12/21/20151 Jalal Jalal Shokouhi-M.D. ISR, Jam-e-Jam,Kourosh medical imaging center 25 year.

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Presentation transcript:

12/21/20151 Jalal Jalal Shokouhi-M.D. ISR, Jam-e-Jam,Kourosh medical imaging center 25 year imaging of Mandible

12/21/20152 Infla. Poriodontal Osteoradionecrosis Infe. Root abscess Osteomyelitis Fibro osseaus lesions Fibrous dysplasia Ossifying fibroma Paget disease

12/21/20153 Benign odotogenic tumors Ameloblastoma Odontoma Cemetoblastoma Benign non odontogenic Tu. Exostosis, Osteoma, Osteochondroma, Chondroma, Synovial chondromatosis, Giant cell lessions Malignant Tu. O.S,E.S, Non-Hodgkin lymphoma Burkit L., M.M, Leukemia, Langerhanss cell histiocytosis

4 Anatomy-based imaging issues F.X : CT Axial- Coronal Md is a ring -Find 1 F.X, search for a 2 nd -If no 2 nd F.X, check TMJ dislocation

5 Tumor : Erosion from oral or nasopha. Stage 4 Scca V3 perineural tumors : chin, Md, checking : inf. Alveolar canal, Md foramen, Masticator space, Foramen oval, Meckle cave Infection CECT TMJ= MRI open-closed mouth, CT for F.X

12/21/20156 Condyle, Coronoid, Notch, Md foramen, Inf.alveolar Nerve, Mandibular V3 Mental foramen,Mental nerve, Vessels Mandibular canal MMx= Maxilla MMd= Mandible

12/21/20157 DDx: Mandibular Fracture Mimics Lingula Alveolar canal Nutrient canalMental foramen

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12/21/ AMELOBLASTOMA, MANDIBLE-MAXILLA

12/21/ DDx: Cystic Mandible-Maxilla Root abscess Dentigerous Cyst Odontogen. Keracyst Fibrous Dysplasia

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12/21/ Osteosarcoma, Mandible-Maxilla

12/21/ Aggressive Mandibular Lesion Metastases Ameloblastoma Tooth Abscess Comminuted Fx

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12/21/ Burkitt Lymphoma,Mandible-Maxilla

12/21/ DDx: Mandibular Mass Dentigerous Cyst Metastasis Ameloblastoma Osteosarcoma

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12/21/ DDx: Lucent Lesioncof Mandible or Maxilla Periodontal Disease Ameloblastoma Dentigerous Cyst Odontogen. Keratocyst

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12/21/ DENTIGEROUS CYST, MANDIBLE-MAXILLA

12/21/ DDx: Cystic Mandibular Lesion Radicular cyst Metastasis Odontogen. Keracyst Ameloblastoma

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12/21/ Thank you for your attention