Cone Beam CT Flashcards

1
Q

what is CBCT

A

cross sectional imaging suitable for assessing radiodense structures

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2
Q

how does CBCT work

A

radiation x-rays catches many 2D images which are reconstructed into cylindrical 3D image

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3
Q

how is the patient positioned for a CBCT

A

same as OPT with frankfort plane parallel to floor

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4
Q

what are the benefits of CBCT compared to normal radiography

A

no superimposition
ability to view subject from any angle
no magnification/distortion
allows for volumetric reconstruction

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5
Q

what are the downsides of CBCT compared to normal radiography

A

increased radiation dose to patient
lower spatial resolution
susceptible to artefacts
equipment more expensive
images complication to manipulate
requires additional training to justify, operate and interpret

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6
Q

what are the benefits of CBCT to CT

A

lower radiation dose
potential for sharper images
cheaper
smaller footprint

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7
Q

what are the benefits of CT scans to CBCT

A

able to differentiate soft tissues better
cleaner images
larger field of view possible

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8
Q

what are the common uses of CBCT in dentistry

A

clarifying relationships between impacted mandibular third molars and inferior alveolar canal
measure alveolar bone dimensions for implants
visualise complex root canal morphology for endo
investigate external root resorption
assess large cystic jaw lesions

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9
Q

what are the uses of 3D volume reconstruction

A

help picture extent/shape of disease
can be informative teaching aid for patient

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10
Q

what are the drawbacks of 3D volume reconstruction

A

modified reconstruction of the data and so can create misleading images

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11
Q

what is used for image resolution instead of pixels

A

voxels

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12
Q

what does decreased voxels size lead to

A

increased radiation dose and increased scan time

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13
Q

when would you use smaller voxels

A

when you need fine detail

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14
Q

what are artefacts

A

visualised structures on scan that were not present in object investigated

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15
Q

what are movement artefacts

A

when the patient is not still and leads to blurriness or extra contours

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16
Q

how are movement artefacts decreased

A

using fixation aids

17
Q

what are streak artefacts

A

streaks around high attenuation objects like amalgam

18
Q

what are the contraindications for CBCT

A

if plain radiographs sufficient
pathology requiring soft tissue visualisation
high risk of debilitating artefacts
patient factors

19
Q

what comes into your justification for CBCT

A

preceded by clinical examination
only considered if plain radiography cannot give correct information
selection criteria to follow as guidelines