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28 2 2010 4 119 [ ] 1000-1182 2010 02-0119-05 CT (, 250012) [ ] CT [ ] [ ] R 783.5 [ ] A [doi] 10.3969/j.issn.1000-1182.2010.02.002 Application of three dimensional registration based on CT data for orthodontics LIU Dong-xu, LIU Hong, L 譈 Tao. Shandong Provincial Key Laboratory of Oral Biomedicine, College of Stomatology, Shandong University, Jinan 250012, China [Abstract] In recent years, three dimensional imaging registration has been developed rapidly in clinics. Medical image registration plays an important role in the research of orthodontic image processing field. In this study, we introduce the applications of CT registration on several clinical cases. After the registration of the pre- and post-treatment CT data, the position changes of teeth and the modeling of alveolar bone and the adaptive changes of soft tissue can be assessed precisely respectively. The three dimensional registration provides us a new and precise method to study the outcome and mechanism of orthodontics. And more studies of three dimensional registration should be performed to promote three dimensional oral medical assessment researches. [Key words] orthodontics imaging registration application study 20 20 90 computed tomography CT magnetic resonance imaging MRI, [1-2] CT 1 [3-4] [5] X [ ] 2009-04-27 [ ] 2009-08-18 [ ] 2008 2008GG- 30002019 2008GG30001001 2005BS01005 P2009009 P2009010 [ ] [ ], Tel 0531-88382070 2009 1963

120 28 2 2010 4 Brown [6] 1992 CT MRI single photon emission computed tomography SPECT position emission tomography PET [7-13] 2 [6 14-15] 20 80 computer aided design/computer 2.1 aided manufacture CAD/CAM 2.1.1 intra-subject 1/5 2.1.2 inter-subject CT 1 2.2 2.2.1 monomodality 2 2.2.2 multimodality 2 A PET-CT B C D PET 1 CAD/CAM Fig 1 Manufacture of CAD/CAM template CT PET PET-CT 2.3 2.3.1 external feature

28 2 2010 4 121 STL CT 3 CAD/CAM 2.3.2 internal feature CT 2 A B C D PET-CT 2 CAD/CAM Fig 2 The miniscrew template was designed by CAD/CAM technique 3 CT MRI CT CT CT DICOM A B C D CT 3 Fig 3 The registration was performed with the landmarks of the CAD/CAMsalient points to assess the accuracy of template CAD/CAM CT 2 CT CT CT

122 28 2 2010 4 CT 4 CT 4C D 5A B CT 5C 5D 1 6 A B C D 4 Fig 4 The teeth, miniscrews, maxillary were registered respectively with the surface points which did not change after orthodontics treatment as landmarks A B C D 5 Fig 5 The position changes of teeth and the modeling of alveolar bone and the adaptive changes of soft tissue were assessed by registration of the pre- and post- 3D models A B C D 6 CT Fig 6 The effect of inter-maxillary traction for teeth, maxillary, occlusal plane was evaluated after registration CT 7

28 2 2010 4 123 A B C D 7 Fig 7 The changes of teeth, alveolar bone, palatal nature after arch expansion were evaluated by measurements after registration [6] Brown LG. A survey of imaging registration techniques[j]. ACM CT CT CT twin-block CT 4 [14], [ ] [1]. [J]., 2008, 26 3 229-232. ZHAO Zhi-he. Progress of orthodontics in the clinical and basic research[j]. West China J Stomatol, 2008, 26 3 229-232. [2] Isambert A, Bonniaud G, Lavielle F, et al. A phantom study of the accuracy of CT, MR and PET image registrations with a block matching-based algorithm[j]. Cancer Radiother, 2008, 12 8 800-808. [3] Hilgers ML, Scarfe WC, Scheetz JP, et al. Accuracy of linear temporomandibular joint measurements with cone beam computed tomography and digital cephalometric radiography[j]. Am J Orthod Dentofacial Orthop, 2005, 128 6 803-811. [4] Ludlow JB, Gubler M, Cevidanes L, et al. Precision of cephalometric landmark identification Cone-beam computed tomography vs conventional cephalometric views[j]. Am J Orthod Dentofacial Orthop, 2009, 136 3 312.e1-e10. [5] Halazonetis DJ. From 2-dimensional cephalograms to 3-dimensional computed tomography scans[j]. Am J Orthod Dentofacial Orthop, 2005, 127 5 627-637. Computing Surveys, 1992, 24 4 325-376. [7] Quereshy FA, Savell TA, Palomo JM. Applications of cone beam computed tomography in the practice of oral and maxillofacial surgery[j]. J Oral Maxillofac Surg, 2008, 66 4 791-796. [8] Schendel SA, Chris L. 3D orthognathic surgery simulation using image fusion[j]. Semin Orthod, 2009, 15 1 48-56. [9] Lane C, Harrell W Jr. Completing the 3-dimensional picture[j]. Am J Orthod Dentofacial Orthop, 2008, 133 4 612-620. [10] Ruppin J, Popovic A, Strauss M, et al. Evaluation of the accuracy of three different computer-aided surgery systems in dental implantology Optical tracking vs stereolithographic splint systems [J]. Clin Oral Implants Res, 2008, 19 7 709-716. [11] Maal TJ, Plooij JM, Rangel FA, et al. The accuracy of matching three -dimensional photographs with skin surfaces derived from cone-beam computed tomography[j]. Int J Oral Maxillofac Surg, 2008, 37 7 641-646. [12] Rangel FA, Maal TJ, Bergé SJ, et al. Integration of digital dental casts in 3 -dimensional facial photographs [J]. Am J Orthod Dentofacial Orthop, 2008, 134 6 820-826. [13] Nagao M, Sohmura T, Kinuta S, et al. Application of dentition and facial morphology integration system for occlusal correction [J]. Dent Mater J, 2004, 23 1 24-30.. [J]., 1999, 23 3 134-138. CHEN Yu, ZHUANG Tian-ge. A review on registration and fusion of medical images[j]. Chin J Medical Instrumentation, 1999, 23 3 134-138. [15] Zitov 觃 B, Flusser J. Image registration methods A survey [J]. Image Vis Comput, 2003, 21 11 977-1000.