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UBC Theses and Dissertations

Optimization of CBCT image quality in implant dentistry Alawaji, Yasmine


Objectives: This study was conducted to optimize the CBCT image quality in implant dentistry using both clinical and quantitative image quality evaluation with measurement of the radiation dose. Materials and methods: A natural bone human skull phantom and an image quality phantom were used to evaluate the images produced after changing the exposure parameters (kVp and mA). A 10x5 cm² FOV was selected for average adult. Five scans were taken with varying kVp (70 kVp, 75 kVp, 80 kVp, 85 kVp, 90 kVp) first at fixed 4 mA. After assessment of the scans and selecting the best kVp, nine scans were taken with varying mA (2 mA, 2.5 mA, 3.2 mA, 4 mA, 5 mA, 6.3 mA, 10 mA, 12 mA) and the optimal kVp was fixed. A dosimetry index phantom was used to measure the absorbed dose for each scan setting. Quantitative image quality was assessed for noise, uniformity, artifact added value, contrast-to-noise ratio, spatial resolution and geometrical distortion. A clinical assessment of implant related anatomical landmarks was done in random order by two blinded examiners. Results: The absorbed dose was reduced with reduction of exposure settings. The quantitative image quality values were acceptable at variable exposure settings. The anatomical landmarks of the maxilla had good quality at all different kVp settings. To produce good image quality, the mandibular landmarks demanded higher exposure parameters than maxilla. Conclusion: Changing the exposure parameters does not necessarily produce higher image quality outcomes but does affect the radiation dose to the patient. The image quality could be optimized for implant treatment planning at lower exposure settings and dose than the default settings.

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