage unit 29 and/or a cloud storage 30 during the provision. It is also conceivable for the dental overview map 40 to be transmitted to a display unit 24 of the magnetic resonance apparatus 10 in the context of an evaluation of the condition of the dentition of the patient 15. The dental overview map 40 can further be output to a display unit or a computing unit of a mobile device of the patient 15. The computing unit of the mobile device can be configured to process the dental overview map 40 by means of a dedicated software application, for example to improve teeth cleaning of the dentition. Herein, the provision of the dental overview map 40 to the display unit 24, the storage unit 29, the cloud storage 30 and/or the mobile device of the patient 15 can take place in a wired or wireless manner by means of suitable interfaces.
[0098] Of course, the aspects of the method according to the disclosure and the ultrasound recording apparatus should be understood as being exemplary. Therefore, individual aspects can be expanded with features of other aspects. In particular, the sequence of the method steps of the method according to the disclosure should be understood as being by way of example. The individual steps can also be performed in another sequence or partially or completely overlap in time.