Chen S K, Hollender L
Department of Oral Medicine, School of Dentistry, University of Washington, Seattle.
Oral Surg Oral Med Oral Pathol. 1994 Mar;77(3):290-5. doi: 10.1016/0030-4220(94)90302-6.
The Siemens Orthophos (Siemens, München, Germany) is a panoramic machine that uses a microchip to control the movements of the radiation source and film. Several programs are available for different views of the facial skeleton and associated structures. Program 16 is dedicated to cross-sectional imaging of the posterior mandible. Three millimeter cross-sections were cut from 12 cadaver specimens of the mandible. These sections were imaged separately by contact radiography, 48 degrees hypocycloidal tomography of Philips Polytome (Philips-Massiot, Paris, France), and program 16 of the Orthophos panoramic machine. Program 16 of the Orthophos was also used to image the cross-sections after they were glued back together with the surrounding parts of the specimens. Four different images of the cross-sections were thus obtained. The contact radiographs were used as gold standards. Frequency domain analysis, which was used to compare the images resulting from each imaging modality, demonstrated that useful diagnostic information was in the range of 0.12 to 0.60 cycles/mm for the contact radiographs. In spite of differing tomographic angles for the Orthophos program 16 and the hypocycloidal tomography, the images of the 3 mm cross-sections showed similar frequency distribution. However, the Orthophos Program 16 did not produce diagnostically useful images when the cross-sections were imaged with the surrounding parts of the specimens probably because of the narrow tomographic angle used for this program. These images had strong low to medium frequency components compared with the gold standard images. These results suggest that diagnostically more useful images with the Orthophos might be obtained by increasing the tomographic angle.
西门子Orthophos全景机(德国慕尼黑西门子公司)是一种利用微芯片控制辐射源和胶片运动的全景设备。有多个程序可用于对面部骨骼及相关结构进行不同视角的成像。程序16专门用于下颌骨后部的断层成像。从12个下颌骨尸体标本上切取了3毫米厚的切片。这些切片分别通过接触式放射成像、飞利浦Polytome(法国巴黎飞利浦-马西奥公司)的48度摆线断层扫描以及Orthophos全景机的程序16进行成像。Orthophos的程序16还用于对与标本周围部分重新拼接在一起后的切片进行成像。由此获得了该切片的四张不同图像。接触式放射成像用作金标准。用于比较每种成像方式所得图像的频域分析表明,接触式放射成像的有用诊断信息在0.12至0.60周期/毫米范围内。尽管Orthophos程序16和摆线断层扫描的断层角度不同,但3毫米厚切片的图像显示出相似的频率分布。然而,当对与标本周围部分一起成像的切片使用Orthophos程序16时,可能由于该程序使用的断层角度较窄,未能产生具有诊断价值的图像。与金标准图像相比,这些图像具有较强的低频至中频成分。这些结果表明,通过增加断层角度,使用Orthophos可能获得更具诊断价值的图像。