CA2045588A1 - Method and apparatus for generating cephalometric images - Google Patents
Method and apparatus for generating cephalometric imagesInfo
- Publication number
- CA2045588A1 CA2045588A1 CA002045588A CA2045588A CA2045588A1 CA 2045588 A1 CA2045588 A1 CA 2045588A1 CA 002045588 A CA002045588 A CA 002045588A CA 2045588 A CA2045588 A CA 2045588A CA 2045588 A1 CA2045588 A1 CA 2045588A1
- Authority
- CA
- Canada
- Prior art keywords
- head
- positions
- probe
- anatomical landmarks
- data
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Abandoned
Links
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61C—DENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
- A61C19/00—Dental auxiliary appliances
- A61C19/04—Measuring instruments specially adapted for dentistry
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61C—DENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
- A61C7/00—Orthodontics, i.e. obtaining or maintaining the desired position of teeth, e.g. by straightening, evening, regulating, separating, or by correcting malocclusions
- A61C7/002—Orthodontic computer assisted systems
-
- Y—GENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
- Y10—TECHNICAL SUBJECTS COVERED BY FORMER USPC
- Y10S—TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
- Y10S128/00—Surgery
- Y10S128/92—Computer assisted medical diagnostics
Abstract
ABSTRACT
Method and Apparatus for generating Cephalometric Images In the generation of a cephalometric images, for example in orthodontic analysis, a probe 13 linked to a computer 1 is used to determine directly the positions of anatomical points of the head 12 of a subject which is held in place by a restrainer 6. The position of the tip of the probe is determined using sonic transmitters 14 and receives 4. The points located by the probe are used to determine the positions of anatomical landmarks for cephalometric tracings including, by means of extrapolation, some that are inaccessible to the probe.
These are then used to produce a cephalometric tracing Which can be superimposed on a video image of the subject's head. The use of x-rays or invasive techniques is avoided.
Method and Apparatus for generating Cephalometric Images In the generation of a cephalometric images, for example in orthodontic analysis, a probe 13 linked to a computer 1 is used to determine directly the positions of anatomical points of the head 12 of a subject which is held in place by a restrainer 6. The position of the tip of the probe is determined using sonic transmitters 14 and receives 4. The points located by the probe are used to determine the positions of anatomical landmarks for cephalometric tracings including, by means of extrapolation, some that are inaccessible to the probe.
These are then used to produce a cephalometric tracing Which can be superimposed on a video image of the subject's head. The use of x-rays or invasive techniques is avoided.
Description
55--063 a 507 M thod ~nd_~Apara1:o~ f~r 9~ C~ph~me ~m~
~hia invention rsl~e~ ~ improve~nt~a ~n th~ lo~lon o~ anato~ical landmsrks ~o~ u~a s~.g~ in th~ qeF~ tior o~ cepha}om~tri~ m~ye~. SUC11 irnage~ arQ ~ed ~n o~ontl~ ~Aly~
Th~ ~entlor~ t~ p~ic~l~rly, to ~ppa~!Ltu~ ~nd n ~hod ~o~ g~n~ra~ g 6eph~10~e~ a~ln~; by c~put~r by direat ~nea~Ure~ent on '~:ho ~aCe a~d ~ad o~ a ~lbjeot so a:~ to ~l iminate ~he requirement o~ sub~ 1ng She ~u~eol; ~P x-~ay ~aclia~lon-~eral cephalogra~ ~Pull~h~ad x~ r~ys, ~ide llrlew X-r~Ly~i~ ar~ a well~ ;3wn p~l~A~y c~r~hod~lti~: ~n~yE~ia to~ ront~l vi~w ~ ya h~v~ been u~ed to ~ les~Qr ext~nd, in par~ because radia~ion dosago level~ ~e s~:Yeral tlme~ hl~h~r and c~nly ~wen~ey t~ thir~y pere ent sllore in~or~ation ~s ob~ait~ . Tr~ditionall~f~, a t~c~n~
is mad~ h~ l~t~r~l cepha~ onl ~h~ axr:~d ~0 as a "c~phalomstr~c: tra~lng" ~ ~nd speaific ~X~l~tal, d~tal and ~o~ s~u~ mea~ur~n~ents are th~n ~al~uïated ~ro~ t~e traaln~. The ll~;ual proced~r# ~ ~ aB ~oll~w~:
Fi~st, a pie~ o~ standard ~racing pap~r is ~ixecl to th~
x-ray film. Next, outlinQs o~ key anat~ al reatu~
are tra~ed wi~h a ~ead pencil. Then, Va~lOUS lin~s are drawn by connec:tlns~ the anatomicaL l~ndmarks w~h the aid o~ ~ s~craigh~ ed~e, ~he part~aular llnea depe~
UpO~I the part~cul~r an~lysls or ~e~;tmen~ o~ tSle patient wnis::h h~s ~cen selec~ hy ~he or~h~d~n~ls~ @
distanaeE; ~e~ween lar~d~n~rks and angle~ betweer~ pairs o~
1~ ne~ are calcu~ated usln~ a ruler and protra4to~ T~
l~ormatlon, callE!d "cephal4metrics", is used to ' descrlbo the p~tlent~s aon(lltl~m ln an o~j~ct~ mAnh~r wh~ ch c~n b~ cc~m~;~L~ed witll ot:h~r~ an~ uOEed in r~ ch, ~duca~ n or dia~rto~ u~d ror diagno~ , th~ v~lue~ o~ th~;e meEI~uremon~ n b~s the bMs~ o~ determtnation of~ a s~eclfic ~eatm~n~ plan Por a ~atlen~.
~ lo~::a~ion oP ~ortaih t'l~nd~rXsh wi~hin th~ ~c~ul co~plex lr~ the p~ ry ~n~orma'cion rr~m whlch cqph~lo~ an~ly~ he prep~ra'elon o2 tha trocJirlg and iden~ atlon o~ ~ha p~ecslso loo~lol~ o~
the. lan~arX tee~ lnvol~re ~ c~Etal~ ~olmt ~P
e~ atlng and 'tll~ p;ro~e%E; ~ r i~r~ aing ~n ex~ct ~:len~ aomplete a~pha~ ~metri~ analy~ ~ ty~?lo~
r~quire~ ~pproxin~a~ely Oh~ h~ur.
Alt~o~h th~ a~e ~everl~l va~la~e10n~ Or ~ ~en~r~l ca~?h~o~tri~ an~ysl3, r4~8~ ~ely c~ r ~a~c~ o~
Plea~urg~ nt~ Por example, ~:ertain r~Ds~lrl~a~ vslue~
il~di~2 wheth~3r or not ~G U~e l~ d~sar ln tre~men~-.
O~her n~Bure~nen~cg ~uggeat ~ ~'cyle oi~ haad~r to b~
u~ed. Still cth~rs ~ld ~n ela~t~c ~rubl~r b~sld) ~le~tlon. Sp~c~ val~e~ lndi~a~ th~ ~nagnltude and dire~:ioh o~ in~ or or molar ~c~v~n~ ad.
I3t o~t~odon~ic t~ea.~m~nl: o:~ a pa~i~n~ i~ belng ~arrled o~t, ~ nu~be~ of csep~al~ ric x-r~ ax~e 60meti~ne~; tako~
and ~rac~ingS m~o in ord~r ~o m~ r th~ pat~en~s proqsess3 towa~d t~e de ired ~reatment goal. ~dl~lot~al c~p~alo~r~ns 2-r~ kQn at ~che end o~ txæ~ment, and Be~ ~al ~7e~ ter completion o~ tX~attnent~ to dete~ine the le~vel o~ treatmen~ ~4cGe~. In recent ye~r~ ere ha~ h~en reluctano~ to take 5UC~ uRlb~r o~ x-r~y~ a~ ult o~ conc~rn o~re~ rad~ ~lon exposu~e. CDns~uen~,ly, snore r~ ~n ly o~odorlti~s h~v~ not ~ad a~oe~s 'c~ v~lu~ble in~ormat~os~ whlch could ~cilitate ~nd l~hpro~e ~i agtlo~ nd tr2~nen~.
, 2 ~ ' 3 ~ ~
Vlewe~ ~ron~ ~no a~peot t~e in~rent:lç~n prov~d~s a m~th4d ~or de~er~inin~ ~e lo~atlon of a p~ ura~lty ~n~comlc~ lan~ntarXs r~luir~3d ~a,r ~:e in g~ nq ::~phalo~3tric tra~ 0 o~ ~ hun~an ur ~n~mnl he~, compri~;in~ ~h~ ~ep!3 o~ uslng a p~ol~ to id~n~i~y direc:tly the po~;l'c3~n~ of pr~-d~te~lned ~e~'cur~ri on khe h~d, generatlng digltit~zed digitAl dai~s rapr~r3ent~t,iv~
o~ ch po~ no, and ~ ul~t~r~g th~ ati~n o~ th~
re~ qd ~n~t~Jnical ïand~n~r3c6 from ~u~h dlgl~ ed ~3~t:~.
~i~grod ~om anrc~er aopoat the in ~ntl~n provlc~oo a hod c~ de~ ng~ ~b.a po~itlon~ o~ ~ plu~ali~y o~
2~na~ cal lan~ rks of ~ human o~ animz21 head, at 1~3as~
one o~ whi~h landmarks 16 ir~a~ce~ibl~ ~xom outside o~
ths tls~ue ~ ~che P~ad, Compri~ing t~ ~t~p~ o~ ~ett ing a poln~ or plan~3 of re~er~anc~ with re~p~a~ ~ the ~
po~ lonln~ a prob~ ~lp on a plur~llty o~ p~ eterr~ d tu~e~ c~n th~ head, ~en6~ratinSt data lndi~ o~ t~3 re3l~e~ve pos~tion~ of the p~ob4~ ~ip w~h r~p~ct ~o the pQint o~ plan~ o~ r~ferense wh~Jl on ~u~::h ~ UXo8, ancl proc~ sing sucl~ ~a~a o do~orr~in~ ~h~ ~o~itlo~ ot the ~na~oml~ l landma~ , SUOh p~ocE~3slnç7 o~ ~h~ dh~a ln~ludin~ tbi2 use o~ th~ dat~ corr~ps~rldlrlq ~e~ a plurality o~ ~he ~r~be tip Po~i~it?na $n o~d~r to dot~rmlne ~y extrapolation 'ch~ po~ition s~f an ana~omi~a~
l~nd~nark inaa~ible ~o the prob~.
Viewed ~ro~ ~nother asp~c:t the ~ ~nt~ provides appar~tuD ~or g~n~rating a ~eph~l~metrla tracing of a human or a~ 3ad~ cc~n~prising; means ~or determiDi~g a pol~t or p~ eerence w~ resp~ to ~he head:
a pxobe ) ~ing a ~ip to b~ placed ~ a plurali~y of selected p4sf.t~; ons on the h~d ~nd~r in th~ mouth, ~a~d pr~be ha~lng ~eans ~or tr~nEimitting one or ~re ~nals when the tlp is at a ~elected po~:ition; m~An~ ~or recel~ing signalB trAn~mitt~ by th~ pro~; data r ~
prs~ ing means progr~ d ~o p~ocea6 data a~o~lated w~ hqt ~ d w;l~n/~ o ~ to prc:vl~ d~ta repre~3entat~e c~f t~e positlons o~ the pro~ tip wi~h ref~ren~e ~o ~che hs~ad G~rre~pondiny to th~s n~
po~ltlos~; and to d~ in~ t~er~ro~ ~na~miaAl la~d~ ]eB~ B ~or d~:playî3lg ar 17,~ e o~ a1; le~
p~ o the ~ d ~ a ch~ dir~ationi and ~:anfl ~or laying on ~ai~ i~age a cephalo~o~ric~ lng ~ro~ ~
~hia invention rsl~e~ ~ improve~nt~a ~n th~ lo~lon o~ anato~ical landmsrks ~o~ u~a s~.g~ in th~ qeF~ tior o~ cepha}om~tri~ m~ye~. SUC11 irnage~ arQ ~ed ~n o~ontl~ ~Aly~
Th~ ~entlor~ t~ p~ic~l~rly, to ~ppa~!Ltu~ ~nd n ~hod ~o~ g~n~ra~ g 6eph~10~e~ a~ln~; by c~put~r by direat ~nea~Ure~ent on '~:ho ~aCe a~d ~ad o~ a ~lbjeot so a:~ to ~l iminate ~he requirement o~ sub~ 1ng She ~u~eol; ~P x-~ay ~aclia~lon-~eral cephalogra~ ~Pull~h~ad x~ r~ys, ~ide llrlew X-r~Ly~i~ ar~ a well~ ;3wn p~l~A~y c~r~hod~lti~: ~n~yE~ia to~ ront~l vi~w ~ ya h~v~ been u~ed to ~ les~Qr ext~nd, in par~ because radia~ion dosago level~ ~e s~:Yeral tlme~ hl~h~r and c~nly ~wen~ey t~ thir~y pere ent sllore in~or~ation ~s ob~ait~ . Tr~ditionall~f~, a t~c~n~
is mad~ h~ l~t~r~l cepha~ onl ~h~ axr:~d ~0 as a "c~phalomstr~c: tra~lng" ~ ~nd speaific ~X~l~tal, d~tal and ~o~ s~u~ mea~ur~n~ents are th~n ~al~uïated ~ro~ t~e traaln~. The ll~;ual proced~r# ~ ~ aB ~oll~w~:
Fi~st, a pie~ o~ standard ~racing pap~r is ~ixecl to th~
x-ray film. Next, outlinQs o~ key anat~ al reatu~
are tra~ed wi~h a ~ead pencil. Then, Va~lOUS lin~s are drawn by connec:tlns~ the anatomicaL l~ndmarks w~h the aid o~ ~ s~craigh~ ed~e, ~he part~aular llnea depe~
UpO~I the part~cul~r an~lysls or ~e~;tmen~ o~ tSle patient wnis::h h~s ~cen selec~ hy ~he or~h~d~n~ls~ @
distanaeE; ~e~ween lar~d~n~rks and angle~ betweer~ pairs o~
1~ ne~ are calcu~ated usln~ a ruler and protra4to~ T~
l~ormatlon, callE!d "cephal4metrics", is used to ' descrlbo the p~tlent~s aon(lltl~m ln an o~j~ct~ mAnh~r wh~ ch c~n b~ cc~m~;~L~ed witll ot:h~r~ an~ uOEed in r~ ch, ~duca~ n or dia~rto~ u~d ror diagno~ , th~ v~lue~ o~ th~;e meEI~uremon~ n b~s the bMs~ o~ determtnation of~ a s~eclfic ~eatm~n~ plan Por a ~atlen~.
~ lo~::a~ion oP ~ortaih t'l~nd~rXsh wi~hin th~ ~c~ul co~plex lr~ the p~ ry ~n~orma'cion rr~m whlch cqph~lo~ an~ly~ he prep~ra'elon o2 tha trocJirlg and iden~ atlon o~ ~ha p~ecslso loo~lol~ o~
the. lan~arX tee~ lnvol~re ~ c~Etal~ ~olmt ~P
e~ atlng and 'tll~ p;ro~e%E; ~ r i~r~ aing ~n ex~ct ~:len~ aomplete a~pha~ ~metri~ analy~ ~ ty~?lo~
r~quire~ ~pproxin~a~ely Oh~ h~ur.
Alt~o~h th~ a~e ~everl~l va~la~e10n~ Or ~ ~en~r~l ca~?h~o~tri~ an~ysl3, r4~8~ ~ely c~ r ~a~c~ o~
Plea~urg~ nt~ Por example, ~:ertain r~Ds~lrl~a~ vslue~
il~di~2 wheth~3r or not ~G U~e l~ d~sar ln tre~men~-.
O~her n~Bure~nen~cg ~uggeat ~ ~'cyle oi~ haad~r to b~
u~ed. Still cth~rs ~ld ~n ela~t~c ~rubl~r b~sld) ~le~tlon. Sp~c~ val~e~ lndi~a~ th~ ~nagnltude and dire~:ioh o~ in~ or or molar ~c~v~n~ ad.
I3t o~t~odon~ic t~ea.~m~nl: o:~ a pa~i~n~ i~ belng ~arrled o~t, ~ nu~be~ of csep~al~ ric x-r~ ax~e 60meti~ne~; tako~
and ~rac~ingS m~o in ord~r ~o m~ r th~ pat~en~s proqsess3 towa~d t~e de ired ~reatment goal. ~dl~lot~al c~p~alo~r~ns 2-r~ kQn at ~che end o~ txæ~ment, and Be~ ~al ~7e~ ter completion o~ tX~attnent~ to dete~ine the le~vel o~ treatmen~ ~4cGe~. In recent ye~r~ ere ha~ h~en reluctano~ to take 5UC~ uRlb~r o~ x-r~y~ a~ ult o~ conc~rn o~re~ rad~ ~lon exposu~e. CDns~uen~,ly, snore r~ ~n ly o~odorlti~s h~v~ not ~ad a~oe~s 'c~ v~lu~ble in~ormat~os~ whlch could ~cilitate ~nd l~hpro~e ~i agtlo~ nd tr2~nen~.
, 2 ~ ' 3 ~ ~
Vlewe~ ~ron~ ~no a~peot t~e in~rent:lç~n prov~d~s a m~th4d ~or de~er~inin~ ~e lo~atlon of a p~ ura~lty ~n~comlc~ lan~ntarXs r~luir~3d ~a,r ~:e in g~ nq ::~phalo~3tric tra~ 0 o~ ~ hun~an ur ~n~mnl he~, compri~;in~ ~h~ ~ep!3 o~ uslng a p~ol~ to id~n~i~y direc:tly the po~;l'c3~n~ of pr~-d~te~lned ~e~'cur~ri on khe h~d, generatlng digltit~zed digitAl dai~s rapr~r3ent~t,iv~
o~ ch po~ no, and ~ ul~t~r~g th~ ati~n o~ th~
re~ qd ~n~t~Jnical ïand~n~r3c6 from ~u~h dlgl~ ed ~3~t:~.
~i~grod ~om anrc~er aopoat the in ~ntl~n provlc~oo a hod c~ de~ ng~ ~b.a po~itlon~ o~ ~ plu~ali~y o~
2~na~ cal lan~ rks of ~ human o~ animz21 head, at 1~3as~
one o~ whi~h landmarks 16 ir~a~ce~ibl~ ~xom outside o~
ths tls~ue ~ ~che P~ad, Compri~ing t~ ~t~p~ o~ ~ett ing a poln~ or plan~3 of re~er~anc~ with re~p~a~ ~ the ~
po~ lonln~ a prob~ ~lp on a plur~llty o~ p~ eterr~ d tu~e~ c~n th~ head, ~en6~ratinSt data lndi~ o~ t~3 re3l~e~ve pos~tion~ of the p~ob4~ ~ip w~h r~p~ct ~o the pQint o~ plan~ o~ r~ferense wh~Jl on ~u~::h ~ UXo8, ancl proc~ sing sucl~ ~a~a o do~orr~in~ ~h~ ~o~itlo~ ot the ~na~oml~ l landma~ , SUOh p~ocE~3slnç7 o~ ~h~ dh~a ln~ludin~ tbi2 use o~ th~ dat~ corr~ps~rldlrlq ~e~ a plurality o~ ~he ~r~be tip Po~i~it?na $n o~d~r to dot~rmlne ~y extrapolation 'ch~ po~ition s~f an ana~omi~a~
l~nd~nark inaa~ible ~o the prob~.
Viewed ~ro~ ~nother asp~c:t the ~ ~nt~ provides appar~tuD ~or g~n~rating a ~eph~l~metrla tracing of a human or a~ 3ad~ cc~n~prising; means ~or determiDi~g a pol~t or p~ eerence w~ resp~ to ~he head:
a pxobe ) ~ing a ~ip to b~ placed ~ a plurali~y of selected p4sf.t~; ons on the h~d ~nd~r in th~ mouth, ~a~d pr~be ha~lng ~eans ~or tr~nEimitting one or ~re ~nals when the tlp is at a ~elected po~:ition; m~An~ ~or recel~ing signalB trAn~mitt~ by th~ pro~; data r ~
prs~ ing means progr~ d ~o p~ocea6 data a~o~lated w~ hqt ~ d w;l~n/~ o ~ to prc:vl~ d~ta repre~3entat~e c~f t~e positlons o~ the pro~ tip wi~h ref~ren~e ~o ~che hs~ad G~rre~pondiny to th~s n~
po~ltlos~; and to d~ in~ t~er~ro~ ~na~miaAl la~d~ ]eB~ B ~or d~:playî3lg ar 17,~ e o~ a1; le~
p~ o the ~ d ~ a ch~ dir~ationi and ~:anfl ~or laying on ~ai~ i~age a cephalo~o~ric~ lng ~ro~ ~
3 BllUa~ a~lon and to t.h~ ~;a~ne ~ala, Porm~ by j~inlng th~ approprla~cs anatomical l~rldTl~a~kA~
q~hu~, lk 1~ pos~lble in ~e~r~an~:~ w~h til~3 p~3s~n~:
inventlon t:o obt~in ~nato~io~l lanflmarlc~ and cep~alomctri~, t~AC:i31g~ wl~hout th~ u~ o~ x-ray~.
In car~yln~ out the invention i~ practic2, typ~cally subjQo~' ~ head 15 ~ixad. w~th re~pes:t to ~ point c~
~e~eren~e ~ he physi~al mea~U~men'c~ t~ b~ ~ ken cllr~&tly ~xo~ ~:he pa'clen~. m~ h~ n~ ns~ ba ~lxed la~e o~ eren~e ls es~ablishqd ~nd dlg~ d~
~y~ t~ aE p~e~;~3le~ted lanâmark~ ol~ t~
pati~nt ' ~ ho~d ;~ h~ qq~ner~ ed in di~tized ~o~m and utilized in a cornpu~c~r pr~ram ~0 ~lc:ulae~ di~no tia ~ata po~t~ x~ r~qulr~d ~r uf~e in a cephaloi~et~ic:
tr~clng~ T~æ CC~mputox tS~ $~ne~es the c~phDlom~tri l:r~lng by ~4nr~e:zt~ng the d~ p~nt~, and, i~ dQ~ire~, adding stra~i~ht liLne~ ~nd calc~la~;ing ~ngle~ ~nd lln~r ~ea~llrsn~en~c~ aE; m~ be re~uired ~r ~h~ partlcular ortho~onSic: ~la~no~ y~;tem to ba us~d.. P.dditionally, at the t~me the di~i~ized da~a is b~ing g~n~rated, an elects~c~ r~cordin~ iB made o~ the patien'c ' s he~ in the ~am~ E: 1 n~s ~n which th~ cep3~alometrlc trae~ng~ ~xe t~, lie, ~nd th~5 ~ecvrdin~ 2bse~uer~cly r~produced ln visible ~orm a~d comb~n~d with th~ cephalome~rlc tr~cing ~ E; an ov~rlay, ona on the o~her, Whil~ it 1~ pD~;~ible to ~enera~e dlgl~zed ~t~ta ~ n 3 ~ ~ ~
eithQr tl~r~e-di~en~ional fs:rm 4~ t,~ro-d~m~naLonal ~orm, in ~h~ pre~err~d en~odlm~nt t~xo4~ ;Lm~ne;iio~ell da~a 1~
g~nerat~d and 14 c~nver~:ed to two-di~ ional d~'ca ~or er~ntatiOn ~ a ~ephalom~1:ric trac~n~ afi, a'c pre~nt, ~h~ee-dl~n6l0n~1 a~ph~lom~t~ic tra~n~ a~e n~'c nor~nll~ u~ed ~ n pr~ctloe .
~hQr~ ~re c~r~ain maln ~t~o~le& ~ ta whl~:zh are u8~c~
in ~o~ ephalom~t:r$c 6y6t:e~nu . q!h~ ~lr:ilt i&l ~ ~ubi f~Ct cl~ icatl~n by ~acial ~ ~b~ct~ wlth s~orl~, wlde ~ae~ ~enerally rQ~pond ~ r~ntly to speci~lo typ~ o~ At~s~nt~ th~n patien'c~ wlth long, narro~r Po~i~ rJal ~A u~llizlng seve~al ~xt~rnsl ana ~c~e~lb~e ~n~e~nal landmarXs a~n ba u~ed to ad~ tely categoriz~ any patlent by ~aial typ~.
Rel~tlor~ æ ~lp~er ~aN ~7naxllla) ~o l~w~r ~W
~ m~ndibl~ ano~ller ~18~arUl ~leniQnt ~o b~ de~er~ine~.
~hl~ ~n~or~nat~s:\n l~ u3e~ by ~}le C~rtngdO~ t~o dE:texm~ ne if st1~ulation or inhlh~ ~on c)f m~nd~.bul~ or x~ y g~o~ 18 ~sq~lr~ t~ achi~v~ h ~alanc~d p~5~ he deqr~q of il~isor pr~ n, anç~le o~
ln~:lln~tlon, ~nd t~e int~rrela'cion~ be~ween upp~r and l~er inciso~s can be ~und u3ing a ~;yet~m wh t ch generates po~:itional d~'ca. ~ 3 ln~ox~tion allow~
o~thodontist t~ po~ition the 'c~e'ch ln harmony W1th bo~ W~ w~h ea~h ot~r, and with th~ so~t ~i~sue pro~lle (nose, lips atld chin).
~r~ ~r~ a numb{~r ~f c:ephaloln~trio an~ly{3iE~ 5~tem5 currently ln t2~e. ~he Dowrls Ah~ly~ d~ril:ed in DDWnB, N.~ r1R ion ~n TreatmQnt ar~d Proqnosi~, 3~ ~m~rlc~n Jou~nal ~ Orthodonti~ 12 8~0 tl9~8), T~e St~lner Analys~s is descri~ed ir~ Steiner, C.~., ~h~~
.
':
:
E~I~D~, 39 A~oric,an ~ournal D~ Orthond~nt1~, 729-~55 tl~s3)- T~3 Rlc~cett~ ~naly~ bo~h ~ror~l and a~Al~ ~8 desc~ d ln ~ k~t~, et al., ~g~
~9,, publl~;h~d by nocky ~o~r.~a~n Ort:~odontics o~ V~3n~r, eolora~ 2~ ~n6~ MaNa7n~rz~
Analy~ de~ori~ed in MeNa~ara9 J.A., ~Q~ ~e~ ~r~u2~t~ , 8~ A~er~l.,an Jou~nal ~
Ort21oAont1c~ ~ 44g~ 19~4) . ~r~e ~ar~-8îm~ x ~naly~5 i~ de~ari~ed ~n l~ nde~r, ~.G., Th~ Væ~ri-@i~~
pui~ hed 1~ on~o cn~cr~clon ~$ al~nd~ra, Cali~orni~ ~n 19h7.
W~ 4 the pari~:ular data point~ u~d vary ~ro~ ~y~e~
sys~e~ y~t~ ~ ba~ d upDn the ~a~;la ~ an~
~oot'n ~ t~e. Con~quently, C:Qrt~in lAn~A~iW U~6~d to gener~t~ ~y Co~put.3r th~ r~c~u~red d~ta ~oln~
par~lculay~ sy~t~ ~e~eat~d ~nr U~38 aannc~t b~ ~æa6urad dixeotly by el nOrl-~,nVA~ ,h~li~Usa. ~,in~::e ~th~ tl~l ~udias ar~ aY~ L wh~ch ;:c~r~sl~to ~ e l~ndm~ s tc~
d~re~:tly D~ea~ura~D~e landlnar~s and d~a point~, ~lgor~t~s q~n be ~enc~a~61d by t2~oE~ e~ ln t~ ~r~
to b~ u~d in ~3~w2lre ~progr~B to en~ble a comput~r ~o g~n~rato ~hg3 c~ph~lo}~tr~.c traoin~, baE~ port ~h~
d~rectl~f mea~ured ~and~ r~. The land~a~X~ pa~:ticularly th~ ~ r~pect in ~h~ pra~ lc~ o~ m~thod the ~?~e:3en~ lnY~n~n wh~c~ a~ ner~ted by~ o o~ ~h~
al~t~ri~h~s ~rom t~e di~ectly ~De~ red d~t~ ~rG! th~ t~oo~s of the t~eth, ~nd t~e ~nci~orq in par~ r, and ~he skele~cal lan~.~tarks ~uc~ ~s t~e ~lla and t~ pv~onlon .
~h~ u ~: o~ a c~ntp~er to ~anerate a cephalome~ri~
tr~cing i8 Xnown in 'che ~rc. ~or example th~ ~ic~se~
et al. public:ati~n re~r~d ~u a~ovo show~3, lrl Flgslre 16S t a computer ~ner~ted la~eral ceph~lom~3tric ~r~in~ .
How~ver, the tr~cl2~ ~hown ~ereln ~a~ ~erlt~e~l ~rom a ~ec~ndary sotlrt::e o~ dlLmerlsion~l dat~ , l . e ., ~n x-r~y .
Consaq~ntly, t~e d~Rn~ior~al in~ ti,t3n 1B ~r~ac:c:ura~2 3~
~or r~a~or~s in~Q~an~ in 'c~e u~e o~ x~ y ~c~duro~3 a~
t}~e ~;ource o~ dlTn~nulon~ ~lata, sU~:h 21~ non~ n~Ar dlstc~rtion, as well a~ re~uiring ~h~ ~he p~ti~).t eubjected ~o x ray ra?3ia~cion in orde~ ob~ n 'che data, ~h~ m~hod 2~nd app~r~tu~i of the pr~f~ent inv~l~'clorl elimina~e the~ sadvan~ageE: ~y de~iving dim~3n~lonal in~orm~tion ~irectly ~r~ ~he ~ub~e4~, rath~r ~han u~in~
a ~cond~x~ E;ours~ ~u~h a~; an x-r~ negatl~ ~.
In ~ prer4~rad e~od~m~n~ ~h~ ini~ p o~ the m~hod cv~np~l~e~ r~xing ~he pa,él~.~s head ~n ~paoe rel~tive to a reEe~enae poln~ to b~3 u~d ~18 ~e dAt~ ba~3e rOr t~o m~ em~n~;. For thls purpo~, comres~ional orthodont~ ~ nead r~tralnt~ may he ~ d . Al~srnati~ely, ~o~ ~xample, ~ ~ensor could ~ ~ixed ~o the pa'Glenk ~ s hn2~d ~o as ~c~ pro~ide z~ r~3~Eer0nae palnt for th~
mea~iure~nents . s~he pa~tien~ ' s llead ~t~uld s20t th~n be ~equ~ r~ad 'co b~ immobili~d. A~ter 1l p~ln~ c:r pl~ne o~
ref~r~nce ~g appropr~t~ly ~stabli~hed with respeu'c tD
thl~l pat~ent45 h~ad, dit~$~ed d~men;i~1 da~a i~
dlre~tly ge~ra'ced rr~ ~h~ pa~ B head by ~uit~bl~
moans. ~arl~u~ method.~ of S~nerating ~6uc:h dig~tlze~
in~orm~ n are pro~n'cly known per se~ Example~ o~
three di~ferlsn~ meth~dE; a~e giver, in R~3~C)W, 1 CQm~u er-~ded D~ n And Manu~as;~urir~ s~
L~~s,tat~ ~ T~C, 5~ The Journal 0~
Orthodon~lc D~t~ ~ry 512-516 ~1987) . ;~ 30rllo ran~ing sya~em m~y J~e u~lizQd. U.S. Pat~nt ~70. 3,821,~
de~;cri~ec~ ~ three-dim~nç;ional ~or~o r~ng~ ng sy~tem~
El~Gtrome~hAni~a~ ~y~tems can b~ used to generate sus~h ~gitl~ed ~n~o~n~tion directly ~nd ot2~r me'chud~ m~y El150 be appli~ablo. ~onsequen~ly, in it~ brro~d~;t aspect ~che m~thod o~ the pr~sent in~er~lon is not limited to ary p~icul~r 3y~t~ ~or ~nex~tln~ th~
diglt1zGd dimen6Lonal d~t~, ~o l~n~ a6 t1~e ~ata i~
~ ~3 ~ o n~r~ted dir0~1y ~rom t~ u~ie~ct~ rath~:r than ~om 4 ~a~nd~ry 3~ur~.
~n ~ p~e;~ntly pr~erre~ embodin!3n~ sonlc ranging ~5y~1'Ce!ll Wlttl A hArl~-held p~ObQ i~; UBed ~ yenerat~3 tl~e ~a~ he d~ gi~izlad dl~en~n~l in~o~mat~on l.s gene~a~ed by mea~Ur~m~n~s o~ pr~s~lect~d lar~ rlc~ on the patlentls hoa~. ~hl~ d~m~nstonal da a i~ utillæed ~o ~alaulate th~ ~oquired ~iaghoB~ic d~a p~in~ ~or ~h~
p~r~lcular ailal~ Oy~Q3n ~ing u~d~ A ~o~npu~r program design~d ~or ~hl3 p~ l4r 6y~cem o~ ~naly~ie 1~ ut~li2ed to p~ce~; th~ digltl~ed d~t~ cal~ulat~
Sh~ d~agnc~tic poin~E; fDr th~ ~:ephalotlletrlc tracing.
Once the da~ point~ are s:Alc~la~l, the cepha~o~e1:rlo traaln~ en~a~ed ~ ~se o~ a ~omput~r ~n~ a g~aph~cal plo~t~2r or o~her ~ype o~ di~play to con~ct ~he da2t:~ pc~in~s BQ 218 to produce ~6~ ~raaln~.
ObvioU~l~, it i~; wl~ ~n the c:ap~sbllity o~ the c~pute~
p;cog~ util~d to in~l~de ~he ~Qneratlon ~nd su1perpo~iti~n o~ ~t~iqht line~ r~Qulred f~r ~h~
~3wentton~1 pis~Q~lal pr~nta~lon o~ ~he analy~
w~ll A~5 mea~ur~m~3nts of the r~ red ang~-s~ ~or th~
cs7lventional prese~tatlon oP th~ complet~d tr~cln~.
tn ~:n~ pre:Earr~s~ e~bodl~en~ veral di~ere~ analysis ~yste~s can be ~o~ t~d.
~ach arlaly~ls ~y3t~m pro~lde~ lor di~er~nt line~, angular ~ ;urern~n~s;, and value prlnt-out~. A master progr~ wh~ch S~en~rates a~ re~ulr~d ln~ormatl~n ~or num~er ~ syst~s, an~ selçcts ~here5~rc~ ~he p~r~icular data requlr~d fo~ t:he dia~nos~cla ei3~6~8m u~e~, ~peci~led ~y th~ p~ctitloner, is presently pre'4r~ed. RDwe~er, obviouely p~gre~m~ y ~e u~illzed whi~h are limited t~
par~,~cular d~aqno~:tic syst~m~. Th~ co~pute~ pro~amr ~rr~spec'c,i~ o~' tha ~ystem l~ d~a~o8i~ ted"
: .
,3 ~ $ ~
~enera~ea~3 di~en~lonal d~a ~or th~ h~d~n lan~ark~ by th~ o~ ~lgor~h~ bZ~6~d upon e~ta~ lc~ t~ ~ tv ~eir location, ~n o~er ~co produce th~ oephalt~m-3trl~
tr~oin~ in lts~ currently convt~ntntonal ~orm.
~n ~h~a pr~ an~1y pre~rr~ embod~l~en~ r~e-dim~nslontll di~ d dat~ ænerat~d. Aman~ kh~ ~dvllntag~ ~f the method and appar~tus 15 tha~ a ~rc~ oephalom~:ric ~I:Ai~;~ng c~an ~e g4nsrated ~ ~a~ity a~ a la'coraL t~in~.
C~onv~ntionally~ ~re~ntal tra~ln~ hava not b~n wld~ly uE;sd, b~c~au~i~ o~ tne greatl~r lnt~rea~d a~oun~ o~
~diation ~e~uired far thelr g~nsra~i3ll as comp~e~ ~o th~ t~on r~ rod ~c~r th~3 lat~r~l x-ray. ~owever,-~r~n~al tracinç~s aro extr~mely u~ ul ln pr~ e o~
~r~ontl~ or oth~nathlc sur~ery in many instance~;, as~d th~lr g~repR~tion is now p~ac:~ical b~ u~ln~ tSe px~af~a~r~d embc~dlm~n~c, which gQnerat~ ~h~ r~uir~l ~h~ dlm~n~ian~ a ~rom ~hic~h thq~ c~mputer p~ogram ~a~ dariV~ ntal tra~ing.
,, . -For ort:hodontic 2~naly~is, i~ is 2~1so u~ul to h~ve apl~tuxe of ~hf~ pa~ aa~ corr~spon~lnçl t~
trac:ln~, ~;o th;~ ne may be overlala 4n th6~ o~he~ for ~omp~æl~ pu~ose~ pr~PeS~re~ me~hoâ And appara~us pr~vide~; gor ~6t genera1:ion o~ suan a pic::~ur~ by mal~lng ~n ~l~c:~r~ni~ re;:ordin~ c~P the ~ub~ qc a'c ~h~ tima o~
~hQ ~enor~Gn o~ ~e dimension~l d~ta~ s vld~o re~ordirlg i~ then r~p~coduced in con~uns::tlon wit~ ~h~
p2~es~an~a~1c3n o~ th~# trac~ng, as elther el~tronically overl~id or print~tl out ~nd manually c~v~rlaid ~ he trac:in~.
~r~ an optio~al ~mbodiment thæ yrD~ can b~ u~;~d ir~ e "data stream" r~d~ and ~ mov~d over th~ h~ad ~o p~o~rld~
a tracin~ ~ the 1profll~ o~ the head whlc:h 1~ di~p~ayed on th~ on~or ~; de~ire~
- ~ .
3 ~
~o Wh~le the ~r~erres~ embodim6!n~ lnltl~lly g~ner~t~
three-ciimen~3io~Al da~a, i~ is wlthtn ~ cope o~ e ln~ention to g~nQrate two-di~ ns~i onAl d~ta ~ni~l~lly, r~ th~n conv~sr~n~ the th~eQ~di~n~n~on~ t~
su~:3e~ tly ~o two-di~n~n ional d~th ln ~he proco~ o~
~ten~Pat~nS~ r~c~lng. By initi~l~y g~n~ting on~y ~wo-dimen~i4nal d~a, th~ y o~ ~ me~hod and app~ra~u~ 'co produce bo~ch la~rAl ~nd ~rors~al ~ein~
~rom ~he ~ 'c u~ digltiseAl in orm~'eion i~ ~o~t.
~ow~vs~r ~h~ compl~x$~y o~ th~ work ~t~ n, ~naluCllng sof~cwarg p~ B and pl~y~icnl oompon~nta, 1~ groa'cly ~pli~ on~ ~wo-di~qen;~iono~ B ~ be acqulr~d. Cono~auen1;1y~ a~; fxon~l t~41ng~ ~re c2ur~ntly ~ldo~ us~d, ~4r many ap~llc~tl~m~ oP th6lt pre~ent m~hod, ob~ailling d.i~ltized tw~-dlmen~lon~l d~ta lnltlally will 8uPPi~O.
BeG~8f~ th~ ~thod i~ non~in~ln~ e ~n~L dae~ no~ in~ re l~r~dlat~on o~ ~ch~ ~ubje~'3 he~d, };~ogxo~ of orthodon~lc t~ea~m~nt c~n b~ r~dily monit~rod an~
recorde~ ~or ~rc:hiv~l pu~po~e~, a~ well a~ ~o~
faeil~tatin~ 'cho de~nin3tion u~ ~e ~ acy o~
t~e~ ent }:eing und~r~aken. ~ho ~ çn~ ~thod and appa~tus pa~mit ~ praot~'cion~r, ig d~:~lr~d, to moni~o~
tho mo~ men~ o~ ~ven a ~n~le tDoth during t~ ent, Arld to m~lc~ ~y app~oJ?rlRte Ad~u~ t~ o~ ~odlilc4~c~0ns in the pr~edl~re~ ~ay be appropriate t~ ansu~ that th~ ~ubj~c~ ~aches ~n ~p i~nu~ u~t, wl~hc~u~
~biec~ing t~e su~e~t to ex~esiYe radla~ion or invasive teahn:Lclus~; .
An ~bodiment ~ th~ inventi~n ~ill now b~ de~erib~d by way o~ example and wi~h r~erence to ~he a~comp~nying dr~ir,ga, in whlt;:h :-~igure 1 is ~ general visw of a cc~mplete sy~m fo~ us~in accorclance Wl~h ~he inven~i~n;
~ ~ .
2 ~ ' cs ~
1~
Fi~l~.XR :2 1I!~ an er~la~gecl ~t~w o~ p~rt 0~ y~e~, ~owin~ lt i~a u~e;
~gura 3 i9 a view o a p~oh~ u~ad on ~h~ ~y~em, wil:h two al~arnat~v~ ~lps; ~
Fig~r~ 4 ls ~ dt a~r~ tl~ vl~w ~howln~ how th~ p~itic~n o~ tlle pro~e ~ id~ntl~l~d:
F~gur~ ~ 1B a ~lew o~ ~ di~play ~howln~ thc he~d o~ a ~ub~ect an whi~tl ~n~to~l~al. l~ndma~ ha ~ bee.
~uperl~npoE~
Fi~ur~ 6 ~ a ~iew ~f ~ ~2phalometrlc trRo~ng obt~lned u~in~ yR~m~ ~Lnd Fl~u~e ~ iæ ~ Yi~A~ of ~ ~he ~rac~ing ~up~3r~ mpooed on tho he~d og ~h~ ea~.
A~ own in Fig~. 1 tr~ 4~ o ~3y~te~ lnGlUd~ d~ta pr9a~e:05~ n~, e~uipmen~ 1 p~vided ~ith ~ vldeo dlsplay ~on~tor, ~ ~;upport r~me a, a v~deo ~ r~ ~ ~lth ~
t~lepho~o len~ ~oun~d orl ~che .~ra~e, an ~rr~y Or sonit:
recal~ers 4 ~ount~d on ~ ~ul~- ~rame 5 ~tt~h~d to ~ch~
~rame, ~d ~ hea~ r~'cra~ner ~ ~ta~l~o~ to 1;~ fr~e, po~it~on~d ov~ar ~ seat 7. The head ~e~r~iner e:G~DpriS6!1~5 dawnwar~ly ~ro~ec1:ing arm ~ the side of the ~m~
remote fr~m the Gam~r~ At ~e lower ~nd o~ the a~rn are tw~ ed pl-~t~ 9 with ~r~ eoti~n~ 10 ~or lcca~ in th~ ears o~ a subi~ct, and A ~urth~r a~m wi~h ~n ad~ustabl~ enc~ po~tion 11 to en~e ~lle rorehoad o~ the ~u3:>~ec:t. Flg. 2 shows ~ ~sbject in pla~e~ Wi~h the arrange~er~t hown ~ th~ h~ad 1~ o~ th~ S~ ec'c 1~ lleld ~l~mly but g~r~ ih p~
~he d2~1:a proce~lng equipmcr~t t~rpical~y ln~ e~ a " , :
2 D ~
micro~ompute~; wlth a aosl~put~r grAphic~ boflr~ r h~ ~h ~p~o~ e ~nhanca~sn~ and ~aAnipulat~ot~; ~ hl~h r~solu~i~n monl~>r wi~h ade~~ plx~l re~olutlon ~ar ~ec:~ra~çe l~ndr~ar3~ loG~tion on ~h~ lay~ optlon~lly a ll~h~ p~n ~r ths~ inte~ctive~ ~nt~ o~ d~a ~r con~allds;
ap~ nEIlly a prlnter ~or h~rd eop~ ou~:pult.5 Clhd 6ultable so~twA:~e~ ~h~ lma~lng ~y~ may u~ e.g. ~ ~5~ grey ~ale 'rhe Yid~o aa~tar~ 3 i~ u~ n provl~ an ~ma~ o~ th~
he~d of the ~ub~ which ~IIS proc~oo~d and t~r~l tAlly.. A ~ al im~gF3 ~ ~ ~h~wn ~n Fi~. 2 ~tld iB
di~pl~yed lr~ a ~xçe~ ~ram~ $`or~.
The ~y~ at s~o colap~i3es a probe l~ whi~ ig link~ tc~
~he datA proc~lng equiplDsn~ by ~ ~lt3~1a ~ble. Th~
p~b~ ~8 n p~ f ~p~aed ~;on~o transs~ltte~Ea 14, A palr of intex¢~ng~ble Px~ensic)n~ 15 ar~d 16, ~nd an açti~r~tirl~ button 17, ~ e~t~nE;io~ 15 il; adapt~d ~or u~ ut3id~ o~ th~ he~d and h~s a ~ lB . :rhe axt~ns ~on 16 ~ ~dapt~ for u6e in~ld~ tha ~ou~h alld ha~ p 19 t tS~e er~d R~ ~ cur~v~3d po~iorl 20. ~ha oxt~n~lon~ c~n be ~rmly loc:ated lsl t~ p2obe and wblC:h~Y~ 16 u~d, the ~lp 1~ o~ 19 Will ~ n ldsn'ci~ po~i~ion r~la~t~re to the r~inde~ o~ th~ prohQ- Al~orrla iY~ly~
int~s~cha~g~aa~le pr~X~es could be provld~3d ~ox th63 dl~ nt pU~po ~n thi6 part~ cul~r e~bodiment tn~ probe ~an be ~a6~1 o~
a ~2~ds~ sP~-3~ Sonl~ ~iq~ti~r, manu~a~tur~d by ~ ne~
Ac~e~E30ries Co~porat~n o~ Southp~rt~ connec:ttc:ut, USA.
The four sonic rec~eiv~xs 4 arc connoc:ted to ~e ~a'c~
proces~ing e~auipm~nt a~d a~e posi~cloned ad~ aGent the ~our ~orn~rs ~ ~he ~ub-~ra~e 5~ Thoy are ad~pt~d ~o recsl~re ~c~nic signals rom the probs, wh~ch AJ:e: pro~uced by t:he t:wc~ spa~ed ~rans~tters 14 wherl t~l~ a~tiva~l~
2 ~ ~ . 3 }~utton ~ ~ prer~ d. ~incc th~:s pOE~ition o~ ~ho tlp 18 19 r~ t~v~ to t~o tr~n~mlt~e~6 ~Is lu~o~n, t~e d~ta pr~s~ins ~ pm~ht can work on ~ ta provid~d ~y th~
rec~iveX~ ~ tc~ e~tal~li6h ~he po~ion ln epaoe o~ ~h~
t~p o~ ths! p~o~e w~en t~e ac~lv~,~ing~ bu~ n i~ ~re~ d, l~ain~ the ti~ aken or e~¢h r~ iver ~cs ~le~t the ~igrlAl, an~ tsiangut~tio~ techni~ue3. ~;lnc:e ~n u~e~ the he~d o~ subie~ will ~ ln a Xnown ~ixa~ p~;1',10n, th~ ~t~va~ln~ butts~r~ it3 pr~#~d w~ th~ ~ ~ p oP ~che pro~ ouch1ng a ~eatur~ on t:h~ h~d, th~ h~ ..
lon ~ ~h~,t ~eEIl~ure rel~ive t~ t-.he h~d c~n c~1~ulatsd And o~ r3~ red.
~u~ 2 ~ows t:h~ prohe with tip l 9 beln~ tlsed ir61de tehe mouth o~ ~ ~3u~ w~h the ~p on a c:hosen p~r~ o~
a ~o~en toot~ he act~ t~r~g bu~on 17 i~ ~r~s~d by tt~-2 uso~, t:hen t~e po~l~lon ~3* 'ch2~t p~xt; will 3~e o~ d R~d ~ ded.
Fl~. 3 6J110~ diagranm~tic~;Lly ~ prob~ wl~h kh2 a~:tiv~lng 4utton pr~ad, trans~ r~ 14 ~ t~tn~
so~lnd w4ve:~ tha~ are plek~d up by thls ~e~s~rs 4.
n us~ onc~ ~he ;3u~ect is in po~lt~on &n~l th~ ~iy~
~orree:~ly ~eé up, tb.~ u~Qr c~n ~lec~t a p;~ ular ~ype o~ ~ephalon)etri~ analy~s r~3ira~. In th1~ emb~dimelllt ~hær~ ~r~ fou~teer~ c~pt~n~, as ~ w Rick~t~ l~t~r~l ~ clc~t~ ~ronta~
Vas~ plex E~ol~ ay ~baDIa JarAb~
~te lner Down~
Bs~r~ons .-` ' `: `~
l.
NcNam~a ~sed ~:xu~on~ ~ro~t~l 8tan~ar~ sr~l ~n~r~ n~l Th~ v~io~i dlf~e~ent an~ly~6~s requi~ dl~rent cc~Rbinat~or~ ~ amat~ical land~n~rX~3 ~o b~ nt~le~-s~me oP ~e6e are w~hin lthe ~ 6U~ ~ thQ he~d and ~anno~ CA~ed wi1:h ~h~ p~be. ~h~ PY~ ganeraé~ a 1~At 0~ ~n~t~ical PQ~ 0 be lden'c~led rc~r th~
cho~en an41y~i~ and whiî~t s~ e o~ wlll ln ~at b~
l~nd~rX~, ~c~mo wll~ no~ 115t ~ play~d ln ~
logi~1 ordex to ~cnnpt ~:he u~er ~o ~ round ~h~ ~Ace in ~ lo~à~l and comrenicnt ~a~hlon, w~ he~ n~d ~o ~hang~ ~h~ probe ~xt~n~on only onc~ sa~in~ eh ln~i~4 ~nd o~sid~ e ~ou~h ~re r~uired. In a ~
~x~rcis*, th8 Qx~r~al poln~: wlll ~ ld~n~1eA, theren po~;~t~: w~ n th~ mou~h wlth th~ ~eeth ~ o~c:lu~iun, al~d then ~ 1te bl~k i~ ln~ert:ed al~d o~h~r poir~t~
~c~ent~ ~ed in the mouth. Usually a~ol-t 1~; 'Go 30 po~n~cs hnve 'co ~7e locat~d. some p~ln~e~ will ~8 re~dlly olase~ ble ~n~ eaey to loca~e: 30m~ y r~ e palE~a~:lon to b~ ~oc:~ed i and ~o~e ~y re~l~ ~ littl~
prae~c~, ~o~ev~r, all can be recognl~q~d e~ren'cual~.y a~d lo~a~d ~ith ~che tip o~ th~ probe. ~ ~y~to~ ~ lay h~hl~h~ the r~ext po~nt to be located during a rou~ne ~ loctl~e points ~r the chos~n analysis. Oho~ th~ u~r h~ 14~atod the appr~priate point, ~he activa~n~ ~u~ton 17 on the probe 1~ press~d ~nd ~he po~it~ on ~f the prob~
tlp, an~ thlls th~ ~natomic~l pc~int, i~ r~cor~ed, ~r~e olnts c:an ~hen ~e d.tspl~yed st~perimpos~3d on the: ~ lae~
ima~e o~ the sub~ e¢t .
~h a pre~rred cystem, ~s shown în Figure 5 ~he d.i~p~ay includes the video ima~e of l~he su~ct~s he~d ~1, on wl~lch a~e marlted poln~s a~ready d~ d ~aeh ;a~; ~2, .
'' ~' ~ ' , , :
.
lS
th~ p~int c~r~ntly }:~ing di~i~.ized 23 ~ and ~he polnt la~t dlS~l~ized 24, Also di~;playe~ i 3 a q:ext box 25 ac~nt~lnlng ~nstrue~ions ~nd ~ àia~ram ~ 3howln~ where ~th~ po~nt~ are tt~ ~e ~ounci. Th~ ~yfi~t~m ~aalllt~e~ the fipott:lng o~ erro~ ancl thei~ ~or~o~ion.
Whl3n al-polnt ha~ been lo~aée~ he~ landmark pc~sl~c~on may ~e Xnown, ~r ~t may rl~ed to be c~1~2ul~t6~d i~ not on~ thal: c~n b6~ l~cated dir~tly.
~y way o~ exa~pl~, ~h~ l~ndraark ~ la" can bQ
c~lcula~ d upon ~I:ho lo~lon~ o~ ~.h~ Poll~wing po~nt~ :-1. ~ po~Lnt on tha cxanium at a 90 d~g~e an~l~ t~Fran~ort ~o~lz~ntal ~hrough orbltal~.
2. A pont a~ ~he ba~k of tho he~d Whicl~ ia ~he exte~nsion ~ the llne ~hrouqh n~si~n an~ pc~rl~n.
3. A pc~int on 'c~e ~op o~ ~h~ h~a~ a~ a 4~ d~r~
angle to F~ank~ort at poric~n.
~uch a "hldd~n" landDI~lc can b~ c~al¢~lat~d ~ the~e p~ntE; by th~3 u8e o~ a sull:able al~xllch~ ba qd upon ~tatt ~;tic~l d~t~ ro~ s~udi~ w~ol~ ~orr~ t~e po~ltions o~ ~Iddl~n l~nd~arlc~ ~ id~n~i~ied u~ing e.~. x-rar tecl~ni~es ~ ~o ~irec~ly mG~a:~urabl~ pc~ t2~.
Th~3 dat:~. rec~ived by th~ ~;yst~3m rala~es tcl ~he t~re~
dimens;lonsal posi~iong o~ ~he l~ndmarks l~lt ~he output t:a ~h~ ~isplay ~hc)ws the ~.anc~Arks prc~j eG~ed in 'cwo tll~ections .
once ~he landmar~ position~ are ~cnown, the~ t~
proc~e~sing equipmen~ ~ax~ produc~ the d~slxed ceph~lo;ne~ri~ tra~in~ ~o be ~i~;pla~ed or~ the mo~ or 0 ~9 $ ~
~6 ~inin~ ~he vari~us landm~.~ks. ~ e~:~r~cl, two di~ren~
~ype~ o~ ~r~ciy~g can be c2lrried c~ut and d~pla~red s,uE~erl~npo~d a~ng B~n~r desired axl.~.
SIUr~ ~ ~h~w6 two cephalc~metr~a t:racing~ 2tS ~A 2rl su~e~l~npo~ed, ~Qch A1:30 ino~LIdihq p~r~ o~ ~he proS11~ o~
~ ~aa~.
A ~eE~halor~tric ~racing ~n he di~plbys~ the ea~er~
~g~ o~ sub~ g ~sho~n in ~ig~r~ 7 wh~re a trac:in~ ~8 i~ SUperimpDs~d on the ~u1~a~'~ h~d 21. Xn this~ ~3artiaul~r C:A~e, ~o pro~ b~n~d l:~y thu pr~e oan be ~3ed to che~k on all~rlm~n~c o~ th~ ~w~ l~age~. ~t c~n be ~m~ Sted lP de~ ir~
~!he imaSJ~ d i~pl ayed e;æn be ~anipulated a~; de~lred, rwd~ , h~e ~ehand dr~win~f~ or ~x~ adcled, and fO~r he ~p~lonal li~h~c pe!n car~ b~ d ~.o p~o~ ny lon~ ~n An in'eer~ re manner on ~h~ dloplay, ~clti~lng n~oving ~nd rot2~ting ~h~ lmage~. ~4x sxample, a ed f40~l p~o~ile oc~uld b~ goner~:ed and th~
aephal~ tric ~re~cing ~ led al~o~ E; aoul~ b~ used to illu~3tra~e the re~ull:s o~ di~ en~ s~rtho~ tlc tr@~a kmen~ .
l~e dat~ }~4~ a par~ cular ~ubje~:t may be ~o~parod wl~h n~ obt~lned by ststistical ~n~lys~ ch may be ad j u~te~ agf3 , ~ace, and Ei~X . On the dlE;play ~gni~ t d~1viati~ns from the nor~ l:ou~l bQ
highlighted i~ d~ired. ~ompar~tive ta~la~ed xe~;ul~s cc~uld be ~ splayed.
~ll d~ta ~r a subj ~ct can be stored on s~ able ~edla ~uc:h a~ ~agr~t;iG or op~lcz~l diE;}cs~ and retri~ve~, updated or modif~ed a~ desir~cl.. In~oml~t~on ~nd ~mage~
'~` ' : '.' ' .
,2 ~ $ $
~7 ~ay bo ~rin~ed out u~lny optlollal ~lnter~:~
~oth ~rontal and l~teral an~l.y~e~ çæm bff~ ~rriad ou'c. A
c~aer~ wi~h a tel~photo l~n~ a~n ~e u~ed, 1~ d~al:~ed, 'co obtain lntra~oral l~qs~.
~t wlll be ~ppx~ci~ed that th~ app~atu~ ~nd m~t~od de~crlbed her~l~ may be ~c~difled. rrh~ r~ ltM obtalrl~d by th~3 met~d and spp~a~ ar~ o~ ln o~h~lon~tc t~e~ment and dlagno~i~ but c~n al~ ~be used ln r~ rch, ~duc~ on and ~ rt~ w~l3rq ~ P~c~.lal andl denta~ pro~ile ar~ d~irQ~.
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: ~ :
q~hu~, lk 1~ pos~lble in ~e~r~an~:~ w~h til~3 p~3s~n~:
inventlon t:o obt~in ~nato~io~l lanflmarlc~ and cep~alomctri~, t~AC:i31g~ wl~hout th~ u~ o~ x-ray~.
In car~yln~ out the invention i~ practic2, typ~cally subjQo~' ~ head 15 ~ixad. w~th re~pes:t to ~ point c~
~e~eren~e ~ he physi~al mea~U~men'c~ t~ b~ ~ ken cllr~&tly ~xo~ ~:he pa'clen~. m~ h~ n~ ns~ ba ~lxed la~e o~ eren~e ls es~ablishqd ~nd dlg~ d~
~y~ t~ aE p~e~;~3le~ted lanâmark~ ol~ t~
pati~nt ' ~ ho~d ;~ h~ qq~ner~ ed in di~tized ~o~m and utilized in a cornpu~c~r pr~ram ~0 ~lc:ulae~ di~no tia ~ata po~t~ x~ r~qulr~d ~r uf~e in a cephaloi~et~ic:
tr~clng~ T~æ CC~mputox tS~ $~ne~es the c~phDlom~tri l:r~lng by ~4nr~e:zt~ng the d~ p~nt~, and, i~ dQ~ire~, adding stra~i~ht liLne~ ~nd calc~la~;ing ~ngle~ ~nd lln~r ~ea~llrsn~en~c~ aE; m~ be re~uired ~r ~h~ partlcular ortho~onSic: ~la~no~ y~;tem to ba us~d.. P.dditionally, at the t~me the di~i~ized da~a is b~ing g~n~rated, an elects~c~ r~cordin~ iB made o~ the patien'c ' s he~ in the ~am~ E: 1 n~s ~n which th~ cep3~alometrlc trae~ng~ ~xe t~, lie, ~nd th~5 ~ecvrdin~ 2bse~uer~cly r~produced ln visible ~orm a~d comb~n~d with th~ cephalome~rlc tr~cing ~ E; an ov~rlay, ona on the o~her, Whil~ it 1~ pD~;~ible to ~enera~e dlgl~zed ~t~ta ~ n 3 ~ ~ ~
eithQr tl~r~e-di~en~ional fs:rm 4~ t,~ro-d~m~naLonal ~orm, in ~h~ pre~err~d en~odlm~nt t~xo4~ ;Lm~ne;iio~ell da~a 1~
g~nerat~d and 14 c~nver~:ed to two-di~ ional d~'ca ~or er~ntatiOn ~ a ~ephalom~1:ric trac~n~ afi, a'c pre~nt, ~h~ee-dl~n6l0n~1 a~ph~lom~t~ic tra~n~ a~e n~'c nor~nll~ u~ed ~ n pr~ctloe .
~hQr~ ~re c~r~ain maln ~t~o~le& ~ ta whl~:zh are u8~c~
in ~o~ ephalom~t:r$c 6y6t:e~nu . q!h~ ~lr:ilt i&l ~ ~ubi f~Ct cl~ icatl~n by ~acial ~ ~b~ct~ wlth s~orl~, wlde ~ae~ ~enerally rQ~pond ~ r~ntly to speci~lo typ~ o~ At~s~nt~ th~n patien'c~ wlth long, narro~r Po~i~ rJal ~A u~llizlng seve~al ~xt~rnsl ana ~c~e~lb~e ~n~e~nal landmarXs a~n ba u~ed to ad~ tely categoriz~ any patlent by ~aial typ~.
Rel~tlor~ æ ~lp~er ~aN ~7naxllla) ~o l~w~r ~W
~ m~ndibl~ ano~ller ~18~arUl ~leniQnt ~o b~ de~er~ine~.
~hl~ ~n~or~nat~s:\n l~ u3e~ by ~}le C~rtngdO~ t~o dE:texm~ ne if st1~ulation or inhlh~ ~on c)f m~nd~.bul~ or x~ y g~o~ 18 ~sq~lr~ t~ achi~v~ h ~alanc~d p~5~ he deqr~q of il~isor pr~ n, anç~le o~
ln~:lln~tlon, ~nd t~e int~rrela'cion~ be~ween upp~r and l~er inciso~s can be ~und u3ing a ~;yet~m wh t ch generates po~:itional d~'ca. ~ 3 ln~ox~tion allow~
o~thodontist t~ po~ition the 'c~e'ch ln harmony W1th bo~ W~ w~h ea~h ot~r, and with th~ so~t ~i~sue pro~lle (nose, lips atld chin).
~r~ ~r~ a numb{~r ~f c:ephaloln~trio an~ly{3iE~ 5~tem5 currently ln t2~e. ~he Dowrls Ah~ly~ d~ril:ed in DDWnB, N.~ r1R ion ~n TreatmQnt ar~d Proqnosi~, 3~ ~m~rlc~n Jou~nal ~ Orthodonti~ 12 8~0 tl9~8), T~e St~lner Analys~s is descri~ed ir~ Steiner, C.~., ~h~~
.
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E~I~D~, 39 A~oric,an ~ournal D~ Orthond~nt1~, 729-~55 tl~s3)- T~3 Rlc~cett~ ~naly~ bo~h ~ror~l and a~Al~ ~8 desc~ d ln ~ k~t~, et al., ~g~
~9,, publl~;h~d by nocky ~o~r.~a~n Ort:~odontics o~ V~3n~r, eolora~ 2~ ~n6~ MaNa7n~rz~
Analy~ de~ori~ed in MeNa~ara9 J.A., ~Q~ ~e~ ~r~u2~t~ , 8~ A~er~l.,an Jou~nal ~
Ort21oAont1c~ ~ 44g~ 19~4) . ~r~e ~ar~-8îm~ x ~naly~5 i~ de~ari~ed ~n l~ nde~r, ~.G., Th~ Væ~ri-@i~~
pui~ hed 1~ on~o cn~cr~clon ~$ al~nd~ra, Cali~orni~ ~n 19h7.
W~ 4 the pari~:ular data point~ u~d vary ~ro~ ~y~e~
sys~e~ y~t~ ~ ba~ d upDn the ~a~;la ~ an~
~oot'n ~ t~e. Con~quently, C:Qrt~in lAn~A~iW U~6~d to gener~t~ ~y Co~put.3r th~ r~c~u~red d~ta ~oln~
par~lculay~ sy~t~ ~e~eat~d ~nr U~38 aannc~t b~ ~æa6urad dixeotly by el nOrl-~,nVA~ ,h~li~Usa. ~,in~::e ~th~ tl~l ~udias ar~ aY~ L wh~ch ;:c~r~sl~to ~ e l~ndm~ s tc~
d~re~:tly D~ea~ura~D~e landlnar~s and d~a point~, ~lgor~t~s q~n be ~enc~a~61d by t2~oE~ e~ ln t~ ~r~
to b~ u~d in ~3~w2lre ~progr~B to en~ble a comput~r ~o g~n~rato ~hg3 c~ph~lo}~tr~.c traoin~, baE~ port ~h~
d~rectl~f mea~ured ~and~ r~. The land~a~X~ pa~:ticularly th~ ~ r~pect in ~h~ pra~ lc~ o~ m~thod the ~?~e:3en~ lnY~n~n wh~c~ a~ ner~ted by~ o o~ ~h~
al~t~ri~h~s ~rom t~e di~ectly ~De~ red d~t~ ~rG! th~ t~oo~s of the t~eth, ~nd t~e ~nci~orq in par~ r, and ~he skele~cal lan~.~tarks ~uc~ ~s t~e ~lla and t~ pv~onlon .
~h~ u ~: o~ a c~ntp~er to ~anerate a cephalome~ri~
tr~cing i8 Xnown in 'che ~rc. ~or example th~ ~ic~se~
et al. public:ati~n re~r~d ~u a~ovo show~3, lrl Flgslre 16S t a computer ~ner~ted la~eral ceph~lom~3tric ~r~in~ .
How~ver, the tr~cl2~ ~hown ~ereln ~a~ ~erlt~e~l ~rom a ~ec~ndary sotlrt::e o~ dlLmerlsion~l dat~ , l . e ., ~n x-r~y .
Consaq~ntly, t~e d~Rn~ior~al in~ ti,t3n 1B ~r~ac:c:ura~2 3~
~or r~a~or~s in~Q~an~ in 'c~e u~e o~ x~ y ~c~duro~3 a~
t}~e ~;ource o~ dlTn~nulon~ ~lata, sU~:h 21~ non~ n~Ar dlstc~rtion, as well a~ re~uiring ~h~ ~he p~ti~).t eubjected ~o x ray ra?3ia~cion in orde~ ob~ n 'che data, ~h~ m~hod 2~nd app~r~tu~i of the pr~f~ent inv~l~'clorl elimina~e the~ sadvan~ageE: ~y de~iving dim~3n~lonal in~orm~tion ~irectly ~r~ ~he ~ub~e4~, rath~r ~han u~in~
a ~cond~x~ E;ours~ ~u~h a~; an x-r~ negatl~ ~.
In ~ prer4~rad e~od~m~n~ ~h~ ini~ p o~ the m~hod cv~np~l~e~ r~xing ~he pa,él~.~s head ~n ~paoe rel~tive to a reEe~enae poln~ to b~3 u~d ~18 ~e dAt~ ba~3e rOr t~o m~ em~n~;. For thls purpo~, comres~ional orthodont~ ~ nead r~tralnt~ may he ~ d . Al~srnati~ely, ~o~ ~xample, ~ ~ensor could ~ ~ixed ~o the pa'Glenk ~ s hn2~d ~o as ~c~ pro~ide z~ r~3~Eer0nae palnt for th~
mea~iure~nents . s~he pa~tien~ ' s llead ~t~uld s20t th~n be ~equ~ r~ad 'co b~ immobili~d. A~ter 1l p~ln~ c:r pl~ne o~
ref~r~nce ~g appropr~t~ly ~stabli~hed with respeu'c tD
thl~l pat~ent45 h~ad, dit~$~ed d~men;i~1 da~a i~
dlre~tly ge~ra'ced rr~ ~h~ pa~ B head by ~uit~bl~
moans. ~arl~u~ method.~ of S~nerating ~6uc:h dig~tlze~
in~orm~ n are pro~n'cly known per se~ Example~ o~
three di~ferlsn~ meth~dE; a~e giver, in R~3~C)W, 1 CQm~u er-~ded D~ n And Manu~as;~urir~ s~
L~~s,tat~ ~ T~C, 5~ The Journal 0~
Orthodon~lc D~t~ ~ry 512-516 ~1987) . ;~ 30rllo ran~ing sya~em m~y J~e u~lizQd. U.S. Pat~nt ~70. 3,821,~
de~;cri~ec~ ~ three-dim~nç;ional ~or~o r~ng~ ng sy~tem~
El~Gtrome~hAni~a~ ~y~tems can b~ used to generate sus~h ~gitl~ed ~n~o~n~tion directly ~nd ot2~r me'chud~ m~y El150 be appli~ablo. ~onsequen~ly, in it~ brro~d~;t aspect ~che m~thod o~ the pr~sent in~er~lon is not limited to ary p~icul~r 3y~t~ ~or ~nex~tln~ th~
diglt1zGd dimen6Lonal d~t~, ~o l~n~ a6 t1~e ~ata i~
~ ~3 ~ o n~r~ted dir0~1y ~rom t~ u~ie~ct~ rath~:r than ~om 4 ~a~nd~ry 3~ur~.
~n ~ p~e;~ntly pr~erre~ embodin!3n~ sonlc ranging ~5y~1'Ce!ll Wlttl A hArl~-held p~ObQ i~; UBed ~ yenerat~3 tl~e ~a~ he d~ gi~izlad dl~en~n~l in~o~mat~on l.s gene~a~ed by mea~Ur~m~n~s o~ pr~s~lect~d lar~ rlc~ on the patlentls hoa~. ~hl~ d~m~nstonal da a i~ utillæed ~o ~alaulate th~ ~oquired ~iaghoB~ic d~a p~in~ ~or ~h~
p~r~lcular ailal~ Oy~Q3n ~ing u~d~ A ~o~npu~r program design~d ~or ~hl3 p~ l4r 6y~cem o~ ~naly~ie 1~ ut~li2ed to p~ce~; th~ digltl~ed d~t~ cal~ulat~
Sh~ d~agnc~tic poin~E; fDr th~ ~:ephalotlletrlc tracing.
Once the da~ point~ are s:Alc~la~l, the cepha~o~e1:rlo traaln~ en~a~ed ~ ~se o~ a ~omput~r ~n~ a g~aph~cal plo~t~2r or o~her ~ype o~ di~play to con~ct ~he da2t:~ pc~in~s BQ 218 to produce ~6~ ~raaln~.
ObvioU~l~, it i~; wl~ ~n the c:ap~sbllity o~ the c~pute~
p;cog~ util~d to in~l~de ~he ~Qneratlon ~nd su1perpo~iti~n o~ ~t~iqht line~ r~Qulred f~r ~h~
~3wentton~1 pis~Q~lal pr~nta~lon o~ ~he analy~
w~ll A~5 mea~ur~m~3nts of the r~ red ang~-s~ ~or th~
cs7lventional prese~tatlon oP th~ complet~d tr~cln~.
tn ~:n~ pre:Earr~s~ e~bodl~en~ veral di~ere~ analysis ~yste~s can be ~o~ t~d.
~ach arlaly~ls ~y3t~m pro~lde~ lor di~er~nt line~, angular ~ ;urern~n~s;, and value prlnt-out~. A master progr~ wh~ch S~en~rates a~ re~ulr~d ln~ormatl~n ~or num~er ~ syst~s, an~ selçcts ~here5~rc~ ~he p~r~icular data requlr~d fo~ t:he dia~nos~cla ei3~6~8m u~e~, ~peci~led ~y th~ p~ctitloner, is presently pre'4r~ed. RDwe~er, obviouely p~gre~m~ y ~e u~illzed whi~h are limited t~
par~,~cular d~aqno~:tic syst~m~. Th~ co~pute~ pro~amr ~rr~spec'c,i~ o~' tha ~ystem l~ d~a~o8i~ ted"
: .
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~enera~ea~3 di~en~lonal d~a ~or th~ h~d~n lan~ark~ by th~ o~ ~lgor~h~ bZ~6~d upon e~ta~ lc~ t~ ~ tv ~eir location, ~n o~er ~co produce th~ oephalt~m-3trl~
tr~oin~ in lts~ currently convt~ntntonal ~orm.
~n ~h~a pr~ an~1y pre~rr~ embod~l~en~ r~e-dim~nslontll di~ d dat~ ænerat~d. Aman~ kh~ ~dvllntag~ ~f the method and appar~tus 15 tha~ a ~rc~ oephalom~:ric ~I:Ai~;~ng c~an ~e g4nsrated ~ ~a~ity a~ a la'coraL t~in~.
C~onv~ntionally~ ~re~ntal tra~ln~ hava not b~n wld~ly uE;sd, b~c~au~i~ o~ tne greatl~r lnt~rea~d a~oun~ o~
~diation ~e~uired far thelr g~nsra~i3ll as comp~e~ ~o th~ t~on r~ rod ~c~r th~3 lat~r~l x-ray. ~owever,-~r~n~al tracinç~s aro extr~mely u~ ul ln pr~ e o~
~r~ontl~ or oth~nathlc sur~ery in many instance~;, as~d th~lr g~repR~tion is now p~ac:~ical b~ u~ln~ tSe px~af~a~r~d embc~dlm~n~c, which gQnerat~ ~h~ r~uir~l ~h~ dlm~n~ian~ a ~rom ~hic~h thq~ c~mputer p~ogram ~a~ dariV~ ntal tra~ing.
,, . -For ort:hodontic 2~naly~is, i~ is 2~1so u~ul to h~ve apl~tuxe of ~hf~ pa~ aa~ corr~spon~lnçl t~
trac:ln~, ~;o th;~ ne may be overlala 4n th6~ o~he~ for ~omp~æl~ pu~ose~ pr~PeS~re~ me~hoâ And appara~us pr~vide~; gor ~6t genera1:ion o~ suan a pic::~ur~ by mal~lng ~n ~l~c:~r~ni~ re;:ordin~ c~P the ~ub~ qc a'c ~h~ tima o~
~hQ ~enor~Gn o~ ~e dimension~l d~ta~ s vld~o re~ordirlg i~ then r~p~coduced in con~uns::tlon wit~ ~h~
p2~es~an~a~1c3n o~ th~# trac~ng, as elther el~tronically overl~id or print~tl out ~nd manually c~v~rlaid ~ he trac:in~.
~r~ an optio~al ~mbodiment thæ yrD~ can b~ u~;~d ir~ e "data stream" r~d~ and ~ mov~d over th~ h~ad ~o p~o~rld~
a tracin~ ~ the 1profll~ o~ the head whlc:h 1~ di~p~ayed on th~ on~or ~; de~ire~
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3 ~
~o Wh~le the ~r~erres~ embodim6!n~ lnltl~lly g~ner~t~
three-ciimen~3io~Al da~a, i~ is wlthtn ~ cope o~ e ln~ention to g~nQrate two-di~ ns~i onAl d~ta ~ni~l~lly, r~ th~n conv~sr~n~ the th~eQ~di~n~n~on~ t~
su~:3e~ tly ~o two-di~n~n ional d~th ln ~he proco~ o~
~ten~Pat~nS~ r~c~lng. By initi~l~y g~n~ting on~y ~wo-dimen~i4nal d~a, th~ y o~ ~ me~hod and app~ra~u~ 'co produce bo~ch la~rAl ~nd ~rors~al ~ein~
~rom ~he ~ 'c u~ digltiseAl in orm~'eion i~ ~o~t.
~ow~vs~r ~h~ compl~x$~y o~ th~ work ~t~ n, ~naluCllng sof~cwarg p~ B and pl~y~icnl oompon~nta, 1~ groa'cly ~pli~ on~ ~wo-di~qen;~iono~ B ~ be acqulr~d. Cono~auen1;1y~ a~; fxon~l t~41ng~ ~re c2ur~ntly ~ldo~ us~d, ~4r many ap~llc~tl~m~ oP th6lt pre~ent m~hod, ob~ailling d.i~ltized tw~-dlmen~lon~l d~ta lnltlally will 8uPPi~O.
BeG~8f~ th~ ~thod i~ non~in~ln~ e ~n~L dae~ no~ in~ re l~r~dlat~on o~ ~ch~ ~ubje~'3 he~d, };~ogxo~ of orthodon~lc t~ea~m~nt c~n b~ r~dily monit~rod an~
recorde~ ~or ~rc:hiv~l pu~po~e~, a~ well a~ ~o~
faeil~tatin~ 'cho de~nin3tion u~ ~e ~ acy o~
t~e~ ent }:eing und~r~aken. ~ho ~ çn~ ~thod and appa~tus pa~mit ~ praot~'cion~r, ig d~:~lr~d, to moni~o~
tho mo~ men~ o~ ~ven a ~n~le tDoth during t~ ent, Arld to m~lc~ ~y app~oJ?rlRte Ad~u~ t~ o~ ~odlilc4~c~0ns in the pr~edl~re~ ~ay be appropriate t~ ansu~ that th~ ~ubj~c~ ~aches ~n ~p i~nu~ u~t, wl~hc~u~
~biec~ing t~e su~e~t to ex~esiYe radla~ion or invasive teahn:Lclus~; .
An ~bodiment ~ th~ inventi~n ~ill now b~ de~erib~d by way o~ example and wi~h r~erence to ~he a~comp~nying dr~ir,ga, in whlt;:h :-~igure 1 is ~ general visw of a cc~mplete sy~m fo~ us~in accorclance Wl~h ~he inven~i~n;
~ ~ .
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1~
Fi~l~.XR :2 1I!~ an er~la~gecl ~t~w o~ p~rt 0~ y~e~, ~owin~ lt i~a u~e;
~gura 3 i9 a view o a p~oh~ u~ad on ~h~ ~y~em, wil:h two al~arnat~v~ ~lps; ~
Fig~r~ 4 ls ~ dt a~r~ tl~ vl~w ~howln~ how th~ p~itic~n o~ tlle pro~e ~ id~ntl~l~d:
F~gur~ ~ 1B a ~lew o~ ~ di~play ~howln~ thc he~d o~ a ~ub~ect an whi~tl ~n~to~l~al. l~ndma~ ha ~ bee.
~uperl~npoE~
Fi~ur~ 6 ~ a ~iew ~f ~ ~2phalometrlc trRo~ng obt~lned u~in~ yR~m~ ~Lnd Fl~u~e ~ iæ ~ Yi~A~ of ~ ~he ~rac~ing ~up~3r~ mpooed on tho he~d og ~h~ ea~.
A~ own in Fig~. 1 tr~ 4~ o ~3y~te~ lnGlUd~ d~ta pr9a~e:05~ n~, e~uipmen~ 1 p~vided ~ith ~ vldeo dlsplay ~on~tor, ~ ~;upport r~me a, a v~deo ~ r~ ~ ~lth ~
t~lepho~o len~ ~oun~d orl ~che .~ra~e, an ~rr~y Or sonit:
recal~ers 4 ~ount~d on ~ ~ul~- ~rame 5 ~tt~h~d to ~ch~
~rame, ~d ~ hea~ r~'cra~ner ~ ~ta~l~o~ to 1;~ fr~e, po~it~on~d ov~ar ~ seat 7. The head ~e~r~iner e:G~DpriS6!1~5 dawnwar~ly ~ro~ec1:ing arm ~ the side of the ~m~
remote fr~m the Gam~r~ At ~e lower ~nd o~ the a~rn are tw~ ed pl-~t~ 9 with ~r~ eoti~n~ 10 ~or lcca~ in th~ ears o~ a subi~ct, and A ~urth~r a~m wi~h ~n ad~ustabl~ enc~ po~tion 11 to en~e ~lle rorehoad o~ the ~u3:>~ec:t. Flg. 2 shows ~ ~sbject in pla~e~ Wi~h the arrange~er~t hown ~ th~ h~ad 1~ o~ th~ S~ ec'c 1~ lleld ~l~mly but g~r~ ih p~
~he d2~1:a proce~lng equipmcr~t t~rpical~y ln~ e~ a " , :
2 D ~
micro~ompute~; wlth a aosl~put~r grAphic~ boflr~ r h~ ~h ~p~o~ e ~nhanca~sn~ and ~aAnipulat~ot~; ~ hl~h r~solu~i~n monl~>r wi~h ade~~ plx~l re~olutlon ~ar ~ec:~ra~çe l~ndr~ar3~ loG~tion on ~h~ lay~ optlon~lly a ll~h~ p~n ~r ths~ inte~ctive~ ~nt~ o~ d~a ~r con~allds;
ap~ nEIlly a prlnter ~or h~rd eop~ ou~:pult.5 Clhd 6ultable so~twA:~e~ ~h~ lma~lng ~y~ may u~ e.g. ~ ~5~ grey ~ale 'rhe Yid~o aa~tar~ 3 i~ u~ n provl~ an ~ma~ o~ th~
he~d of the ~ub~ which ~IIS proc~oo~d and t~r~l tAlly.. A ~ al im~gF3 ~ ~ ~h~wn ~n Fi~. 2 ~tld iB
di~pl~yed lr~ a ~xçe~ ~ram~ $`or~.
The ~y~ at s~o colap~i3es a probe l~ whi~ ig link~ tc~
~he datA proc~lng equiplDsn~ by ~ ~lt3~1a ~ble. Th~
p~b~ ~8 n p~ f ~p~aed ~;on~o transs~ltte~Ea 14, A palr of intex¢~ng~ble Px~ensic)n~ 15 ar~d 16, ~nd an açti~r~tirl~ button 17, ~ e~t~nE;io~ 15 il; adapt~d ~or u~ ut3id~ o~ th~ he~d and h~s a ~ lB . :rhe axt~ns ~on 16 ~ ~dapt~ for u6e in~ld~ tha ~ou~h alld ha~ p 19 t tS~e er~d R~ ~ cur~v~3d po~iorl 20. ~ha oxt~n~lon~ c~n be ~rmly loc:ated lsl t~ p2obe and wblC:h~Y~ 16 u~d, the ~lp 1~ o~ 19 Will ~ n ldsn'ci~ po~i~ion r~la~t~re to the r~inde~ o~ th~ prohQ- Al~orrla iY~ly~
int~s~cha~g~aa~le pr~X~es could be provld~3d ~ox th63 dl~ nt pU~po ~n thi6 part~ cul~r e~bodiment tn~ probe ~an be ~a6~1 o~
a ~2~ds~ sP~-3~ Sonl~ ~iq~ti~r, manu~a~tur~d by ~ ne~
Ac~e~E30ries Co~porat~n o~ Southp~rt~ connec:ttc:ut, USA.
The four sonic rec~eiv~xs 4 arc connoc:ted to ~e ~a'c~
proces~ing e~auipm~nt a~d a~e posi~cloned ad~ aGent the ~our ~orn~rs ~ ~he ~ub-~ra~e 5~ Thoy are ad~pt~d ~o recsl~re ~c~nic signals rom the probs, wh~ch AJ:e: pro~uced by t:he t:wc~ spa~ed ~rans~tters 14 wherl t~l~ a~tiva~l~
2 ~ ~ . 3 }~utton ~ ~ prer~ d. ~incc th~:s pOE~ition o~ ~ho tlp 18 19 r~ t~v~ to t~o tr~n~mlt~e~6 ~Is lu~o~n, t~e d~ta pr~s~ins ~ pm~ht can work on ~ ta provid~d ~y th~
rec~iveX~ ~ tc~ e~tal~li6h ~he po~ion ln epaoe o~ ~h~
t~p o~ ths! p~o~e w~en t~e ac~lv~,~ing~ bu~ n i~ ~re~ d, l~ain~ the ti~ aken or e~¢h r~ iver ~cs ~le~t the ~igrlAl, an~ tsiangut~tio~ techni~ue3. ~;lnc:e ~n u~e~ the he~d o~ subie~ will ~ ln a Xnown ~ixa~ p~;1',10n, th~ ~t~va~ln~ butts~r~ it3 pr~#~d w~ th~ ~ ~ p oP ~che pro~ ouch1ng a ~eatur~ on t:h~ h~d, th~ h~ ..
lon ~ ~h~,t ~eEIl~ure rel~ive t~ t-.he h~d c~n c~1~ulatsd And o~ r3~ red.
~u~ 2 ~ows t:h~ prohe with tip l 9 beln~ tlsed ir61de tehe mouth o~ ~ ~3u~ w~h the ~p on a c:hosen p~r~ o~
a ~o~en toot~ he act~ t~r~g bu~on 17 i~ ~r~s~d by tt~-2 uso~, t:hen t~e po~l~lon ~3* 'ch2~t p~xt; will 3~e o~ d R~d ~ ded.
Fl~. 3 6J110~ diagranm~tic~;Lly ~ prob~ wl~h kh2 a~:tiv~lng 4utton pr~ad, trans~ r~ 14 ~ t~tn~
so~lnd w4ve:~ tha~ are plek~d up by thls ~e~s~rs 4.
n us~ onc~ ~he ;3u~ect is in po~lt~on &n~l th~ ~iy~
~orree:~ly ~eé up, tb.~ u~Qr c~n ~lec~t a p;~ ular ~ype o~ ~ephalon)etri~ analy~s r~3ira~. In th1~ emb~dimelllt ~hær~ ~r~ fou~teer~ c~pt~n~, as ~ w Rick~t~ l~t~r~l ~ clc~t~ ~ronta~
Vas~ plex E~ol~ ay ~baDIa JarAb~
~te lner Down~
Bs~r~ons .-` ' `: `~
l.
NcNam~a ~sed ~:xu~on~ ~ro~t~l 8tan~ar~ sr~l ~n~r~ n~l Th~ v~io~i dlf~e~ent an~ly~6~s requi~ dl~rent cc~Rbinat~or~ ~ amat~ical land~n~rX~3 ~o b~ nt~le~-s~me oP ~e6e are w~hin lthe ~ 6U~ ~ thQ he~d and ~anno~ CA~ed wi1:h ~h~ p~be. ~h~ PY~ ganeraé~ a 1~At 0~ ~n~t~ical PQ~ 0 be lden'c~led rc~r th~
cho~en an41y~i~ and whiî~t s~ e o~ wlll ln ~at b~
l~nd~rX~, ~c~mo wll~ no~ 115t ~ play~d ln ~
logi~1 ordex to ~cnnpt ~:he u~er ~o ~ round ~h~ ~Ace in ~ lo~à~l and comrenicnt ~a~hlon, w~ he~ n~d ~o ~hang~ ~h~ probe ~xt~n~on only onc~ sa~in~ eh ln~i~4 ~nd o~sid~ e ~ou~h ~re r~uired. In a ~
~x~rcis*, th8 Qx~r~al poln~: wlll ~ ld~n~1eA, theren po~;~t~: w~ n th~ mou~h wlth th~ ~eeth ~ o~c:lu~iun, al~d then ~ 1te bl~k i~ ln~ert:ed al~d o~h~r poir~t~
~c~ent~ ~ed in the mouth. Usually a~ol-t 1~; 'Go 30 po~n~cs hnve 'co ~7e locat~d. some p~ln~e~ will ~8 re~dlly olase~ ble ~n~ eaey to loca~e: 30m~ y r~ e palE~a~:lon to b~ ~oc:~ed i and ~o~e ~y re~l~ ~ littl~
prae~c~, ~o~ev~r, all can be recognl~q~d e~ren'cual~.y a~d lo~a~d ~ith ~che tip o~ th~ probe. ~ ~y~to~ ~ lay h~hl~h~ the r~ext po~nt to be located during a rou~ne ~ loctl~e points ~r the chos~n analysis. Oho~ th~ u~r h~ 14~atod the appr~priate point, ~he activa~n~ ~u~ton 17 on the probe 1~ press~d ~nd ~he po~it~ on ~f the prob~
tlp, an~ thlls th~ ~natomic~l pc~int, i~ r~cor~ed, ~r~e olnts c:an ~hen ~e d.tspl~yed st~perimpos~3d on the: ~ lae~
ima~e o~ the sub~ e¢t .
~h a pre~rred cystem, ~s shown în Figure 5 ~he d.i~p~ay includes the video ima~e of l~he su~ct~s he~d ~1, on wl~lch a~e marlted poln~s a~ready d~ d ~aeh ;a~; ~2, .
'' ~' ~ ' , , :
.
lS
th~ p~int c~r~ntly }:~ing di~i~.ized 23 ~ and ~he polnt la~t dlS~l~ized 24, Also di~;playe~ i 3 a q:ext box 25 ac~nt~lnlng ~nstrue~ions ~nd ~ àia~ram ~ 3howln~ where ~th~ po~nt~ are tt~ ~e ~ounci. Th~ ~yfi~t~m ~aalllt~e~ the fipott:lng o~ erro~ ancl thei~ ~or~o~ion.
Whl3n al-polnt ha~ been lo~aée~ he~ landmark pc~sl~c~on may ~e Xnown, ~r ~t may rl~ed to be c~1~2ul~t6~d i~ not on~ thal: c~n b6~ l~cated dir~tly.
~y way o~ exa~pl~, ~h~ l~ndraark ~ la" can bQ
c~lcula~ d upon ~I:ho lo~lon~ o~ ~.h~ Poll~wing po~nt~ :-1. ~ po~Lnt on tha cxanium at a 90 d~g~e an~l~ t~Fran~ort ~o~lz~ntal ~hrough orbltal~.
2. A pont a~ ~he ba~k of tho he~d Whicl~ ia ~he exte~nsion ~ the llne ~hrouqh n~si~n an~ pc~rl~n.
3. A pc~int on 'c~e ~op o~ ~h~ h~a~ a~ a 4~ d~r~
angle to F~ank~ort at poric~n.
~uch a "hldd~n" landDI~lc can b~ c~al¢~lat~d ~ the~e p~ntE; by th~3 u8e o~ a sull:able al~xllch~ ba qd upon ~tatt ~;tic~l d~t~ ro~ s~udi~ w~ol~ ~orr~ t~e po~ltions o~ ~Iddl~n l~nd~arlc~ ~ id~n~i~ied u~ing e.~. x-rar tecl~ni~es ~ ~o ~irec~ly mG~a:~urabl~ pc~ t2~.
Th~3 dat:~. rec~ived by th~ ~;yst~3m rala~es tcl ~he t~re~
dimens;lonsal posi~iong o~ ~he l~ndmarks l~lt ~he output t:a ~h~ ~isplay ~hc)ws the ~.anc~Arks prc~j eG~ed in 'cwo tll~ections .
once ~he landmar~ position~ are ~cnown, the~ t~
proc~e~sing equipmen~ ~ax~ produc~ the d~slxed ceph~lo;ne~ri~ tra~in~ ~o be ~i~;pla~ed or~ the mo~ or 0 ~9 $ ~
~6 ~inin~ ~he vari~us landm~.~ks. ~ e~:~r~cl, two di~ren~
~ype~ o~ ~r~ciy~g can be c2lrried c~ut and d~pla~red s,uE~erl~npo~d a~ng B~n~r desired axl.~.
SIUr~ ~ ~h~w6 two cephalc~metr~a t:racing~ 2tS ~A 2rl su~e~l~npo~ed, ~Qch A1:30 ino~LIdihq p~r~ o~ ~he proS11~ o~
~ ~aa~.
A ~eE~halor~tric ~racing ~n he di~plbys~ the ea~er~
~g~ o~ sub~ g ~sho~n in ~ig~r~ 7 wh~re a trac:in~ ~8 i~ SUperimpDs~d on the ~u1~a~'~ h~d 21. Xn this~ ~3artiaul~r C:A~e, ~o pro~ b~n~d l:~y thu pr~e oan be ~3ed to che~k on all~rlm~n~c o~ th~ ~w~ l~age~. ~t c~n be ~m~ Sted lP de~ ir~
~!he imaSJ~ d i~pl ayed e;æn be ~anipulated a~; de~lred, rwd~ , h~e ~ehand dr~win~f~ or ~x~ adcled, and fO~r he ~p~lonal li~h~c pe!n car~ b~ d ~.o p~o~ ny lon~ ~n An in'eer~ re manner on ~h~ dloplay, ~clti~lng n~oving ~nd rot2~ting ~h~ lmage~. ~4x sxample, a ed f40~l p~o~ile oc~uld b~ goner~:ed and th~
aephal~ tric ~re~cing ~ led al~o~ E; aoul~ b~ used to illu~3tra~e the re~ull:s o~ di~ en~ s~rtho~ tlc tr@~a kmen~ .
l~e dat~ }~4~ a par~ cular ~ubje~:t may be ~o~parod wl~h n~ obt~lned by ststistical ~n~lys~ ch may be ad j u~te~ agf3 , ~ace, and Ei~X . On the dlE;play ~gni~ t d~1viati~ns from the nor~ l:ou~l bQ
highlighted i~ d~ired. ~ompar~tive ta~la~ed xe~;ul~s cc~uld be ~ splayed.
~ll d~ta ~r a subj ~ct can be stored on s~ able ~edla ~uc:h a~ ~agr~t;iG or op~lcz~l diE;}cs~ and retri~ve~, updated or modif~ed a~ desir~cl.. In~oml~t~on ~nd ~mage~
'~` ' : '.' ' .
,2 ~ $ $
~7 ~ay bo ~rin~ed out u~lny optlollal ~lnter~:~
~oth ~rontal and l~teral an~l.y~e~ çæm bff~ ~rriad ou'c. A
c~aer~ wi~h a tel~photo l~n~ a~n ~e u~ed, 1~ d~al:~ed, 'co obtain lntra~oral l~qs~.
~t wlll be ~ppx~ci~ed that th~ app~atu~ ~nd m~t~od de~crlbed her~l~ may be ~c~difled. rrh~ r~ ltM obtalrl~d by th~3 met~d and spp~a~ ar~ o~ ln o~h~lon~tc t~e~ment and dlagno~i~ but c~n al~ ~be used ln r~ rch, ~duc~ on and ~ rt~ w~l3rq ~ P~c~.lal andl denta~ pro~ile ar~ d~irQ~.
.. -: ' ' .
: ~ :
Claims (22)
1. A method for determining the location of a plurality of anatomical landmarks required for use in generating a cephalometric tracing of a human or animal head, comprising the steps of using a probe to identify directly the positions of pre-determined features on the head, generating digitized digital data representative of such positions, and calculating the location of the required anatomical landmarks from such digitized data.
2. A method as claimed in claim 1, including the step of connecting the anatomical landmarks to produce a cephalometric tracing.
3. A method of determining the positions of a plurality of anatomical landmarks of a human or animal head, at least one of which landmarks is inaccessible from outside of the tissue of the head, comprising the steps of setting a point or plane of reference with respect to the head, positioning a probe tip on a plurality of pre-determined features on the head, generating data indicative of the respective positions of the probe tip with respect to the point or plane of reference when on such features, and processing such data to determine the positions of the anatomical landmarks, such processing of the data including the use of the data corresponding to a plurality of the probe tip positions in order to determine by extrapolation the position of an anatomical landmark inaccessible to the probe.
4. A method as claimed in claim 1, 2 or 3 including the step of providing a visual display of the positions of the predetermined features on a representation of at least part of the head.
5. A method as claimed in claim 1 or 3 including the step of providing a visual display in the form of a cephalometric tracing in which the anatomical landmarks are joined by lines.
6. A method as claimed in claim 5 in which the visual display is reproduced on a representation of at least part of the head.
7. A method as claimed in claim 6 in which the representation of the head is in the form of a camera image of the head obtained from the same direction as that of the visual display of the anatomical landmarks or cephalometric tracing.
8. A method as claimed in claim 5, 6 or 7 in which the cephalometric tracing includes a profile if part of the head obtained by moving the probe tip over the head.
9. A method as claimed in any claims 4 to 8 in which the positions of the anatomical landmarks are determined in three dimensional form.
10. A method as claimed in any preceding claim in which * data processing means is used to calculate the distances between selected anatomical landmarks and/or the angles between lines connecting selected anatomical landmarks.
11. A method as claimed in any preceding claim, for use in orthodontic analysis.
12. A method as claimed in any preceding claim, in which at least some of the predetermined features on the head are in the mouth.
13. Apparatus for generating a cephalometric tracing of a human or animal head, comprising; means for determining a point or plane of reference with respect to the head; a probe having a tip to be placed at a plurality of selected positions on the head and/or in the mouth, said probe having means for transmitting one or more signals when the tip is at a selected position;
means fro receiving signals transmitted by the probe;
data processing means programmed to process data associated with the received signals so as to provide data representative of the positions of the probe tip with reference to the head corresponding to the selected positions and to determine therefrom anatomical landmarks; means for displaying an image of at least part of the head from a chosen direction; and means for displaying on said image a cephalometric tracing from the same direction and to the same scale, formed by joining the appropriate anatomical landmarks.
means fro receiving signals transmitted by the probe;
data processing means programmed to process data associated with the received signals so as to provide data representative of the positions of the probe tip with reference to the head corresponding to the selected positions and to determine therefrom anatomical landmarks; means for displaying an image of at least part of the head from a chosen direction; and means for displaying on said image a cephalometric tracing from the same direction and to the same scale, formed by joining the appropriate anatomical landmarks.
14. Apparatus as claimed in claim 13, wherein the means for determining the point or plane of reference includes means for fixing the head in position.
15. Apparatus ad claimed in claim 13, wherein the means for determining the point or plane of reference includes means for producing an orientation reference signal, adapted to be attached to the head.
16. Apparatus as claimed in claim 13, 14 or 15 wherein the probe has interchangeable members carrying tips respectively adapted for the use on the outside of the head or inside the mouth.
17. Apparatus as claimed in claim 13, 14, or 15 wherein interchangeable probes are provided, respectively adapted for use on the outside of the head or inside the mouth.
18. Apparatus as claimed in any of claims 13 to 17, wherein the signals produced by the probe are sonic.
19. Apparatus as claimed in any of claims 13 to 18, including a camera to provide the image of the head and means for digitally storing the image.
20. Apparatus as claimed in any of claims 13 to 19, wherein the data processing means is programmed to use * data corresponding to at least one of the probe tip positions in accordance with predetermined criteria in order to determine the position of an anatomical landmark within the tissue of the head.
21. Apparatus as claimed in any of claims 13 to 20, including means for providing output advising a user of the apparatus as to the selected positions at which the probe tip should be placed.
22. Apparatus as claimed in any of claims 13 to 21, adapted to produce a cephalometric tracing for use in orthodontic analysis.
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
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US30149989A | 1989-01-24 | 1989-01-24 | |
US301,399 | 1989-01-24 |
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Publication Number | Publication Date |
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CA2045588A1 true CA2045588A1 (en) | 1990-07-25 |
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ID=23163656
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
CA002045588A Abandoned CA2045588A1 (en) | 1989-01-24 | 1990-01-24 | Method and apparatus for generating cephalometric images |
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US (1) | US5278756A (en) |
EP (1) | EP0455700A1 (en) |
JP (1) | JPH04504510A (en) |
AU (1) | AU4950290A (en) |
CA (1) | CA2045588A1 (en) |
WO (1) | WO1990008505A1 (en) |
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- 1990-01-24 WO PCT/US1990/000360 patent/WO1990008505A1/en not_active Application Discontinuation
- 1990-01-24 EP EP90902464A patent/EP0455700A1/en not_active Withdrawn
- 1990-01-24 CA CA002045588A patent/CA2045588A1/en not_active Abandoned
- 1990-01-24 AU AU49502/90A patent/AU4950290A/en not_active Abandoned
- 1990-01-24 JP JP2502486A patent/JPH04504510A/en active Pending
- 1990-09-07 US US07/578,944 patent/US5278756A/en not_active Expired - Lifetime
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WO1990008505A1 (en) | 1990-08-09 |
EP0455700A1 (en) | 1991-11-13 |
AU4950290A (en) | 1990-08-24 |
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