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Obiectivele cursului:

1.
2.
3.
4.
5.

Principiile tehnice ale CBCT


CBCT versus dental CT
Sisteme CBCT si caracteristici
Modalitati de examinare in CBCT
Aplicatii clinice in patologia dentomaxilo-faciala

CBCT CT

1972 Hounsfield
CT spirala
CT multislice
2001 - CBCT

CBCT CT clasic
1999 in Europa
2001 in US

Detector

Detector

Imaginea CBCT

CBCT vs. CT clasic

Captura radiatiilor X
medical CT scanners

utilizeaza un singur rand


sau o serie de detectori
solizi liniari (4, 8, 12, 32 ,
64)
Cone Beam CT utilizeaza o
suprafata 2D patratica de
detectori

CBCT vs. CT clasic

Cone Beam CT scanner produce o achizitie in volum a


datelor, urmand ca software-ul aparatului se realizeza
o reconstructie a datelor volumerice in sectiuni axiale,
2D
- imagini 2D MPR
- imagini 3D - volume rendering si surface
reconstruction

CBCT vs. CT

medical CT scanner produce un


set consecutiv de sectiuni

Cone Beam CT scanner produce


o achizitie in volum a datelor,
urmand ca software-ul aparatului
se realizeza o reconstructie a
datelor volumerice in sectiuni
axiale, 2D

CBCT vs. CT clasic

MDCT scanners echipamente de dimensiuni


mari in spitale si centre de diagnostic mari

Cone Beam scanners echipamente mici,


compacte, dedicate centrelor de diagnostic
maxilo-facial;

CBCT vs. CT clasic

Anatomia si
structura osului
osoase

Anatomia si structura
osoasa si a partilor moi

Doze comparative
CBCTvs.CT

Caracteristicile sistemului
CBCT

Tipuri de detectori
Marimea campului de scanare (FOV)
Rezolutia dimensiunea voxelului
Timpul de achizitie
Doza efectiva
Design

Tipuri de detectori CBCT

Image intensifier
system /CCD/CMOS
Rezolutie spatiala mai

buna
Distorsiune periferica
Acuratete mai
scazuta a
masuratorilor
rezolutia de contrast
mai scazuta
Zgomotul imaginii
crescut

Flat panel detector


mai nou introdusi
Distorsiune periferica

redusa
Necesita o doza mai
mare

Algoritmi de reconstructie a
imaginii

Feldkamp algoritm
primul introdus in practica
Utilizat de majoritatea CBCT

existente pe piata
Usor de implementat
Acuratete crescuta pentru
regiunile centrale ale imaginii

Distorsiune crescuta in
regiunile periferice in plan
transversal (axial)

Rezolutie scazuta la
periferie in plan
longitudinal

Iterative reconstruction methods

Recent introdusa
Distorsiune redusa

inclusiv in zonele
periferice

Reducerea artefactelor
Necesita calculoare

performante pentru
analiza datelor.

Tipul CBCT

Producator

Pozitia

Voxel
size (m)

FOV

detector

MTF

3D
Accuitomo
FPD 170,
60, 80

Morita, Japan

sezut

0.08
0.125
0.160
0.250

40x40mm
60x60mm
80x80mm
100x100mm

FP /CMOS FP
14 bit

>2pl/mm

Veraview 3D

Morita, Japan
(Pano Ceph)

ortostatism

0.125-0.2

100x80
80x80
40x40
40x80
40x50
100x50

CMOS FP
13 si 14 bit

>2pl/mm

CB
Mercuray
CB Throne

Hitachi , Japan

sezut

0.1-0.4

Auge ZIO

Asahi,
Japan
(Pano/Ceph)

Orostatism

0.1-0.15

NewTom 3G,
5G, VQ

QR, Italy

Sezut
Ortostatism
decubit

0.16
0.24
0.3

Scanora 3D

Soredex,
Finland
(Pano)

sezut

0.13-0.35

Galileos

Sirona,

sezut./orto

0.15-0.30

6-18 cm (D) x
6-16 cm (H)

Amorphous silicon
FP
20 x 25 cm
14bit

Tipul CBCT

Producator

Pozitia

Voxel
size (m)

FOV

detector

PaX 300
PaX UNI 3D,
PaX Reve
3D

Vatech ,
Coreea(Pano /
Ceph)

Sezut
ortostatism

0.08
0.125

Piccaso
Pro , Trio

Vatech , Coreea
(Pano Ceph)

Sezut
ortostatism

0.2-0.3

Promax 3D

Planmeca ,
Finland
(CBCT/Ceph)

ortostatism

0.1-0.20.4

20x18mm

Flat Panel

Scanora 3D

Soredex,
Finland
(Pano)

sezut

0.13-0.35

20x18 mm

CMOS Flat
panel

Galileos

Sirona,

sezut./orto

0.15-0.30

15x15mm

Siemens
Technology

Flat Panel
15 bit

MTF

Tipul CBCT

Producator

Pozitia

Voxel size
(m)

Kodak 9000,
Kodak 9500

Kodak , USA
(Pano/ceph)

Ortostatism

0.07
0.2-0.3

Illuma

Imtec USA

sezut

0.09-o.20.3-0.4

I-CAT

Imaging science,
USA

sezut

0.125-0.4

Kavo 3D, Gx
GB

Gendex/Kavo
Germany

sezut

0.125-0.4

FOV

detector

4x8mm
8x8mm

Amorphous
silicon FP

Tipul CBCT

Producator

3D
Accuitomo
FPD 170,
60, 80

Morita, Japan

Veraview 3D

Morita, Japan
(Pano Ceph)

CB
Mercuray
CB Throne

Hitachi , Japan

Auge ZIO

Asahi,
Japan
(Pano/Ceph)

NewTom 3G,
5G, VQ

QR, Italy

doza

Focal
spot
0.5mm

13Sv (4x4
CM 17.5 sec
scan)

15Sv (4x4
CM 9.5 sec
scan)

0.5mm

0.3mm
49 Sv

PaX 300
PaX UNI 3D,
PaX Reve
3D

Vatech ,
Coreea(Pano /
Ceph)

40.52 - 60.95
Sv

0.5mm

X ray
source

software

Caracteristici
speciale

Ca mai buna claritate


a imaginii de la
60-90 kV, 1-10
i-Dixel 2.0/One
Morita
mA
Data
MAX 8mA (HiViewer/One
Posibil zoom pe o
Fi & Hi-Res
Volume Viewer
anumita regine de
Mode)
interes
i-Dixel 2.0/One Convex triangle
60-80 kV, 1-10
Data
shape of FOV
mA
Viewer/One
Volume Viewer

High
frequency,
constant
NNT with
potential (DC)
free viewer &
Rotating
sharing app
anode: 110 kV;
1-20 mA
(Pulsed mode)

Safe Beam
technology, -doza de
radiatie este
adaptata densitatii
structurii anatomice
* Unique "pulse
density

* Tehnologie de
reducere a
50~120kVp/4 EasyDent/Ez3
artefactelor
~10mA
D
* Posibilitate de
alegere a FOV

Tipul CBCT

Producator

Piccaso
Pro , Trio

Vatech , Coreea
(Pano Ceph)

Promax 3D

Planmeca ,
Finland
(CBCT/Ceph)

doza

12 Sv (Child)
- 150 Sv
(Adult)

Scanora 3D

Soredex,
Finland
(Pano)

Galileos

Sirona,

Focal
spot

X ray
source

software

Caracteristici
speciale

* Automatically
adjusts volume sizes
for
children
* Improved artifact
removal (IAR) for
high constrast object
compensation
* Compatible with
Mac OS computers
* 3D face photograph
(ProFace)
* 3D Impression scan

Tipul CBCT

Producator

Kodak 9000,
Kodak 9500

Kodak , USA
(Pano/ceph)

Illuma

Imtec USA

I-CAT

Imaging
science, USA

Kavo 3D, Gx
GB

Gendex/Kavo
Germany

doza

Focal
spot

X ray
source

software

Caracteristici
speciale

40-110Sv

0.5mm

120kV, 37mA pulsed

Icat Vision

Recosntructii 3D a structurilor osoase


si a partilor moi

NT-II 9

NT-FP

Implantologie

Implantologie - Sabloane cu
markeri radioopaci

DICOM 3 3rd party software. Please call for details.

Implantologie

Implantologie

3-D Implant Planning

DICOM 3 3rd party software. Please call for details.

CBCT post-implantar

2. Incluzia dentara

2. Incluzia dentara

2. Incluzia dentara

Incluzia dentara

1.3 inclus

3. ortodontie

3-DVR (3-D Volume Rendering Software)

ortodontie

DICOM 3 3rd party software. Please call for details

Chirurgia ortognatica

Reposition
DICOM 3 3rd party software. Please call for details

Sinus lift - preop

postop

4. Diformitati craniofaciale

4. Diformitati craniofaciale

5. Traumatisme maxilofaciale

5. Traumatisme maxilofaciale

5. Traumatisme maxilofaciale

5. Traumatisme maxilofaciale

5. Traumatisme maxilofaciale

5. Traumatisme maxilofaciale- Le Fort II

5. Traumatisme maxilofaciale

5. Traumatisme maxilofaciale

5. Traumatisme maxilofaciale

Zigomatico-maxilara

Oase nazale

6. ATM- anchiloza

7. ATM disfunctia ATM

8. Osteomielite

Comunicare oro-antrala

9. Tumori osoase
-ameloblastom

Tumori osoase- displazie


fibro-chistica

Tu sinus maxilar

Tu sinus maxilar

Osteosarcom maxilar
CT/CBCT

LIMFOM mandibular

10. Tumori cu invazie


osoasa

10. Tumori cu invazie


osoasa

10. Tumori cu invazie


osoasa

10. Tumori cu invazie


osoasa

10. Tumori cu invazie


osoasa

Invazie tumorala osoasa

11. Hipoplazie sinusala

Hipoplazie sinusala

Sinuzite