King's College London-Dental Institute, Dental Radiology, Guy's Hospital, London, UK.
Dentomaxillofac Radiol. 2014;43(1):20130291. doi: 10.1259/dmfr.20130291. Epub 2013 Oct 16.
Cone beam CT (CBCT) is a relatively new imaging modality, which is now widely available to dentists for examining hard tissues in the dental and maxillofacial regions. CBCT gives a three-dimensional depiction of anatomy and pathology, which is similar to medical CT and uses doses generally higher than those used in conventional dental imaging. The European Academy of DentoMaxilloFacial Radiology recognizes that dentists receive training in two-dimensional dental imaging as undergraduates, but most of them have received little or no training in the application and interpretation of cross-sectional three-dimensional imaging. This document identifies the roles of dentists involved in the use of CBCT, examines the training requirements for the justification, acquisition and interpretation of CBCT imaging and makes recommendations for further training of dentists in Europe who intend to be involved in any aspect of CBCT imaging. Two levels of training are recognized. Level 1 is intended to train dentists who prescribe CBCT imaging, such that they may request appropriately and understand the resultant reported images. Level 2 is intended to train to a more advanced level and covers the understanding and skills needed to justify, carry out and interpret a CBCT examination. These recommendations are not intended to create specialists in CBCT imaging but to offer guidance on the training of all dentists to enable the safe use of CBCT in the dentoalveolar region.
锥形束 CT(CBCT)是一种相对较新的成像方式,现在已广泛应用于牙医检查口腔和颌面区域的硬组织。CBCT 提供了解剖结构和病理的三维描述,类似于医学 CT,使用的剂量通常高于传统牙科成像。欧洲牙颌面放射学会认识到牙医在本科生阶段接受二维牙科成像的培训,但他们中的大多数人在应用和解释横断三维成像方面接受的培训很少或没有。本文确定了参与使用 CBCT 的牙医的角色,检查了 CBCT 成像的正当性、获取和解释的培训要求,并为打算参与 CBCT 成像任何方面的欧洲牙医提供进一步培训的建议。识别出两个培训层次。一级旨在培训开具 CBCT 成像的牙医,以便他们可以适当地请求并理解报告的图像。二级旨在进行更高级的培训,涵盖了对正当性、进行和解释 CBCT 检查所需的理解和技能。这些建议并不是要培养 CBCT 成像方面的专家,而是为所有牙医的培训提供指导,以确保在牙槽区域安全使用 CBCT。