digital imaging Flashcards

1
Q

basic concepts of digital imaging

A
  • used to record radiographic images
  • no film or processing chemistry is used
  • uses an electronic sensor and computerized imaging system that produces x-ray images almost instantly on a computer monitor
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2
Q

terminology:

A
  • analog image
  • bit-depth image
  • Charge-coupled device (CCD)
  • Digital imaging
  • Digital image
  • Digital subtraction
  • Digitize
  • Direct digital imaging
  • Indirect digital imaging
  • Line pairs/millimeter (lp/mm)
  • Pixel
  • Sensor
  • Storage phosphor imaging
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3
Q

brief explanation of why we use digital imaging

A
  • to generate images that can be used in the diagnosis and assessment of dental disease
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4
Q

purpose and use

A
  • to detect lesions, disease, and conditions of the teeth and surrounding structures
  • to confirm or classify suspected disease
  • to provide information during dental procedures
  • to evaluate growth and development
  • to illustrate changes secondary to caries, periodontal disease, or trauma
  • to document the condition of a patient at a specific point in time
  • to localize lesions or foreign objects
  • to aid in the development of a clinical treatment plan
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5
Q

fundamentals of digital imaging

A
  • a method of capturing a radiographic image using a decors, breaking it into electronic pieces, and presenting and storing the image using a computer
  • the term image is sued to describe the pictures that are produces instead of radiographs
  • a sensor is placed inside the mouth
  • the electronic signal is digitized
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6
Q

radiation exposure in digital imaging

A
  • the typical sensor is more sensitive to x-rays than conventional film. requires less x-radiation exposure
  • exposure times are 50%-90% less than that required for conventional radiography because the sensor is more sensitive to x-rays than conventional film
  • ex. conventional intraoral film, which takes 0.5 seconds would take 0.05 seconds to produce and image for digital radiography
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7
Q

equipment for digital imaging

A
  • x-ray unit
  • sensor: charged couple device (CCD), complementary metal oxide semiconductor/active pixel sensor, charge injection device
  • computer
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8
Q

x-radiation source

A
  • most digital radiography systems use a conventional dental x-ray unit as the x-radiation source (it is compatible with digital imaging system)
  • the x-ray unit timer mist be adapter to allow exposure times in a time Frame of 1/100 of a second
  • unit can still be used for conventional radiography
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9
Q

intraoral sensor

A
  • a small detector that is placed in the mouth of the patient and used to capture the radiographic image
  • wired: the imaging sensor is linked by a fixer optic cable to a computer (8-35 ft in length)
  • wireless: the imaging sensor is not linked by a cable
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10
Q

what size dimensions are intraoral sensors made?

A
  • most sensors produced in similar dimension to size 0,1,2 and 4 intraoral films
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11
Q

most popular types of direct sensor technologies

A
  • charge-coupled device (CCD)

- complementary metal oxide semiconductor/active pixel sensor

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12
Q

what is a charged-coupled device (CCD)?

A
  • the most common image receptor used in dental digital imaging
  • a solid-state detector that contains a silicon chip with an electronic circuit embedded in it
  • the electrons that make up the silicon CCD can be visualized as being divided into an arrangement of blocks or picture elements known as pixels
  • the x-ray photons that come into contact with the CCD cause electrons to be released from the silicon and produce a corresponding electronic charge
  • each pixel arrangement, or electron potential well, contains an electronic charge proportional to the number of electrons that reacted within the well
  • each electronic well corresponds to a specific area on the linked computer screen
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13
Q

what is a pixel?

A

a small box or ‘well’ into which the electrons produced by the x-ray exposure are deposited

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14
Q

what is a complementary metal oxide semiconductor/active pixel sensor (CMOS/APS)?

A
  • one manufacturer uses a CMOS/APS sensor instead of a CCD

- the tip is less expensive to produce and offers greater durability than the CCD

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15
Q

what does the computer do?

A
  • used to store the incoming electronic signal; converts the electronic signal from the sensor into a shade of gray that is viewed on the computer monitor
  • the computer digitizes, processes and stores information received from the sensor; an image is recorded on a computer monitor in 0.5 to 120 seconds
  • image may be permanently stored in computer, printed or transmitted electronically to insurance companies or referring dental specialties
  • has split screen and magnification capability
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16
Q

types of digital imaging:

A

2 methods

  • direct digital imaging
  • indirect digital imaging (storage phosphor imaging / PSP)
17
Q

what is direct digital imaging? what does this include for components?

A
  • components include an x-ray machine, an intraoral sensor, and a computer monitor
  • a sensor with a fixer optic cable linked to the computer is placed into the mouth of the patient and exposed to x-radiation
  • the sensor captures the radiographic image and transmits it to the computer monitor within seconds
  • software is used to enhance and store the image
18
Q

what is indirect digital imaging?

A
  • storage phosphor imaging (PSP)
  • a wireless digital radiography system
  • a reusable imaging plate coated with phosphors is used instead of a sensor with a fiber optic cable
  • the phosphor-coated plated are flexible and fit into the mouth
  • resembles an intensifying screen used to exposed extra oral film in that it converts x-ray energy into light
  • the radiographic images are cleared from the plates by exposure to view box light for several minutes
  • a high-speed scanner is used to convert the information into electronic files
  • this type of digital imaging is less rapid than direct digital imaging (30 secs. - 5 mins)
19
Q

step-by-step procedures

A
  • sensor preparation
  • sensor placement
  • *it is critical to refer to manufacturer provided instruction booklet for info concerning the operation of the system, equipment preparation, patient preparation and exposure
20
Q

sensor preparation

A
  • each sensor is sealed and waterproofed (the sensor must be covered with a disposable barrier because it cannot be sterilized)
  • rigid digital sensors, wired or wireless, must be covered with a disposable barrier sleeve (ribber finger cot may be placed to further protect the wired or wireless sensor, and to prevent cross-contamination)
21
Q

sensor placement

A
  • the sensor is held in the mouth by bite-block attachments or devices that aim the beam and sensor accurately
  • the paralleling technique is the preferred method of exposure
22
Q

advantages of digital imaging

A
  • superior to Gray-scale resolution
  • reduced exposure to x-radiation
  • increased speed of image viewing
  • lower equipment and film cost
  • increased efficiency
  • enhancement of diagnostic image
  • effect patient education tool
  • eco-friendly tool
23
Q

disadvantages of digital imaging

A
  • initial setup costs
  • image quality
  • sensor size and thickness
  • infection control
  • wear and tear
  • legal issues