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Biomedical subjects

Eiichiro Ariji

Publications and source records attributed to Eiichiro Ariji.

22 records · Page 2Linked to original sources

Color Doppler sonography of the facial artery in the anterior face.

OBJECTIVES: The purpose of this study was to clarify the Doppler sonographic features of the facial artery in the anterior face in healthy volunteers and to investigate those of related hemangiomas. STUDY DESIGN: Forty-six volunteers and 3 patients with hemangiomas were examined with Doppler sonography. The detection rates of the facial artery in the anterior face were determined. The features of the main trunk, superior and inferior labial branches, and the branches in the buccinator area were investigated together with the flow diameter, flow velocities, and resistive and pulsatility indexes. RESULTS: The detection rates of the main trunk and superior and inferior branches were 100%, whereas that of the branches in the buccinator area was 92.4%. There were no significant differences in the measured values for all indexes between the right and left sides. However, there were significant correlations between right and left sides in the flow diameter and minimum velocity of the main trunk and in the flow diameter and pulsatility index of the superior labial branch. The Doppler sonographic features of the hemangioma were characterized as a hypoechoic area with internal and surrounding blood flows. CONCLUSIONS: Doppler sonography can clearly depict the facial artery and its branches in the anterior face, and this method appears to be useful in the follow-up examination of hemangiomas in this area.

Adult↗

Deep extension from carcinoma arising from the gingiva: CT and MR imaging features.

BACKGROUND AND PURPOSE: CT and MR imaging are useful for evaluating the extension of carcinomas in the face and neck. We evaluated the involvement by carcinoma arising from the gingiva (ie, gingival cancer) by using CT and MR imaging. METHODS: We retrospectively examined 122 patients with squamous cell carcinoma (SCCA) in the lower (88 patients) and upper (34 patients) gingiva. Extension of SCCA into the spaces of the face and neck was evaluated with CT and MR imaging, and findings were surgically confirmed. RESULTS: Spread into the face and neck spaces occurred in 58% of patients. The buccal space was the most common site of spread, occurring in 42% of the lower and of 47% of the upper gingival cancers. Spread into the masticator space occurred from the lower gingival cancers in the molar region (20%) but not from the anterior region. Masticator space involvement from the upper gingiva was rare (4%). The retromolar triangle and buccal space immediately anterior to the ramus served as a corridor for cancer extension from the lower gingiva into the masticator space. The sublingual space (11%) was a less common site of spread from the lower gingiva. CONCLUSION: Gingival cancers spread into the masticator, buccal, and sublingual spaces depending on the primary sites in the oral cavity. An understanding of the face and neck-space anatomy is important in diagnosing cancer extension in the oral cavity gingiva and in treating patients with such disease.

Aged↗

Cross-sectional imaging of the jaws for dental implant treatment: accuracy of linear tomography using a panoramic machine in comparison with reformatted computed tomography.

PURPOSE: Although various panoramic X-ray machines with linear tomographic functions are now frequently applied to diagnosis related to dental implant treatment, the angles of the tomographic objective planes are automatically determined and cannot be adjusted for individual patients. To resolve this problem, a direct laser positioning (DLP) system was developed. In this investigation, the measurement accuracy of images obtained by the DLP system in comparison with those from reformatted computed tomography (CT) was assessed. MATERIALS AND METHODS: A rectangular parallel piped phantom was scanned with the system and the height and width were measured on linear tomograms. Ten sites in 3 dried mandibles and 21 mandibular molar sites in 15 patients were examined both with the DLP system and the reformatted CT to compare the measured values on both images. RESULTS: The phantom experiment showed that the difference between the actual and measured heights and widths of the phantom were within 1 mm. DISCUSSION: The difference between the values obtained by the DLP system and CT was slightly larger in the patients than those in the dried mandibles. CONCLUSION: The DLP measurement accuracy was deemed sufficient for clinical use.

Anatomy, Cross-Sectional↗

Measurement of mandibles with microfocus x-ray computerized tomography and compact computerized tomography for dental use.

PURPOSE: The trabecular bone patterns in jaws and tooth structure were analyzed using microfocus x-ray computerized tomography (micro-CT), and the usefulness of this method was reported. This study was performed to clarify the accuracy of micro-CT and to determine whether micro-CT could replace bone slice segments as a means for assessment of the accuracy of medical radiography units. In addition, the accuracy of compact CT for dental use (compact CT) was evaluated using the same method. MATERIALS AND METHODS: Three dried hemimandibles were used in this study. Images of mandibular interdental alveolar bone in the premolar and molar regions were obtained using micro-CT and compact CT. Measurement of the mandibular shape at 6 sites using micro-CT images and at 4 sites using compact CT images was performed, and then the values of the micro-CT and compact CT were compared with those of bone slice segments. RESULTS: The accuracy of mandibular measurement and the ratios of agreement for micro-CT were significantly higher than those for compact CT. Moreover, the coefficient of correlation of the rate of trabecular bone between compact CT images and bone slice segment images was 0.916. DISCUSSION: The significant difference in mandibular measurement between micro-CT and compact CT was considered to be related to pixel size. CONCLUSION: Micro-CT can replace bone slice segments for assessment of the accuracy of medical radiography units. In addition, compact CT can be used for imaging diagnosis in dental implant treatment. It is suggested that the ratio of trabecular bone could be used to evaluate the bone density.

Alveolar Process↗