Temporomandibular joint disorder automatic diagnosis method, system, equipment, medium and product
By obtaining the patient's medical history and clinical examination information, and using computer equipment to automatically diagnose temporomandibular joint disorders, it solves the problem that it is difficult to accurately evaluate the temporomandibular joint condition in the prior art, and improves the accuracy and efficiency of diagnosis.
Patent Information
- Application Number
- CN202411483905.9
- Authority / Receiving Office
- CN · China
- Patent Type
- Applications(China)
- Current Assignee / Owner
- Filing Date
- 2024-10-23
- Publication Date
- 2025-02-11
AI Technical Summary
The prior art is difficult to accurately assess the status of the temporomandibular joint, resulting in an increased risk of iatrogenic clinical problems and medical disputes.
By obtaining the patient's medical history information and clinical examination record form information, computer equipment and programs are used to automatically diagnose, and a diagnostic report is generated to assist doctors in making actual diagnosis.
It realizes automatic diagnosis of temporomandibular joint disorder, improves the accuracy and efficiency of diagnosis, and reduces the risks of iatrogenic clinical problems and medical disputes.
Smart Images
Figure CN119418906A_ABST
Abstract
Description
Technical Field
[0001] The present application relates to the field of medical technology, and in particular to an automatic diagnosis method, system, equipment, medium and product for temporomandibular joint disorder. Background Art
[0002] The temporomandibular joint is one of the most important joints in the human body and plays a key role in functions such as chewing, swallowing, and language. Temporomandibular disorders (TMD) refer to a general term for many clinical problems involving the temporomandibular joint or (and) the masticatory muscles, with some common symptoms (such as pain, clicking, limited mouth opening, etc.). It is a common and frequently occurring disease in the oral and maxillofacial region. Epidemiological results show that the overall prevalence of TMD is about 30%-40%. A considerable number of patients have no obvious symptoms and signs, but it will affect oral treatment, such as orthodontics, orthognathic surgery, restoration, and implant treatment. If the condition of the temporomandibular joint cannot be accurately assessed before treatment, it may lead to iatrogenic clinical problems and even medical disputes. Summary of the invention
[0003] The purpose of this application is to provide an automatic diagnosis method, system, equipment, medium and product for temporomandibular joint disorder, which can make automatic diagnosis of TMD patients, provide reference for doctors, and help avoid problems that affect oral treatment due to temporomandibular joint problems.
[0004] To achieve the above objectives, this application provides the following solutions:
[0005] In a first aspect, the present application provides a method for automatically diagnosing temporomandibular joint disorder, comprising:
[0006] Obtain the patient's medical history information and clinical examination record form information;
[0007] Based on the medical history information and clinical examination record information, diagnose whether the patient has temporomandibular joint disorder and generate a diagnostic report.
[0008] In a second aspect, the present application provides an automatic diagnosis system for temporomandibular joint disorder, comprising:
[0009] Data management module, used to obtain the patient's medical history information and clinical examination record form information;
[0010] The diagnosis module is used to diagnose whether the patient suffers from temporomandibular joint disorder based on the medical history information and clinical examination record information, and generate a diagnosis report.
[0011] In a third aspect, the present application provides a computer device comprising: a memory, a processor, and a computer program stored in the memory and executable on the processor, wherein the processor executes the computer program to implement any of the above-described automatic diagnosis methods for temporomandibular joint disorders.
[0012] In a fourth aspect, the present application provides a computer-readable storage medium having a computer program stored thereon, which, when executed by a processor, implements any of the above-described methods for automatically diagnosing temporomandibular joint disorders.
[0013] In a fifth aspect, the present application provides a computer program product, including a computer program, which, when executed by a processor, implements any of the above-mentioned methods for automatic diagnosis of temporomandibular joint disorders.
[0014] According to the specific embodiments provided in this application, this application discloses the following technical effects:
[0015] The present application provides a method, system, device, medium and product for automatic diagnosis of temporomandibular joint disorder. By obtaining the patient's medical history information and clinical examination record information, the application diagnoses whether the patient suffers from temporomandibular joint disorder and generates a diagnosis report. The present application can realize automatic diagnosis of temporomandibular joint disorder and provide a reference for subsequent doctors' actual diagnosis, avoiding the inability to accurately assess the condition of the temporomandibular joint before treatment, which may lead to iatrogenic clinical problems or even medical disputes. BRIEF DESCRIPTION OF THE DRAWINGS
[0016] In order to more clearly illustrate the embodiments of the present application or the technical solutions in the prior art, the drawings required for use in the embodiments will be briefly introduced below. Obviously, the drawings described below are only some embodiments of the present application. For ordinary technicians in this field, other drawings can be obtained based on these drawings without paying creative work.
[0017] Figure 1 A schematic diagram of a flow chart of an automatic diagnosis method for temporomandibular joint disorder provided in an embodiment of the present application;
[0018] Figure 2 Schematic diagram of the process for diagnosing patients with pain-related diseases;
[0019] Figure 3 Schematic diagram of the process for diagnosing patients with joint diseases;
[0020] Figure 4 This is a schematic diagram of the architecture of an automatic diagnosis system for temporomandibular joint disorder provided in one embodiment of the present application;
[0021] Figure 5A schematic diagram of the structure of a computer device provided in one embodiment of the present application. DETAILED DESCRIPTION
[0022] The following will be combined with the drawings in the embodiments of the present application to clearly and completely describe the technical solutions in the embodiments of the present application. Obviously, the described embodiments are only part of the embodiments of the present application, not all of the embodiments. Based on the embodiments in the present application, all other embodiments obtained by ordinary technicians in this field without creative work are within the scope of protection of this application.
[0023] In order to make the above-mentioned objects, features and advantages of the present application more obvious and easy to understand, the present application is further described in detail below in conjunction with the accompanying drawings and specific implementation methods.
[0024] In an exemplary embodiment, Figure 1 As shown, a method for automatically diagnosing temporomandibular joint disorders is provided. The method is executed by a computer device, and can be executed by a computer device such as a terminal or a server alone, or by a terminal and a server together. In the embodiment of the present application, the method is applied to a server as an example for explanation, and includes the following steps S1 to S2. Among them:
[0025] Step S1, obtaining the patient's medical history information and clinical examination record information. The clinical examination record is shown in Table 1, and the patient's medical history information and clinical examination record information are numbered from 1 to 37.
[0026] Table 1
[0027]
[0028]
[0029]
[0030] Step S2, diagnose whether the patient suffers from temporomandibular joint disorder according to the medical history information and the clinical examination record form information, and generate a diagnosis report. Specifically, it includes: diagnose whether the patient suffers from pain diseases according to the medical history information and the clinical examination record form information; diagnose whether the patient suffers from joint diseases according to the medical history information and the clinical examination record form information.
[0031] Temporomandibular joint disorders include: ① pain diseases: muscle pain, joint pain and TMD headache; ② joint diseases: reducible disc displacement, reducible disc displacement with locking, irreducible disc displacement with restricted opening, irreducible disc displacement without restricted opening, degenerative joint disease, and joint subluxation.
[0032] (I) The diagnostic criteria for pain diseases are shown in Table 2. The diagnostic process and Figure 2 shown.
[0033] Table 2
[0034]
[0035] Specific:
[0036] (1) When it is determined according to the medical history information that the patient meets the pain condition, and it is determined according to the clinical examination record information that the patient meets one or more of the muscle pain conditions, the patient is diagnosed with muscle pain; the pain condition includes: a first pain condition and a second pain condition; the first pain condition includes one or more of facial pain on one side, pain in the temple on one side, pain in the ear on one side, pain in the preauricular area on one side, facial pain on both sides, pain in the temples on both sides, pain in the ears on both sides, and pain in the preauricular area on both sides; the second pain condition includes one or more of pain caused by mandibular movement and pain aggravated by mandibular movement; the muscle pain conditions include: temporalis muscle pain, masseter muscle pain, temporalis muscle pain at maximum mouth opening, masseter muscle pain at maximum mouth opening, temporalis muscle pain when the mandible is extended, masseter muscle pain when the mandible is extended, temporalis muscle pain when the mandible is moved lateral to the mandible, and masseter muscle pain when the mandible is moved lateral to the mandible.
[0037] (2) When it is determined according to the medical history information that the patient meets the pain condition, and when it is determined according to the clinical examination record information that the patient meets one or more of the joint pain conditions, the patient is diagnosed with joint pain; the joint pain conditions include: pain in the temporomandibular joint area, pain in the joint area when the mouth is opened to the maximum, pain in the joint area when the mandible is extended, and pain in the joint area when the mandible is moved lateral to the side.
[0038] (3) When it is determined according to the clinical examination record form that the patient meets one or more of the muscle pain conditions, and when it is determined according to the clinical examination record form that the patient's pain occurs in the temple or temporal region, the patient is diagnosed with TMD headache.
[0039] (II) The diagnostic criteria for joint diseases are shown in Table 3, and the diagnostic process is as follows: Figure 3 shown.
[0040] Table 3
[0041]
[0042] Specific:
[0043] (1) When it is determined according to the medical history information that the patient meets the joint sound condition, there is no transient mouth opening restriction at present, and according to the information in the clinical examination record form that the patient meets one of the conditions for reducible disc displacement, the patient is diagnosed with reducible disc displacement; the joint sound condition includes joint sound; the reducible disc displacement condition includes: snapping sound when opening and closing the mouth, snapping sound when opening the mouth and moving the mandible to the side, snapping sound when opening the mouth and protruding the mandible, snapping sound when closing the mouth and moving the mandible to the side, and snapping sound when closing the mouth and protruding the mandible.
[0044] (2) When it is determined based on the medical history information that the patient meets the joint sound condition, there is currently a transient restricted mouth opening, and based on the information on the clinical examination record form that the patient meets one of the conditions for reducible disc displacement with locking, the patient is diagnosed with reducible disc displacement with locking; the reducible disc displacement with locking conditions include opening the mandibular joint by shaking it and opening the joint by manually pushing it.
[0045] (3) When it is determined based on the medical history information that the patient meets the joint restriction condition, and when it is determined based on the clinical examination record information that the patient currently has limited mouth opening and the maximum active mouth opening is less than a threshold value (35 mm), the patient is diagnosed with irreducible disc displacement with limited mouth opening; the joint restriction condition includes joint jamming or limited mouth opening.
[0046] (4) When it is determined based on the medical history information that the patient meets the joint restriction conditions, and when it is determined based on the clinical examination record information that the patient currently does not have mouth opening restriction and the maximum active opening degree is greater than or equal to the threshold (35 mm), the patient is diagnosed with irreducible disc displacement without mouth opening restriction.
[0047] (5) When it is determined according to the medical history information that the patient meets the joint sound condition, and when it is determined according to the clinical examination record information that the patient meets one of the conditions of degenerative joint disease, the patient is diagnosed with degenerative joint disease; the degenerative joint disease conditions include: friction sound during opening movement, friction sound during closing movement, cracking sound during opening movement, cracking sound during closing movement, friction sound during lateral movement of the mandible, cracking sound during lateral movement of the mandible, friction sound during mandibular protrusion, and cracking sound during mandibular protrusion.
[0048] (6) When it is determined based on the medical history information and clinical examination record information that the patient meets the conditions for joint subluxation, the patient is diagnosed with joint subluxation.
[0049] It should be noted that the final diagnosis result of the automatic diagnosis method for temporomandibular joint disorder provided in this application is not used as the doctor's final diagnosis result for the patient, but is only provided as a reference for the patient and the doctor, and does not hinder the doctor's actual diagnosis.
[0050] In an exemplary embodiment, a temporomandibular joint disorder automatic diagnosis system is provided. The system is developed based on the .NET Framework platform and uses a Sqlite database to store patient information. The user interaction interface is built using the commercial control library Devexpress, and the page style is presented in the form of a questionnaire to facilitate interaction. The system analyzes possible diagnostic results and generates a diagnostic report by combining the patient's medical history and clinical examination record information. The architecture design of the temporomandibular joint disorder automatic diagnosis system is as follows: Figure 4 As shown, the architecture design is divided from the bottom layer to the top layer: operating environment, development environment, database, data layer, business logic layer and front-end display layer.
[0051] The operating environment describes the operating system (Windows) and technology framework (.NET Framework) that the system development and operation rely on. .NET Framework is a technology that supports the generation and operation of Windows applications and Web services.
[0052] The development environment describes the graphics library interface (OpenGL), shading language (GLSL) and development language (C++, C#) used in system development.
[0053] The database describes the database types supported by the system, including SQLite, MySQL, and MSSQL. The system uses the ORM framework to map the database structure and supports dynamic switching of databases.
[0054] The data layer, also called the data access layer, defines the interface and methods for the business logic layer to access the database. It supports reading and writing data, and can call stored procedures, custom functions, and transactions defined in the database. The data access layer also supports data caching, caching some data with low modification frequency to reduce the pressure of database access.
[0055] The business logic layer includes all the business logic implementation modules of the automatic diagnosis system for temporomandibular joint disorders, and manages the system permissions. The log module responsible for recording system operation abnormalities is also included in the business logic layer.
[0056] The front-end display layer includes the user interaction interface. This layer is responsible for all system interfaces and interactive interfaces that users can see.
[0057] The automatic diagnosis system for temporomandibular joint disorder includes:
[0058] The data management module is used to obtain the patient's medical history information and clinical examination record information. It is mainly used to collect and display patient information and patient data, and to process some data import and export logic. Among them, the main functions are: creating a new patient, editing a patient, importing and exporting data, etc.
[0059] The diagnosis module is used to diagnose whether the patient suffers from temporomandibular joint disorder based on the medical history information and clinical examination record information, and generate a diagnosis report.
[0060] In an optional embodiment, the automatic diagnosis system for temporomandibular joint disorders further includes an authority control module, which is mainly responsible for managing user authority, controlling user login verification, and the diagnostic system related functions that can be used by the user account.
[0061] In an optional embodiment, the automatic diagnosis system for temporomandibular joint disorders also includes a log recording module, which is mainly responsible for recording the operation log, debug log and error log of the system in operation. When the system operation has an error or does not meet the expected results, it is convenient for developers to locate the cause of the problem more quickly.
[0062] In an optional embodiment, the automatic diagnosis system for temporomandibular joint disorder also includes a reporting module, which is mainly responsible for generating a report based on the diagnosis results obtained by the diagnosis module to facilitate export or sharing by users.
[0063] In an exemplary embodiment, a computer device is provided, including a memory and a processor, wherein a computer program is stored in the memory, and the processor implements the steps in the above-mentioned method embodiments when executing the computer program. The computer device may be a server or a terminal, and its internal structure diagram may be as shown in FIG. Figure 5 As shown. The computer device includes a processor, a memory, an input / output interface (Input / Output, referred to as I / O) and a communication interface. The processor, the memory and the input / output interface are connected through a system bus, and the communication interface is connected to the system bus through the input / output interface. The processor of the computer device is used to provide computing and control capabilities. The memory of the computer device includes a non-volatile storage medium and an internal memory. The non-volatile storage medium stores an operating system, a computer program and a database. The internal memory provides an environment for the operation of the operating system and the computer program in the non-volatile storage medium. The database of the computer device is used to process data. The input / output interface of the computer device is used to exchange information between the processor and an external device. The communication interface of the computer device is used to communicate with an external terminal through a network connection. When the computer program is executed by the processor, a method for automatically diagnosing temporomandibular joint disorder is implemented.
[0064] Those skilled in the art will understand that Figure 5The structure shown in the figure is only a block diagram of a part of the structure related to the solution of the present application, and does not constitute a limitation on the computer device to which the solution of the present application is applied. The specific computer device may include more or fewer components than those shown in the figure, or combine certain components, or have a different arrangement of components. In an exemplary embodiment, a computer device is provided, including a memory and a processor, wherein a computer program is stored in the memory, and the processor implements the steps in the above-mentioned method embodiments when executing the computer program.
[0065] In an exemplary embodiment, a computer-readable storage medium is provided, storing a computer program, and when the computer program is executed by a processor, the steps in the above method embodiments are implemented.
[0066] In an exemplary embodiment, a computer program product is provided, including a computer program, and when the computer program is executed by a processor, the steps in the above method embodiments are implemented.
[0067] It should be noted that the user information (including but not limited to user device information, user personal information, etc.) and data (including but not limited to data used for analysis, stored data, displayed data, etc.) involved in this application are all information and data authorized by the user or fully authorized by all parties, and the collection, use and processing of relevant data must comply with relevant regulations.
[0068] Those of ordinary skill in the art can understand that all or part of the processes in the above-mentioned embodiment methods can be completed by instructing the relevant hardware through a computer program, and the computer program can be stored in a non-volatile computer-readable storage medium. When the computer program is executed, it can include the processes of the embodiments of the above-mentioned methods. Among them, any reference to the memory, database or other medium used in the embodiments provided in the present application can include at least one of non-volatile and volatile memory. Non-volatile memory can include read-only memory (ROM), magnetic tape, floppy disk, flash memory, optical memory, high-density embedded non-volatile memory, resistive random access memory (ReRAM), magnetic random access memory (MRAM), ferroelectric random access memory (FRAM), phase change memory (PCM), graphene memory, etc. Volatile memory can include random access memory (RAM) or external cache memory, etc. By way of illustration and not limitation, RAM may be in various forms, such as static random access memory (SRAM) or dynamic random access memory (DRAM).
[0069] The database involved in each embodiment provided in this application may include at least one of a relational database and a non-relational database. The non-relational database may include a distributed database based on blockchain, etc., but is not limited thereto. The processor involved in each embodiment provided in this application may be a general-purpose processor, a central processing unit, a graphics processor, a digital signal processor, a programmable logic device, a data processing logic device based on quantum computing, etc., but is not limited thereto.
[0070] The technical features of the above embodiments may be combined arbitrarily. To make the description concise, not all possible combinations of the technical features in the above embodiments are described. However, as long as there is no contradiction in the combination of these technical features, they should be considered to be within the scope of this specification.
[0071] This article uses specific examples to illustrate the principles and implementation methods of this application. The description of the above embodiments is only used to help understand the method and core ideas of this application. At the same time, for those skilled in the art, according to the ideas of this application, there will be changes in the specific implementation methods and application scope. In summary, the content of this specification should not be understood as limiting this application.
Claims
1. A method for automatically diagnosing temporomandibular joint disorder, characterized in that: include: Obtain the patient's medical history information and clinical examination record form information; Based on the medical history information and clinical examination record information, diagnose whether the patient has temporomandibular joint disorder and generate a diagnostic report.
2. The method for automatic diagnosis of temporomandibular joint disorder according to claim 1, characterized in that: The temporomandibular joint disorders include pain diseases and joint diseases; The patient is diagnosed with temporomandibular joint disorder based on the medical history and clinical examination record, including: Diagnose whether the patient has a pain disease based on medical history information and clinical examination record information; Diagnose whether the patient has joint diseases based on medical history information and clinical examination record information.
3. The automatic diagnosis method for temporomandibular joint disorder according to claim 2, characterized in that: The pain diseases include: muscle pain, joint pain and TMD headache; Diagnose whether the patient has a pain disease based on the medical history and clinical examination record, including: When it is determined according to the medical history information that the patient meets the pain condition, and it is determined according to the clinical examination record form information that the patient meets one or more of the muscle pain conditions, the patient is diagnosed with muscle pain; the pain conditions include: a first pain condition and a second pain condition; the first pain condition includes one or more of facial pain on one side, pain in the temple on one side, pain in the ear on one side, pain in the preauricular area on one side, facial pain on both sides, pain in the temples on both sides, pain in the ears on both sides, and pain in the preauricular areas on both sides; the second pain condition includes one or more of pain caused by mandibular movement and pain aggravated by mandibular movement; the muscle pain conditions include: temporalis muscle pain, masseter muscle pain, temporalis muscle pain at maximum mouth opening, masseter muscle pain at maximum mouth opening, temporalis muscle pain when the mandible is extended, masseter muscle pain when the mandible is extended, temporalis muscle pain when the mandible is moved lateral to the mandible, and masseter muscle pain when the mandible is moved lateral to the mandible; When it is determined according to the medical history information that the patient meets the pain condition, and according to the clinical examination record information that the patient meets one or more of the joint pain conditions, the patient is diagnosed with joint pain; the joint pain conditions include: pain in the temporomandibular joint area, pain in the joint area when the mouth is opened to the maximum, pain in the joint area when the mandible is extended forward, and pain in the joint area when the mandible moves laterally; When it is determined according to the clinical examination record form information that the patient meets one or more of the muscle pain conditions, and it is determined according to the clinical examination record form information that the patient's pain occurs in the temple or temporal region, the patient is diagnosed with TMD headache.
4. The automatic diagnosis method for temporomandibular joint disorder according to claim 2, characterized in that: The joint diseases include: reducible disc displacement, reducible disc displacement with locking, irreducible disc displacement with limited opening, irreducible disc displacement without limited opening, degenerative joint disease and joint subluxation; Diagnose whether the patient has joint diseases based on medical history information and clinical examination record information, including: When it is determined according to the medical history information that the patient meets the joint sound condition, there is no transient mouth opening restriction at present, and according to the information in the clinical examination record form, it is determined that the patient meets one of the conditions for reducible joint disc displacement, the patient is diagnosed with reducible joint disc displacement; the joint sound condition includes joint sound; the reducible joint disc displacement condition includes: snapping during opening and closing mouth movement, snapping during opening and lateral mandibular movement, snapping during opening and mandibular protrusion, snapping during closing mouth and lateral mandibular movement, and snapping during closing mouth and mandibular protrusion; When it is determined according to the medical history information that the patient meets the joint sound condition, there is currently a transient mouth opening restriction, and according to the clinical examination record information, it is determined that the patient meets one of the conditions of reducible joint disc displacement with locking, the patient is diagnosed with reducible joint disc displacement with locking; the reducible joint disc displacement with locking condition includes opening the mouth by shaking the mandibular joint and opening the mouth by manually pushing the joint; When it is determined according to the medical history information that the patient meets the joint restriction condition, and according to the clinical examination record information that the patient currently has limited mouth opening and the maximum active mouth opening is less than a threshold, the patient is diagnosed with irreducible joint disc displacement with limited mouth opening; the joint restriction condition includes joint jamming or limited mouth opening; When it is determined according to the medical history information that the patient meets the joint restriction condition, and according to the clinical examination record information that the patient currently has no mouth opening restriction and the maximum active mouth opening is greater than or equal to the threshold, the patient is diagnosed with irreducible joint disc displacement without mouth opening restriction; When it is determined according to the medical history information that the patient meets the joint sound condition, and it is determined according to the clinical examination record form information that the patient meets one of the degenerative joint disease conditions, the patient is diagnosed as suffering from degenerative joint disease; the degenerative joint disease conditions include: friction sound during opening movement, friction sound during closing movement, cracking sound during opening movement, cracking sound during closing movement, friction sound during lateral mandibular movement, cracking sound during lateral mandibular movement, friction sound during mandibular protrusion, and cracking sound during mandibular protrusion; When it is determined that the patient meets the conditions for joint subluxation based on the medical history information and the clinical examination record information, the patient is diagnosed with joint subluxation.
5. An automatic diagnosis system for temporomandibular joint disorder, characterized in that: include: Data management module, used to obtain the patient's medical history information and clinical examination record form information; The diagnosis module is used to diagnose whether the patient suffers from temporomandibular joint disorder based on the medical history information and clinical examination record information, and generate a diagnosis report.
6. The automatic diagnosis system for temporomandibular joint disorder according to claim 5, characterized in that: The automatic diagnosis system for mandibular joint disorder also includes: The permission control module is used to manage user permissions.
7. The automatic diagnosis system for temporomandibular joint disorder according to claim 5, characterized in that: The automatic diagnosis system for mandibular joint disorder also includes: The log recording module is used to record the operation log, debugging log and error log of the automatic diagnosis system for temporomandibular joint disorder.
8. A computer device comprising: A memory, a processor, and a computer program stored in the memory and executable on the processor, wherein the processor executes the computer program to implement the automatic diagnosis method for temporomandibular joint disorder according to any one of claims 1 to 4.
9. A computer-readable storage medium having a computer program stored thereon, characterized in that: When the computer program is executed by a processor, the method for automatically diagnosing temporomandibular joint disorder described in any one of claims 1 to 4 is implemented.
10. A computer program product, comprising a computer program, characterized in that When the computer program is executed by a processor, the method for automatically diagnosing temporomandibular joint disorder described in any one of claims 1 to 4 is implemented.