COMPUTED TOMOGRAPHY (CT) & CONE BEAM COMPUTED
TOMOGRAPHY (CBCT)
ASS. PROF
ZAINAB H. AL-GHURABI
Computed Tomography (CT): is a well-accepted imaging modality for evaluation
of the entire body.
Computed Tomography (CT) Scan Machines Uses X- rays, a powerful form of
Electromagnetic Radiation.
CT has undergone several evolutions and nowadays multi- detectors CT scanners
have been evolved which have better application in clinical field.
Applications of CT
MDCT imaging has several applications in the diagnosis and treatment of dento-
maxillofacial diseases:
Infections, including 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 that originate in, or extend into, the
orofacial soft tissues
• Soft-tissue cysts
Advantages of CT
It provides axial, coronal and sagittalviews of the tissue.
• It shows anatomically precise location ofthe lesion and extent.
• The structures of the soft tissues both normal and pathological are clearly
displayed .
• Because the image that is produced is formulated by the computer, areas of
interest may be selectively viewed and enlarged by using computer programmers.
• As the information is stored in the computer it can be viewed any time in
the absence of patient.
• Image can be manipulated.
Disadvantages of CT
Is sophisticated, costly and expensive to maintain.
• Very high-density materials such as metal bullets and dental restorations
produce severe artefacts on CT scan, which makes the interpretation difficult.
• There is an inherentrisk associated with the contrast medium.
Cone-beam computed tomography (CBCT)
Is a new medical imaging technique that generates 3D images.
This imaging technique is based on a cone shaped X-ray beam centered on a 2D
detector that performs one rotation around the object, producing a series of 2D
images.
Components of CBCT
CBCT is composed of X-ray source with a rotating gantry.
A divergent pyramidal or cone-shaped source of ionizing radiation is directed
through the middle of the region of interest .
CBCT scanner utilizes a 2D X-ray detector on the opposite side, which allows for
a single rotation of the gantry to generate a scan.
Computer to display the images
Advantages Disadvantages
• Rapid scan time
• Beam limitation
• Image accuracy
• Reduced patient radiation dose
• Interactive display modesapplicable to maxillofacial imaging
Disadvantages
• Extinction artefacts
• Beam hardening artefacts
• Ring artefacts
• Motion artefacts (misalignment artefacts)
Application of CBCT
Implant imaging
orthodontic and orthognathic surgeries
endodontics
Periodontics
TMG diagnosis
Maxillary sinus assessment
Impacted teeth (Third molar and canine)
Views interpretations and Anatomy
There are three 2D views sagittal, coronal and axial , all these 2D views will
reconstructed to form 3D view
Sagittal view Coronal view
Axial view
3D view