Optimization of cone beam CT exposure for pre-surgical evaluation of the implant site

Dentomaxillofac Radiol. 2012 Jan;41(1):70-4. doi: 10.1259/dmfr/16421849. Epub 2011 Dec 19.

Abstract

Objectives: The aim of this study was to investigate the possibility of reducing patient X-ray dose in the course of implant site evaluation.

Methods: Retrospective practice-based study using a Morita F170 Accuitomo cone beam CT (CBCT) scanner with variable exposure parameters and operating a small cylindrical field of view of 4 cm diameter and 4 cm height. 6 experienced dental surgeons scored the image quality of dental scans on a 5-point scale for adequacy in providing the required information in 2 categories: bone height from alveolar crest to the relevant anatomical structure and bone width.

Results: Lower-dose protocols only marginally affected the preference of the reviewers of the resulting images.

Conclusions: There is potential to reduce patient dose very significantly in CBCT examinations for implant site evaluation.

MeSH terms

  • Adult
  • Alveolar Process / diagnostic imaging*
  • Cephalometry / methods
  • Cone-Beam Computed Tomography / methods*
  • Cone-Beam Computed Tomography / standards
  • Dental Implantation, Endosseous*
  • Dental Implants
  • Female
  • Humans
  • Image Processing, Computer-Assisted / methods
  • Imaging, Three-Dimensional / methods
  • Male
  • Mandible / diagnostic imaging
  • Maxilla / diagnostic imaging
  • Maxillary Sinus / diagnostic imaging
  • Nasal Cavity / diagnostic imaging
  • Patient Care Planning*
  • Preoperative Care
  • Radiation Dosage*
  • Radiographic Image Enhancement / methods
  • Retrospective Studies

Substances

  • Dental Implants