Sensor and Beam Technique Erros Flashcards

1
Q

what are the sensor placement and beam positioning problems

A
  • image receptor
  • shadow casting princples
  • the human element
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2
Q

what are the image receptors

A
  • film
  • phosphor storage plate (PSP)
  • charge coupling device (CCD)
  • Complementary metal oxide semiconductor (CMOS)
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3
Q

what are the shadow casting principles

A
  • beam angulation
  • receptor placement
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4
Q

what are the sources of problems with sensor placment abd beam positioning

A
  • technique problems
  • exposure problems
  • patient preparation problems
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5
Q

what are the technique problems

A
  • phalangiona
  • movement
  • sensor placement
  • beam angulation - horizontal
  • beam angulation - vertical
  • PID/BID alignemtn
  • sensor wire placement
  • sensor bending
  • sensor creasing
  • double exposure
  • reversed placement
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6
Q

what technique problems are related to PSP and film images

A
  • sensor bending
  • sensor creasing
  • double exposure
  • reversed placement
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7
Q

what is phalangioma

A

patients finger positioned in front of the sensor

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8
Q

what is the cause of movement

A

patient or x ray tube head moves during exposure

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9
Q

sensor placment is more critical with what type of sensors and why

A

solid state because there is a smaller active image capture area

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10
Q

describe the maxillary premolar PA

A
  • receptor parallels B and Li planes of premolars
  • receptor parallels long axis of premolars
  • anterior edge of receptor includes distal 1/2 canine, the premolars and some molars
  • horizontal angle directed through distal of canine/premolar, premolar/premolar and the 2nd premolar/molar contacts
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11
Q

where do you place the receptor for the lateral maxillary

A

lateral centered with open mesial contact

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12
Q

where do you place the receptor in canine premolar shot

A

canine 1st premolar centered with open contact

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13
Q

where do you place the receptor in the maxillary premolar shot

A

anterior receptor edge to middle of canine

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14
Q

where do you place the receptor in maxillary molar shot

A

anterior receptor edge to middle of second premolar

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15
Q

where do you place receptor for anterior bitewing

A

0 anteiror plate edge to middle of most anterior canine
- receptor must be parallel with teeth of interest

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16
Q

where do you palce receptro in posteior BW

A
  • vertical bitewing anterior receptor edge to mesial of mandibular first molar
  • receptor must be parallel with teeth of interes
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17
Q

describe the maxillary molar PA shot

A
  • receptor parallels B and Li planes of molar
  • receptor parallels long axis of molars
  • anterior edge of receptor includes distal 1/2 of 2nd premolar and as much of the molars as possible
  • horizontal angle directed through distal of 2nd premolar/1st molar and the intermolar contacts
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18
Q

describe the premolar BW

A
  • receptor parallels B and Li planes of premolars
  • receptor parallels long axis of premolars
  • anterior edge of receptor includes distal 1/2 of canine, the premolars and some of the molars
  • horizontal angle directed through the distal of canine/premolar, premolars and the 2nd premolar/1st molar contacts
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19
Q

where is the cotton roll placed

A

between biteblock and opposing teeth NOT between biteblock and imaged teeth

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20
Q

what would tell you you have incorrect placeemnt

A
  • absence of apical structures
  • dropped sensor corner
21
Q

what is the cause of absence of apical structures

A

sensor not positioned over the apical area in the mouth
- bite block not against occlusal/incisal edge; OR patient not biting down

22
Q

what is dropped film corner also called

23
Q

what is the cause of tipping/ dropped film corner

A

sensor not placed parallel with the occlusal/incisal surface of teeth

24
Q

what should the central ray be for the correct horizontal angle

A
  • should be directed between the interproximal contacts of interest
25
for correct horizontal angulation the central ray has to be projected perpendicular to:
sensor
26
what is the cause of incorrect horizontal angulation
central ray is not projected perpendicular to sensor
27
what determines the correctness of beam angulation in horizontal direction
- anterior and posterior bitewing placement
28
what would be the issues with incorrect vertical angulation
- foreshortened images - elongated images
29
what is the cause of foreshortened images
- excessive vertical angulation - beam is perpendicular to the sensor
30
what is the cause of elongated imagees
- insufficient vertical angulation - beam is perpendicular to the tooth/teeth
31
what are the PID alignment problems
cone cuts - with sensor holder -without sensor holder
32
what is the cause of cone cuts with sensor holder
- PID is not properly aligned with the sensor holding device from - incorrect XCP assembly -poor alignment of PID with XCP
33
what is the cause of cone cuts without sensor holder
- PID not directed at center of film
34
what are the exposure problems
- overexposed - underexposed - no exposure - sensor wire superimposition - post exposure
35
which exposure problems are less dramatic and why
- overexposed, underexposed and no exposure - post- exposure image processing by software immediately corrects large exposure discrepancies
36
what is overexposure caused by
- excessive exposure to x-radiation from: - increased time - increased mA - increased kV
37
what is the cause of underexposed images
- insufficient exposure time, kVp, mA
38
what is the main cause of underexposed image in SOD clinic
time
39
for post exposure image processing what are the faulty program software image settings called
calibration files + gain gamma and - gain
40
what are patient preparation problesm
failure to remove a non-fixed item from patient that may be in path of the primary x ray beam
41
what are the examples of patient preparation problems
-gum - candy - piercings: face piercing - eyeglass frames -RPD
42
what does not removing jewelry risk:
masking disease
43
what is the cause of sensor bending
sensor is bending toward source because of impingement against palate
44
what is the cause of sensor creasing/scratch marks
damage to storage phosphors so there is no signal to the area with damaged pixels
45
creases are:
permanent
46
what is the cause of double exposure
- PSP sensor is accidentally exposed twice - not possible with CMOS
47
what is the cause of reversed placement
sensor is placed back to front in sensor holder
48
why is reversed placement not possible with CMOS
because of poor unstable fit in biteblock
49