Cone Beam Computed Tomography (CBCT) technology was introduced in the US in 2000 and there are already hundreds of machines installed. The rapid adoption of this technology hints at how important and desired the three dimensional imaging of patient is.
Three-dimensional images provide a more accurate representation of our patients, since patients are three-dimensional entities. A more accurate representation results in a more accurate diagnosis, and potentially a more effective treatment.
A number of different medical and dental specialties have been using the Imaging Center, including anesthesiologists, Ear Nose and Throat (ENT) specialists, family dentists, oral surgeons, orthodontists, periodontists, plastic surgeons, and prosthodontists.
A disadvantage of the CBCT technology is the high cost of the scanners and the additional costs with training and extra staff members that it may require.
One of the purposes on the Craniofacial Imaging Center is to provide access to this technology, offer educational services through CE courses, as well as provide clinical service by imaging patients referred by outside practitioners. Once taken, the image is saved to a CD that is sent via mail to the referring doctor. Among other information, the CD contains a Power Point presentation, with the referring doctor's name, so it is clear who is responsible for providing this cutting edge and more complete diagnosis. The Power Point presentation also serves as an easy and ready-to-use tool for the consultation or patient communication.
As an educational and research institution, the Imaging Center is always interested in feedback and suggestions, and we will always try to customize the CD and information sent to the referral doctor's preference. In order to achieve this goal, please provide us with feedback and tell us what would you like to see.
The referral form is required in order to take an image. We are not allowed to scan a patient without a completed and signed referral form.
We can receive the referral form in many different ways: the patient can bring the referral form at their appointment, you can email it to email@example.com, or fax it to us at 216.368.0145.
Communication is key. Please let us know what the purpose is for the image, so we can focus on that region of interest (ROI) and use the smallest possible field of view (FOV). This allows collimation, and less exposure to your patient.
We currently have a customly modified Hitachi CB MercuRay, and a new soon-to-be functioning Carestream CS 9300, with panoramic and Ceph functions.
All our scanners are regularly checked by the manufacturers and our University's Radiation Protection Section.
Our original Hitachi CB Mercuray has been modified from the start, in order to allow diagnostic quality images, at a much reduced rate of radiation exposure to the patient. Our custom version is not commercially available, and offers a much lower radiation exposure than its commercially available version.
The Craniofacial Imaging Center is not responsible for pathological or radiological readings, and you will not receive a radiological interpretation/report with your image unless you request it by checking that option on the referral form.
The referring doctor has the option to check such an option, and we will either send it to one of our Radiological Laboratories or to the place of your choice. We offer this option as a courtesy, and only charge the cost of such an operation.
The patient will also be offered the option to have it read by a radiologist, and will have to choose "yes" or "no" to this option, prior to taking the image.
After the image is taken, we will prepare a CD that will include both the 3D image and a self-extracting software that will allow you to see the image, in case you do not have a program of your own. If you prefer to have the image transferred electronically or in any other way, please either specify on the referral form or let us know by email or phone.
We can also send the image to the lab of your choice. We only work with DICOM images, and our images are compatible with 100% of the software on the market. If you can let us know which software you will be using, we can make sure to give you the highest performance possible for such a program.
The transition to 3D Imaging involves the learning of new software and ways of looking at radiographs.
We in the Imaging Center have several computers available, with the most popular 3D software available, and will be happy to show you how to use this new technology.
Monday through Friday, 9:00 a.m. to 12:30 p.m. and 1:30 p.m. to 5:00 p.m.
The Craniofacial Imaging Center is located on the third floor of the CWRU School of Dental Medicine, which is located on the corner of Emergency Dr. and Cornell Rd. The front entrance to the building is off of Emergency Drive. Parking is available on the ground floor of the clinic, with the entrance off of Circle Drive. The University provides directions to campus if you're coming from a distance. Alternatively, you can enter your address to get directions from Google Maps.
Patients are required to pay for their image at each appointment. We accept cash, check, and debit or credit cards (MasterCard or Visa). As a courtesy to our patients, we will submit a claim to most dental insurance carriers.
If you would like to include the image as part of your fee, please contact us to set up direct billing to your office.
Dr. J. Martin Palomo is Associate Professor and Program Director in the Orthodontics Department in addition to his work with the CIC. He earned his DDS from Universidade Estadual de Ponta Grossa School of Dentistry in Brazil and his MSD at Case Western Reserve University.