2nd Yr Radiography Lectures Hilary 23-24

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Dental Science

Dental Radiography Syllabus Hilary Term 2023/24

Fridays 9am-11am Large Lecture Theatre

Week 1 Introduction to Dental Radiography Course Dr Shane


(5h Jan) Foley
9am
Concepts of Radiation
10am Introduction, Wave concept, Properties of EM radiation, EM spectrum, Online Pre-
Wavelengths, Wave form properties of radiation, Properties of X-radiation, Recorded
Particle concept, Wave particle duality, Ionisation, Biological equivalent Presentation
wavelengths.

Week 2 X-ray Production Dr Shane


(12th Jan) Review of X-ray tube components. Cathode functions; thermionic emission. Foley
9-10am Anode functions: electron interactions at target. Radiation types:
characteristic & braking. Factors which effect quality & intensity of radiation

General and Dental X-ray tubes Dr Shane


10-11am X-ray Tube Construction: Evacuated Envelope, Cathode, Anode, Focussing Foley
Device, Oil, Housing, Mechanisms. Workings: Production of kV and mAs,
cables and electronics Ideal requirements, features, construction, additional
features, workings (filtration, collimation, spacer cones, timers, suspension).

Week 3 Interaction with Tissue Dr Jonathan


(19th Jan) Photoelectric Absorption & Compton Scatter: processes and implications to McNulty
9-10am image quality.

10-11am *5 minute in class test (Concepts of Radiation / X-ray production / X-ray


tubes)

Bioeffects of Radiation Dr Jonathan


Direct and indirect effects of ionising radiation. Free radical influence. McNulty
Stochastic & non stochastic effects and relevance to dental radiology

Week 4 Specialised X-ray tubes Jaka


(26th Jan) Orthopantomography: principles, tube construction, cassettes, carriage Potocnik
9-10am assembly, patient immobilisation techniques, principles of Arc & flat film image
production.

10-11am Cephalometry: principles, tube construction, assembly construction, principles Jaka


of magnification reduction. Potocnik

Week 5 Legislation Dr Shane


(2nd Feb) Introduction to Code of practice for radiological protection in dentistry (RPII Foley
9-11am 1996), Irish and European Regulations, SI256(2018) SI 125(2019). Other
relevant legislation, Implication of legislation for dental clinical and practices.

*5 minute in class test (SAQ: Bioeffects of Radiation / Interaction with


Tissue)
Dr Shane
Radiation Protection Foley
Justification. Optimisation, ALARA, Use of Diagnostic reference levels,
Rationale of radiation protection, Background radiation, Deterministic effects,
Stochastic effects, Incidents involving ionising radiation, Practical radiation
protection, Inverse square law, limitation of exposure, Shielding materials,
Operator protection, Patient protection: Primary and secondary barriers,
Pregnancy and Dental Radiography, use and sharing of pre existing
radiographic images, local rules and procedures, Radiation Protection
Advisor, Audit
Week 6 Image Production and Film
(9th Feb) Image components: radio-opaque, radiolucent and grey areas. Factors which Dr Jonathan
affect the image: subject, X-ray beam, recording medium. Limitations of a 2D McNulty
9-11am image. Types and principles of direct and indirect exposure film. The direct
film packet. Construction of film. Emulsion response. Film characteristics.
Factors which effect film performance. Care. Patient identification on images.

Film Processing: Principles and Practice


Developer: recognition of exposed crystals; allied chemicals; side product;
factors which affect performance. Fixer: function; allied chemicals;
production of silver; factors effecting fixation. Wash and dry: principles and Dr Jonathan
efficiency; automatic versus manual processing. Transport system. Cycle time. McNulty
Processor capacity. Replenishment. Maintenance. Darkroom features.
Darkroom lighting: white and safelights

Supplementary Reading: Screens and Cassettes Online Pre-


Screens: applications and principles; number of screens; construction, function Recorded
and types of phosphors; quantum detection efficiency, quantum conversion Presentation
efficiency, intensification factor and spectral emission; factors which effect
performance.
Cassettes: function; constructions; attenuation characteristics; types; storage
and care. Patient identification on images.
Week 7 Basic and Advanced Concepts: Exposure Factors
(16th Feb) Radiation quantity & quality, Fine focus / broad focus, film/focus distance, Jaka
9-11am beam attenuation, interaction of kVp & mAs, scattered radiation, field size & Potocnik
collimation, film screen / recording factors, unsharpness Ug, Um, Up,
processing conditions influences, artefact influences.

*5 minute in class test (Radiation Protection & Legislation)

Radiology QA
Photographic: Processor: sensitometric indices – fog, speed and contrast; Jaka
washing efficiency; pH; silver levels; temperature; replenishment. Other QA: Potocnik
relative speeds of image receptors; cassette light leakage; reject analysis;
safelight handling tests; film screen contact.
Equipment: Quality control / quality assurance. Equipment QA: critical
examination, relocation examination, full safety inspection and machine audit,
daily checks. Practical QA: mechanical, electrical and radiation checks.
Digital: Faults and artefacts with digital equipment. Simple Quality Assurance

Week 8 Digital image Production &Processing


(23rd Feb) o Receptors Dr Shane
o Acquisition and imaging chain Foley
9-11am Principles of digital image production, Solid state detectors, Photostimulable
phosphor plates, Data storage and retrieval, data protection, transmission,
network, email.
Principles of digital processing including use of window level and width, matrix
size, filtering techniques, distance measurements, quantitative assessments,
histograms, image enhancement, zooming.

Image Quality Criteria and Film Faults Dr Shane


Contrast: definition; optimal levels; influencing factors; Sharpness: definition; Foley
optimal levels; influencing factors; Resolution: definition; optimal levels;
influencing factors; Noise: quantum & structure mottle low density marks.
Reticulation. Dichroic fog. Stains on films. Non-processing faults. Film
Faults As a result of: fogging, storage, processing, handling, positioning,
exposure.

Supplementary Reading: Digital Processing and Digital QA

Week 9 ONLINE LIVE LECTURE: Cone beam CT: principles and operation Daniel
(1st Mar) This lecture will be delivered remotely by dentist Dr Daniel McIlgorm a McIlgorm
9-10am specialist in cone beam CT use in Ireland. Log in via Collaborate:

Supplementary Reading: Chemical Hazards Online Pre-


Legislation and guidelines: Safety, Health & Welfare at Work Act; Control of Recorded
Substances Hazardous to Health. Hazardous effects: direct pharmacological Presentation
effects; irritant and sensitising response. Commonly reported symptoms.
Studies regarding X-ray chemical hazards: New Zealand; UK; Ireland (Nallon
et al.). Practical ways of reducing hazards
Week 10 Radiographic Image Appraisal / Critique I Dr Jonathan
(8th Mar) Review of film faults, identification of common dental pathology such as: McNulty
9-10am caries, periapical disease, periodontal disease, abscess, Principles and practice
of interpretation, Viewing conditions light box computer screens, Nature and
limitations of the radiographic image, Critical assessment of radiographic
quality, geometry and distortion.
*10 minute in class test (Image Production & Film processing / Exposure
Factors / Quality assurance / Film faults / Digital image production / Cone
beam CT / Specialised x-ray tubes)
Dr Jonathan
Radiographic Image Appraisal / Critique II McNulty
Week 11 Revision Tutorial & Assessment feedback Dr Shane
(15th Mar) Foley
9-11am
Week 12 Student revision
22nd March
9-11am

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