Radiology Lecture 18: Computed Tomography (CT) & Cone Beam CT

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Questions and Answers

What type of radiation does a CT scan machine use?

  • X-rays (correct)
  • Alpha radiation
  • Ultraviolet radiation
  • Gamma radiation

What is an advantage of CT scans?

  • The machine is very lightweight and portable
  • The patient needs to be present during the interpretation
  • The image that is produced can be selectively viewed and enlarged (correct)
  • The images produced are always blurry

What is a disadvantage of CT scans?

  • They are very easy to interpret
  • Very high-density materials produce severe artifacts (correct)
  • They can only be used for facial injuries
  • They are inexpensive to maintain

What type of images does a CBCT machine produce?

<p>3D images (D)</p> Signup and view all the answers

What is a component of a CBCT machine?

<p>A rotating gantry with an X-ray source (B)</p> Signup and view all the answers

What is an application of CT scans?

<p>Osteomyelitis and space infections (D)</p> Signup and view all the answers

What is a feature of CT scans?

<p>They can produce axial, coronal, and sagittal views (B)</p> Signup and view all the answers

What is a limitation of CT scans?

<p>They are sophisticated and costly to maintain (C)</p> Signup and view all the answers

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Study Notes

Computed Tomography (CT)

  • Uses X-rays, a powerful form of electromagnetic radiation
  • Evaluates the entire body
  • Multi-detector CT scanners have evolved, with better clinical applications
  • Applications include:
    • Osteomyelitis and space infections
    • Midfacial and mandibular trauma
    • Developmental anomalies of the craniofacial skeleton
    • Benign intraosseous cysts and neoplasms of the jaws
    • Benign and malignant neoplasms of the orofacial soft tissues
    • Soft-tissue cysts
  • Advantages:
    • Provides axial, coronal, and sagittal views of tissue
    • Displays anatomically precise location of lesions and extent
    • Shows normal and pathological soft tissue structures clearly
    • Allows for selective viewing and enlargement of areas of interest
    • Images can be manipulated and stored for later viewing
  • Disadvantages:
    • Sophisticated and expensive to maintain
    • High-density materials produce severe artifacts, making interpretation difficult
    • Inherent risk associated with contrast medium

Cone-Beam Computed Tomography (CBCT)

  • A new medical imaging technique that generates 3D images
  • Based on a cone-shaped X-ray beam centered on a 2D detector
  • Components:
    • X-ray source with a rotating gantry
    • Divergent pyramidal or cone-shaped source of ionizing radiation
    • 2D X-ray detector on the opposite side
  • Advantages:
    • Rapid scan time
    • Beam limitation
    • Image accuracy
    • Reduced patient radiation dose
    • Interactive display modes applicable to maxillofacial imaging
  • Disadvantages:
    • Extinction artifacts
    • Beam hardening artifacts

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