人工智能在颞下颌关节区影像诊断中的应用研究进展OA
Advances in the application of artificial intelligence to imaging diagnosis of the temporomandibular joint re-gion
随着计算机技术的飞速发展,人工智能技术在医学影像领域的应用日益深入.颞下颌关节结构复杂,相关疾病发病率高且临床表现多样.本综述系统分析了人工智能在颞下颌关节影像诊断中的研究现状.基于U-Net及其衍生架构的深度模型在髁突、关节盘等关键结构分割中表现优异;多种目标识别及特征提取算法对骨关节病、关节盘移位等常见病变展现出了良好的诊断效能,部分模型在测试集的表现甚至能够达到专家水平.同时,可解释性人工智能技术通过热图可视化等手段,为模型决策过程提供了直观依据.值得关注的是,现有研究仍面临疾病谱系覆盖有限、多模态数据融合不足、模型泛化能力欠佳等关键挑战.未来研究应重点开发集成诊断、分割、生成及解释功能的综合系统,通过多中心数据验证与算法优化,提升模型的临床适用性与决策透明度,最终为实现颞下颌关节疾病的精准影像诊断与智能化管理奠定基础.
With the rapid development of computer science,the application of artificial intelligence(AI)in the field of medical imaging has become increasingly extensive.The temporomandibular joint(TMJ)is structurally complex,with a high incidence of related disorders and diverse clinical manifestations.This review analyzes the current state of re-search on AI in TMJ imaging diagnosis.Deep learning models based on U-Net and its derivatives have demonstrated outstanding performance in segmentation of condyle and articular disc.Various object detection and feature extraction algorithms have shown excellent diagnostic efficacy for common conditions,such as osteoarthrosis and disc displace-ment,with some models even achieving expert-level performance on test datasets.Meanwhile,explainable AI provides intuitive justification for model decisions through techniques such as heatmap visualization.Notably,current studies still face critical challenges,including coverage of disease spectra,integration of multimodal data,and model generaliz-ability.Future studies should focus on developing integrated systems that combine diagnosis,segmentation,generation,and interpretation functions.Through multicenter data validation and algorithmic optimization,these efforts will en-hance the clinical applicability and decision transparency of models,ultimately laying the foundation for precise imag-ing diagnosis and intelligent management of TMJ disorders.
陈嘉阳;马若晗;李刚
北京大学口腔医学院·口腔医院医学影像科 国家口腔医学中心 国家口腔疾病临床医学研究中心 口腔生物材料和数字诊疗装备国家工程研究中心 口腔数字医学北京市重点实验室,北京(100081)北京大学口腔医学院·口腔医院医学影像科 国家口腔医学中心 国家口腔疾病临床医学研究中心 口腔生物材料和数字诊疗装备国家工程研究中心 口腔数字医学北京市重点实验室,北京(100081)北京大学口腔医学院·口腔医院医学影像科 国家口腔医学中心 国家口腔疾病临床医学研究中心 口腔生物材料和数字诊疗装备国家工程研究中心 口腔数字医学北京市重点实验室,北京(100081)
医药卫生
影像诊断人工智能深度学习图像分割颞下颌关节紊乱病退行性骨关节病关节盘前移位图像降噪多模态数据可解释性人工智能
imaging diagnosisartificial intelligencedeep learningimage segmentationtemporomandibu-lar disordersdegenerative joint diseaseanterior disc displacementimage denoisingmultimodal dataex-plainable artificial intelligence
《口腔疾病防治》 2026 (6)
620-630,11
首都卫生发展科研专项(CFH2024-4-4107)北京市自然科学基金-海淀原始创新联合基金资助项目(L2320029)北京大学口腔医学院青年科研基金资助(PKUSS20220116) This study was supported by the grants from Capital's Funds for Health Improvement and Research(No.CFH2024-4-4107)Beijing Municipal Natural Science Foundation-Haidian Original Innovation Joint Fund(No.L2320029)Youth Research Fund of Peking University School and Hospital of Stomatology(No.PKUSS20220116).
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