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IDI
Interactive Diagnostic Imaging
!"#$%&'#()$*+(&,"-.#('*!/&,(",0*112345*6787%"*6)$*9:0*;7(#$*
1. What is rectangular collimation?
2. Why is rectangular collimation no longer a matter of choice?
3. What are the advantages of rectangular collimation?
4. How is the X-ray beam positioned for rectangular collimation?
5. What is the proper beam !ltration setting?
6. Are there any disadvantages to rectangular collimation?
7. How does this impact on my current intraoral x-ray equipment?
8. What ways are there available to convert my existing intraoral x-ray
machines?
9. How does this a"ect current intraoral x-ray exposure techniques?
10. Are !lm holder-beam indicating devices needed?
11. Is rectangular collimation the same for !lm based and digital intraoral
systems?
12. What sources are available for rectangular collimation conversion
devices?
13. What are the costs of conversion to rectangular collimation?
14. Are there alternatives to the conversion of existing machines?
15. Appendix: Guidelines for prescribing dental radiographs.
TABLE OF CONTENTS
IDI
1. WHAT IS RECTANGULAR COLLIMATION?
2-==(/(-"*/$&".*%$.#%('#(-"*-U* #Q$*JC%&P*8$&/*WRDFHUWDLQVL]HDVVSHFLHGE\IHGHUDOODZ7KLV(.* O-"$* 8P*/$&".* -U* &* '-==(/-%0* $(#Q$%* * #Q$*#78$*Q$&O*-%** #Q$*$"O*-U* #Q$*8$&/* ("O('(",*O$)('$* S'-"$TN* W"#(=* %$'$"#=P* #Q$* 8$&/* "$$O$O*#-*8$*'-==(/$O* #-*&*'(%'=$** #Q$*R($"#X.*.V("*"-*,%$$%*#Q&"*K*'/*-%*ANK4*("'Q$.*("*O(&/$#$%N*H$'#&",7=&%*'-==(/(-"*(.*&*U7%#Q$%*%$.#%('#(-"*-U*#Q$*8$&/*.(Y$*#-*&RR%-J(/$=P*#Q$*.(Y$*-U*&*ZA*SHULDSLFDOOPRUVLPLODUVL]HGGLJLWDOVHQVRU
2. WHY IS RECTANGULAR COLLIMATION NO LONGER A MATTER OF CHOICE?
H$'#&",7=&%*'-==(/(-"*Q&.*8$$"*M(O$=P*&)&(=&8=$*IRUPDQ\GHFDGHVEXWKDVQRW IRXQGVLJQLFDQWDFFHSWDQFHLQWKHGHQWDORIFHLQVSLWHRIEHLQJ#&7,Q#*("*#Q$*/&[-%(#P*-U*$O7'(-"&=*(".#(#7#(-".N*BQ$* 9(-"&=* 2-7"'(=* -"* H&O((-"* \%-#$'#(-"*S92H\T* R78=(.Q$O* &* %$R-%#* -"* +$'$/8$%* ?
3. WHAT ARE THE ADVANTAGES OF RECTANGULAR COLLIMATION?
BQ$%$*&%$*#M-*/&[-%*&O)&"#&,$.*-U*%$'#&",7=&%*'-==(/(-"N
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>$"$%&==P0*(#*'&"*8$*.&(O*#Q*MQ$"*,-(",*U%-/*#Q$*%-7"O*'-"$*#-*#Q$*%$'#&",7=&%*'-"$0*#Q$*-)$%&==*&8.-%8$O* O-.$* U-%* #Q$* DbG* '&"* 8$* %$O7'$O* 8P*&* U&'#-%* -U* AC?* #(/$.0* -%* A@@cC?@@cN* +$"#&=*%&O((-"* .-7%'$.* Q&)$* 8$$"* (/R=('$O* ("* #Q$*O$)$=-R/$"#*-U*/&=(,"&"#*R&%-#(O*,=&"O*#7/-%.*&"O* &.* '&"* 8$* .$$"* %$'#&",7=&%* '-==(/(-"*%$O7'$.* #Q$* O-.$* #-* #Q(.* &%$&* .(JCU-=ON* !#* /&P*&=.-* 8$* .&(O* #Q* #Q$* DbG* 7.(",* %$'#&",7=&%*'-==(/(-"* O$=()$%.* &8-7#* #Q$* .&/$* %&O((-"*GRVHDVELWHZLQJVXVLQJDURXQG%,',WPD\&=.-*8$*.&(O*#Q*&*\69*O$=()$%.*&8-7#*#Q$*.&/$*GRVHDV%:VXVLQJUHFWDQJXODUFROOLPDWLRQ
!"*#$%/.*-U*'&"'$%*%(.V*'&='7=(-".0*#Q$*R%-8&8(=(#P*#Q*%&O((-"C("O7'$O*'&"'$%*M(==*O$)$=-R*%&",$.*U%-/* KN
4. HOW IS THE X-RAY BEAM POSITIONED FOR RECTANGULAR COLLIMATION?
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
6. ARE THERE ANY DISADVANTAGES TO RECTANGULAR COLLIMATION?
6'#7&==P0* #Q$%$* &%$* "-* %$&=* O(.&O)&"#&,$.* -U*7.(",*%$'#&",7=&%*'-==(/(-"*&.*$O7'-%.*Q&)$*8$$"* #$&'Q(",* #Q$* #$'Q"(_7$* U-%* /&"P* P$&%.*ZLWKRXW DQ\ GLIFXOW\ RU FRPSODLQW IURP WKH.#7O$"#.N*a-M$)$%0* #Q$* U-==-M(",* U&'#-%.* &%$* #-*8$*'-".(O$%$OE
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8. HOW CAN I CONVERT MY EXISTING INTRAORAL X-RAY MACHINES?
$%;/.&*,;# )8%# (+,*0)*,;# >?./6#:/(8*,%0# )8%.%# /.%# )8.%%# 9/0*(# :%)8+&0=* BQ$*UVWPHWKRGLVWKHXVHRIDSRVLWLRQLQGLFDWLQJGHYLFHM(#Q*#Q$*%-7"O*'-"$*&"O*MQ('Q*'-==(/$.*#Q$*8$&/**#Q$*.V("*.7%U&'$N*BQ(.*O$)('$*(.*/&O$*-U*/$#&=*&"O*(.*'&==$O* #Q$*b&.$=*\-.(#(-"(",*!".#%7/$"#N*BQ$*.$'-"O*/$#Q-O* (.* '-")$%#(",* &* %-7"O* '-"$* #-* %$'#&",7=&%*'-==(/(-"*8P*.=(RR(",*&*'-==(/-%*-"*#Q$*$"O*-U*#Q$*%-7"O*'-"$N*BQ$*'-==(/-%*(#.$=U*M(==*%-#$**(#.*8&.$*("*-%O$%*#-*R%-R$%=P*&=(,"*#Q$*"-M*%$'#&",7=&%*8$&/*ZLWKWKHOPVHQVRU7KHWKLUGPHWKRGLVWKHXVHRIDUHFWDQJXODUFRQHRU%,'7KLVPHWKRGKDVEHHQXVHGU-%**=$&.#*A@*P$&%.*8P*#Q$*W"()$%.(#P*-U*B$J&.*a$&=#Q*6FLHQFH&HQWHUDW6DQ$QWRQLR:HUHSODFHWKHH[LVWLQJ%-7"O*'-"$*M(#Q*&*%$'#&",7=&%*'-"$N*BQ(.*'-"$*/7.#*&=.-*%-#$** (#.*8&.$*MQ$%$*(#*#&'Q$.*#-*#Q$*#78$*Q$&O*("*-%O$%*#-*&=(,"*#Q$*%$'#&",7=&%*8$&/*M(#Q*#Q$*OPVHQVRU5HFWDQJXODUFRQHVGHVLJQHGWRDGDSWWR/-.#*/-O$=.*-U*JC%&P*/&'Q("$.*$)$"*#Q-.$*A4*&"O*?@*P$&%.*-=O0*&%$*&)&(=&8=$N
9. HOW DOES THIS AFFECT CURRENT INTRAORAL X-RAY EXPOSURE TECHNIQUES?
&ROOLPDWLQJWKH[UD\EHDPGRHVQRWDOWHUWKHH[SRVXUHWLPHVIRUDJLYHQOPRUVHQVRUW\SH,WGRHVKRZHYHUUHTXLUHWKHXVHRIDOPKROGLQJDQGEHDPDOLJQPHQWGHYLFH
10. ARE FILM HOLDER-BEAM INDICATING DEVICES NEEDED?
@%02#A*5:#8+5&%.?9%/:#*,&*(/)*,;#&%
11. IS RECTANGULAR COLLIMATION THE SAME FOR FILM BASED AND DIGITAL INTRAORAL SYSTEMS?
2T*B-*,$#*#Q$*%$.7=#(",*(/R%-)$O*(/&,$*_7&=(#P*MQ$"*8$&/*&=(,"/$"#*GHYLFHVDUHXVHG*HRPHWULFIDFWRUVVXFKDVSDUDOOHOLVPRIWKHOPe*.$".-%*&"O*#Q$*#$$#Q*&"O*#Q$*R$%R$"O('7=&%(#P*-U*#Q$*8$&/*#-*8-#Q*WKHWHHWKDQGWRWKHOPVHQVRUDUHRSWLPL]HG7KLVSURGXFHVPRUH&''7%$* (/&,$.* ("* #$%/.*-U*/("(/(Y(",* ("&''7%$* %$=(-".Q(R.*-U*-"$*.#%7'#7%$*#-*&"-#Q$%0*U-%$.Q-%#$"(",0*$=-",(-"0*O(.#-%#(-"0*&"O*#Q$*-)$%=&R*-U*.#%7'#7%$.*.7'Q*&.*#Q$*'-"#&'#*R-("#.N
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12. WHAT SOURCES ARE AVAILABLE FOR RECTANGULAR COLLIMATION CONVERSION DEVICES?;$)$%&=*O$)('$.*&%$*&)&(=&8=$*U%-/*P-7%*=-'&=*O$"#&=*O$&=$%N*6.V*P-7%*O$&=$%*U-%*("U-%/(-"*DERXWDQ\RIWKHIROORZLQJSURGXFWV0DVHOOPKROGHUDQGSRVLWLRQLQJGHYLFH5LQQ5HFWDQJXODUFROOLPDWRU0DUJUDI5HFWDQJXODUFRQHDQG,',7UX,PDJH5HWURW.LW
13. WHAT ARE THE COSTS OF CONVERSION TO RECTANGULAR COLLIMATION?6RR%-J(/$=P*g4@@Cg
14. ARE THERE ALTERNATIVES TO THE CONVERSION OF EXISTING MACHINES?
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