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7 Cards in this Set

  • Front
  • Back

computed tomography (CT)

produces axial and coronal views




image is reconstructed by computer and recorded as:


matrix of individual blocks called voxels


each square of image is a pixel




each pixel is assigned a CT number (proportion to attenuation of x-ray beam)




CT range:


-1000 - +1000


air is -1000


water is 0


dense bone is +1000

advantages and disadvantages of CT

advantages:


eliminates superimposition of structures


higher contrast resolution


can differentiate soft tissues




disadvantages:


metallic artifact


higher radiation dose

CT applications

diagnosis of maxillofacial complex (tumor, trauma, inflammation)


salivary gland disease


TMJ

cone-beam computed tomography (CBCT)

produces 3D imaging of jaws and teeth




uses pulsed cone-shaped x-ray beam that produces 150-600 "basis" images




composed of voxels:


superior dimensional accuracy in reconstruction process of raw data




image can be viewed in axial, sagittal, coronal, and cross-sectional planes

CBCT applications

oral and maxillofacial diagnosis


ortho and endo planning


TMJ abnormalities


3rd molar extractions


airway assessment (sleep apnea)


bone graft assessments




dental implants:


assess bone quantity and quality, shape and anatomy


virtual implant placement to form surgical template




NOT recommended for caries detection




identifies bone defects and furcation involvements

magnetic resonance imaging (MRI)

T1-weighted image:


short TR and TE


high signal in fat and bone marrow


intermediate signal in muscle


low signal in air, cortical bone, fibrocartilage, ligament


good for anatomic detail structures




T2-weighted image:


long TR and TE


high signal in water (edema, cystic lesions, CSF)


intermediate signal in muscle


low signal in air, cortical bone, fibrocartilage, ligament


good for pathology

MRI applications

internal derangements of TMJ (ADD with/without reduction)


diagnosis of soft tissue neoplasms


infectious diseases


pathology related to cranial nerves