Radiography chapter
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Digital Radiography
Dr Steven Holmstrom DVM DipAVDC

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Introduction

Digital radiography is currently available to most practices with their current technology - scanners and/or digital cameras.

The advantage of digital images is that they can be manipulated on the computer screen to aid diagnosis by changing density, contrast and magnification. These images can also be easily stored and used for client education, referral opinions or letters, etc. The digital files are easily transferred from computer to computer both by disk and via the Internet.

There are four ways that radiographs can be converted to digital images.

 

Digital Cameras

Digital photography is a cost effective method of converting conventional radiographs to digital images. The radiograph is placed on a view box or window looking into blue sky and the photograph is taken.

It can then be transferred to a computer for editing and storage. Generally, the digital image should be converted to black and white format to avoid discoloration caused by artificial lights.

Digital photography and scanning (depending on the cost of the scanner or camera) are the least expensive methods of obtaining digital radiographs.

 

Sony Mavica digital camera
Sony Mavica digital camera

Scanning

This method requires a scanner hooked up to a computer. The scanner must be able to "backlight" the radiograph.


Phosphorus Sensor

This technique utilises an image plate which can be reused. The size of the plate can vary from small periapical films to larger panoramic sizes. After exposure with a conventional dental radiographic unit, the plate is placed in a scanner and transmitted to a computer. The image can be manipulated, is easily transferred, and has less radiation per image than conventional radiology. The disadvantages are that the image is not instant and must be scanned to view. It requires more steps than CCD/CMOS technology. Initial cost is in the range of £5,000 to £10,000.


CCD/CMOS Sensor

This technique uses a sensor plate attached to a computer. The advantage is that the image is immediately displayed on the computer. The disadvantage is that the sensors are expensive and, at this time, only come in periapical film size 2.

 

Digital radiographs and CCD/CMOS sensor plate
Digital radiographs and CCD/CMOS sensor plate

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