Using Cone Beam Computed Tomography for Radiological Assessment
Beyond Dento-maxillofacial Imaging: A Review of the Clinical Applications
in other Anatomical Districts

Ivan      Corazza; Emanuele      Giannetti; Giancarlo      Bonzi; Alessandro      Lombi; Giulia      Paolani; Miriam      Santoro; Maria   Francesca   Morrone; Margherita      Zecchi; Pier Luca      Rossi
doi:10.2174/1573405619666230202122947
Abstract

Background: Cone Beam Computed Tomography (CBCT) represents the optimal imaging solution for the evaluation of the maxillofacial and dental area when quantitative geometric and volumetric accuracy is necessary (e.g., in implantology and orthodontics). Moreover, in recent years, this technique has given excellent results for the imaging of lower and upper extremities. Therefore, significant interest has been increased in using CBCT to investigate larger and non-traditional anatomical districts.
Objective: The purpose of this work is to review the scientific literature in Pubmed and Scopus on CBCT application beyond head districts by paying attention to image quality and radiological doses.
Methods: The search for keywords was conducted in Pubmed and Scopus databases with no back-date restriction. Papers on applications of CBCT to head were excluded from the present work. From each considered paper, parameters related to image quality and radiological dose were extracted. An overall qualitative evaluation of the results extracted from each issue was done by comparing the conclusive remarks of each author regarding doses and image quality. PRISMA statements were followed during this process.
Results: The review retrieved 97 issues from 83 extracted papers; 46 issues presented a comparison between CBCT and Multi-Detector Computed Tomography (MDCT), and 51 reviewed only CBCT. The radiological doses given to the patient with CBCT were considered acceptable in 91% of cases, and the final image quality was found in 99%.
Conclusion: CBCT represents a promising technology not only for imaging of the head and upper and lower extremities but for all the orthopedic districts. Moreover, the application of CBCT derived from C-arms (without the possibility of a 360 ° rotation range) during invasive investigations demonstrates the feasibility of this technique for non-standard anatomical areas, from soft tissues to vascular beds, despite the limits due to the incomplete rotation of the tube.
Graphical Abstract

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DOI https://dx.doi.org/10.2174/1573405619666230202122947	Print ISSN 1573-4056
Publisher Name Bentham Science Publisher	Online ISSN 1875-6603
Current Medical Imaging

Using Cone Beam Computed Tomography for Radiological Assessment Beyond Dento-maxillofacial Imaging: A Review of the Clinical Applications in other Anatomical Districts

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