CC BY-NC-ND 4.0 · Dental Journal of Advance Studies 2021; 9(01): 07-13
DOI: 10.1055/s-0041-1723876
Review Article

Magnetic Resonance Imaging and Cone Beam CT Image Registration for Osseous and Soft Tissue Abnormalities of Temporomandibular Joint: A Systematic Review

Ravleen Nagi
1  Department of Oral Medicine and Radiology, Swami Devi Dyal Dental College, Panchkula, Haryana, India
Rakesh Nagaraju
2  Department of Oral Medicine and Radiology, Faculty of Dental Sciences, M.S. Ramaiah University of Applied Sciences, Bangalore, Karnataka, India
Giridhar S. Naidu
3  Department of Oral Medicine and Radiology, New Horizon Dental College and Research Institute, Bilaspur, Chhattisgarh, India
Prashanthi Reddy
4  Department of Oral Medicine and Radiology, Government Dental College, Indore, Madhya Pradesh, India
Ajay Bibra
5  Department of Oral and Maxillofacial Surgery, Genesis Institute of Dental Sciences and Research, Ferozepur, Punjab, India
Ramanpal Singh Makkad
3  Department of Oral Medicine and Radiology, New Horizon Dental College and Research Institute, Bilaspur, Chhattisgarh, India
› Institutsangaben
Funding None.


Introduction Proper diagnosis of temporomandibular disorders (TMDs) is paramount for proper management. Cone beam computed tomography (CBCT) provides additional information about osseous components of TMJ, but diagnosis of soft tissue abnormalities is still a challenging issue for the clinicians. To overcome this, magnetic resonance imaging (MRI) and CBCT registration has shown to be a new promising technique that combines key features of both images into one single fusion image. The purpose of this systematic review was to compile available literature regarding the usefulness of CBCT and MRI-CBCT fusion imaging in proper diagnosis of temporomandibular joint (TMJ) abnormalities.

Materials and Methods Computerized literature search from January 2010 to 2020 using five databases: PubMed (MEDLINE) database (National Library of Medicine, NCBI), Cochrane Database, Scopus, Embase, and Science Direct was conducted by use of medical specific headings (MeSH) keywords.

Results Only 10 articles met the inclusion criteria. Eight articles showed that CBCT accurately detected osseous components of TMJ but has low reliability in diagnosing soft tissue articular disc disorders. Relationship between hard and soft tissues were clearly visualized in fused images.

Conclusion MRI-CBCT image registration is a reliable diagnostic tool for simultaneous evaluation of osseous and soft tissue abnormalities of TMJ and in future more studies should be encouraged to validate its accuracy for TMJ analysis.


14. Februar 2021 (online)

© 2021. Bhojia Dental College and Hospital affiliated to Himachal Pradesh University. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (

Thieme Medical and Scientific Publishers Pvt. Ltd.
A-12, 2nd Floor, Sector 2, Noida-201301 UP, India