General introduction

Oral radiation biology

WAVELENGTH
Non-ionizing & Ionizing
X-ray tube
Biological effect radiation
Intraoral imaging

• periapical imaging

• bitewing imaging

• Occlusal imaging
 Periapical imaging (full mouth)

Anatomy: Crown、roots、periodontum、periapical、aveolar bone

Application：caries、periapical lesions、periodontal diseases、VRF、impacted
teeth......etc.
 Bitewing imaging

Anatomy：both maxillary and mandibular crowns, upper part of roots, aveolar crest

Application

interproximal aveolar bone filling calculus

caries loss protrusion
 Occlusal imaging

阻生、多生牙
腭部骨质改变
定位 儿童前牙区/
张口受限患者

下颌下腺阳性结石 颊舌向发展的病损
Panoramic imaging
Cephalometrics
 颅面生长发育
 牙颌、颅面畸形诊断
 矫治设计
 治疗效果评估
What are the anatomic
structures?
CT、CBCT傻傻分不清楚?
传统CT 口腔CT(CBCT)

 扇形X线束  锥形X线束
 一维探测器  二维探测器（成像板）
 多层螺旋扫描  单圈扫描
 Advantages and limitation
CBCT的优点：

• 辐射剂量低：小视野CBCT≈全景
• 相对螺旋CT有较高的空间分辨率 （体素可以达到0.076或0.125mm）

传统平片 CBCT 螺旋CT

＞ ＞
 Advantages and limitation
CBCT的缺点：

• 软组织分辨率差（密度分辨率）
• 伪影形成
金属伪影
移动伪影
Beam-hardening artifect 射线硬化

高密度金属物周围条带暗影
射线硬化伪影---影响诊断

种植体骨结合形成如何，CBCT能判断吗？？？
继发龋？？伪影？？
Panoramic imaging CBCT
The same Panorama?
Film years
Hospital information system (HIS)

电子病历 检验信息系统
医疗数位影像传输协定
（DICOM，Digital Imaging and Communications in Medicine）
Digital Imaging and Communications in Medicine (DICOM) is the standard for the
communication and management of medical imaging information and related data[1].
DICOM is most commonly used for storing and transmitting medical images enabling
the integration of medical imaging devices such as scanners, servers, workstations,
printers, network hardware, and picture archiving and communication systems (PACS)
from multiple manufacturers. It has been widely adopted by hospitals, and is making
inroads into smaller applications like dentists' and doctors' offices.
PACS SYSTEM
MIMICS