Intro to Radiology Flashcards

(43 cards)

1
Q

Radiographs have similar properties to … but …

A
  • shadows made by light
  • the rays also pass through object to varying degrees
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2
Q

Principles of shadow casting

A
  • radiation source small as possible
  • source-object distance large
  • object-film distance small
  • object and film parallel
  • x-ray beam perpendicular to object/film
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3
Q

Define ‘resolution/sharpness’

A

measures how well the details (boundaries/edges) of an object are reproduced

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4
Q

What does a line pair gauge do?

A

measures sharpness/resolution

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5
Q

4 types of un-sharpness

A
  • movement
  • geometric
  • photographic (if using film)
  • pixel size
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6
Q

What is geometric unsharpness?

A
  • zone of unsharpness along the edge of images in a radiograph
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7
Q

How are magnification and resolution linked?

A
  • source to object distance (the greater, the less divergence of the beam, so less magnification)
  • object to film distance (the greater, the more magnification)
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8
Q

Decreasing the focal spot size increases …

A

sharpness

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9
Q

Increasing the traget-teeth distance increases what?

A

sharpness

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10
Q

2 things that increase sharpness

A
  • decrease focal spot size
  • increase target-teeth distance
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11
Q

Explain photographic unsharpness

A
  • E-speed is normal
  • F-speed show larger crystals and more unsharp image
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12
Q

You may see … due to angulation

A

distortion

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13
Q

How should intra-oral radiography be done for ideal images?

A
  • image recorder absolutely flat
  • film parallel to long axis of object (tooth)
  • recorder as close as possible
  • central of x-ray beam should be perpendicular to both object and film
  • distance between x-ray source and object should be large with small object film distance
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14
Q

If the placement of the radiograph is wrong, correction?

A
  • place receptor according to placement guidelines
  • to cover all structures
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15
Q

If the foreshortening of the radiograph is wrong, correction?

A

decrease vertical angulation of x-ray beam

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16
Q

If the elongation of the radiograph is wrong, correction?

A

increase vertical angulation of PID

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17
Q

If the overlappingof the radiograph is wrong, correction?

A

direct x-rays between contacts of the teeth

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18
Q

If the cone-cutting of the radiograph is wrong, correction?

A

center x-ray beam over the image receptor

19
Q

If the underexposure of the radiograph is wrong, correction?

A

increase exposure factors - check for large patient size

20
Q

What’s the paralleling technique?

A
  • film palced in holder and positioned parallel to long axis of the tooth
  • x-ray beam is aimed at right angles to tooth and film
  • by using a holder the technique is reproducible
21
Q

Explain the bisected angle technique

A
  • film placed as close to the tooth as possible without bending
  • angle between long axis of tooth and film is assessed and bisected
  • beam is aimed at right angles to this bisected line
22
Q

Advantages of the paralleling and bisected techniques

A
  • sharper, less distorted images
  • correct centring of image on film
  • easier to do - less guesswork
  • reproducible
23
Q

Disadvantages of paralleling and bisected angle technique

A
  • difficult or impossible if palate low or floor of mouth shallow
  • can be difficult is using rubber dam clips as in endodontics
24
Q

How to make imaging reproducible?

A
  • film holder with putty matrix attached is the same everytime
  • dismantle from holder and leave putty with bite block for further imaging (same beam angulation next time)
25
Uses of bitewings
- caries in posterior teeth - deficient/leaky restorations - poor contoured restorations - calculus - early periodontal bone loss
26
Role of bitewing holders
- improve centring - reduces overlapped teeth - serial radiographs comparable
27
Bitewing technique
- beam is aimed at right angles to the film and through the interproximal space - to prevent overlap
28
Vertical bite wing uses
- useful for demonstrating mild to moderate alveolar bone loss - if probe depth is less than 6mm
29
Features seen in occlusal radiography
- maxillary projections - mandibular projections
30
Types of maxillary projections
- upper standard occlusal - upper oblique occlusal - vertex occlusal
31
Types of mandibular projections
- lower 90 degree view (true) - low 45 degree view (standard) - lower oblique occlusal
32
Uses of upper standard maxillary occlusal radiographs
- periapical assessment of upper anterior teeth - presence of unerupted canines, supernumeries - for parallax in conjunction with DPR - size of cysts/tumours - assessment of alveolar fractures
33
What can upper oblique maxillary occlusal show that standard occlusal can't?
- shows premolar and molar areas
34
Uses of vertex occlusal radiographs Problem
- similar to standard view - but gives plan view of palate - will show buccal/lingual position of unerupted canines - not recommended due to beam passing through patient
35
Uses of lower 90 degree mandibular occlusal radiographs
- detection of submandibular calculi - assessment of bucco-lingual position of mandibular teeth - evaluation of bucco-lingual cortical expansion - assessment of mandibular fractures
36
What do lower 45 degree mandibular occlusal radiographs show that true lowers don't?
- periapical view of lower anterior teeth
37
Use 60KVp on radiograph when ...
looking for foreign bodies in soft tissues
38
The lower the KVp the increased ...
contrast
39
What is a dental panoramic radiograph?
- called a tomograph - a slice through the jaws for example - gives excellent overview of anatomy of maxilla and mandible
40
Other names for dental panoramic tomogram/DPT
- OPG (orthopantomograph) - panoramic
41
Uses of dental panoramic tomographs
- evaluations of periodontal/orthodontic status - trauma - caries assessment (but not ideal) - assessment of third molar position related to ID canals - assessment for tumours in jaws - TMJ outline (not ideal)
42
What can you do to reduce radiation in radiographs?
- not picture and remove centre sextants
43
When would you do a lateral cephalogram?
orthodontic assessment