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IDI Interactive Diagnostic Imaging !"#$%&'#()$ +(&,"-.#(' !/&,(",0 112 345 6787%" 6)$ 9:0 ;7(#$ <44 6#=&"#&0 >6 ?@?<A B-==CD%$$E F44C!+!CGH6I D&JE FFFCK@KC3KL? MMMN(O(J%&PN'-/ A SPECIAL REPORT RECTANGULAR COLLIMATION No longer a matter of choice! Robert Langlais DDS MS FACD University of Texas San Antonio, Texas BQ(. ;R$'(&= H$R-%# (. /&O$ &)&(=&8=$ 8P !"#$%&'#()$ +(&,"-.#(' !/&,(",0 112 S!+!TN !+! LV DQ LQQRYDWLYH SURGXFWVRIWZDUH GHYHORSHU ZKRVH PLVVLRQ LV WR VLJQL¿FDQWO\ LPSURYH O$"#&= O(&,"-.#('. &"O R&#($"# -%&= Q$&=#QNBQ$(% ,-&= (. #- ("'%$&.$ #Q$ O$"#&= R%-U$..(-". V"-M=$O,$ &8-7# &O)&"'$. (" #Q$ #$'Q"-=-,P &"O &RR=('&#(-". -U JC%&P.N

Tru-Align Special Report

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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?

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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

    78%#,%%)+#'0%#/#9%/:#+.#1+0*)*+,#*,&*(/)*,;#&%

  • 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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