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Normal Radiographic Anatomy
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Dipika Bumb, Indian Cancer Society, New Delhi
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brief description about CONTENTS Introduction Principles of panoramic imaging Image layer Panoramic machines Panoramic film Patient positioning Interpreting the panoramic imaging INDICATION Advantages Disadvantages Conclusion References 3. INTRODUCTION • Panoramic imaging also called pantomography is a technique for producing a single tomographic image of facial structures that includes both the maxillary and mandibular dental arches and their supporting structures . • This is a curvilinear variant of conventional tomography. 4. PRINCIPLES OF PANORAMIC IMAGE FORMATION • Patero and Numata - describe the principles of panoramic radiography • based on the principle of reciprocal movement of x-ray source and an image receptor around a central point or plane called the image layer, in which the OBJECT of image is located. • OBJECT in front or behind this image are not clearly captured because of their movement relative to the centre of rotation of the receptor and the x-ray source. 5. The film and x-ray tubehead move around the patient in opposite directions in panoramic radiography 6. ROTATION CENTER The pivotal point or axis around which the cassette carrier and tube head rotate is termed rotation center Three basic rotation center used in panoramic radiography Double centre rotation Triple centre rotation moving centre rotation The location and number of rotational centers INFLUENCE size and shape of focal trough 7. IMAGE LAYER • Also known as focal trough • It is a three dimensional curved zone where the structures lying within this layer are reasonably well defined on final panoramic image. • The structures seen on a panoramic image are primarily those located within image layer. • OBJECTSoutside the image layer are blurred magnified are reduced in size. Even distorted to the extent of not being recognizable. • This shape of image layer varies with the brand of equipment used. 8. FOCAL TROUGH 9. FACTORS AFFECTING SIZE OF IMAGE LAYER: Arc path Velocity of receptor and X-ray tube head Alignment of x-ray beam Collimator width The location of image layer change with extensive machine used so recalibration may be necessary if consistently suboptimal images are produced. As a position of object is moved within the image layer size and shape of image layer change. 10. PANORAMIC UNIT 11. A, Orthophos XG Plus extraoral x-ray machine. B, Orthoralix 8500 extraoral x-ray machine. C, Example of a digital panoramic system 12. PARTS OF PANORAMIC UNITS a. x-ray tube head b. head positioner: chin rest notched bite block forehead rest lateral head support c. exposure controls 13. X-RAY TUBE HEAD: • Similar to intraoral x-ray tube head • Each has a filament to produce electrons and a target to produce x-rays • Collimator is a lead plate with narrow vertical slit • Narrow x-ray beam emerges from collimator minimize patient exposure to radiation 1
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Circulatory Shock, types and stages, compensatory mechanisms
MedicoseAcademics
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These are simplified slides discussing the regulation of cardiac output and venous return. Learning objectives: 1. Comprehend the determinants of cardiac output and factors affecting cardiac output 2. Comprehend the factors affecting stroke volume and heart rate and total peripheral resistance 3. Identify the factors regulating venous return 4. Discuss the causes of high and low output cardiac failure 5. Enlist the functions of veins and recognise the significance of venous reservoirs Study Resources: 1. Chapter 20, Guyton and Hall Textbook of Medical Physiology, 14th edition 2. Chapter 30 and 32, Ganong’s Review of Medical Physiology, 26th edition 3. Chapter 10, Human Physiology by Lauralee Sherwood, 9th edition 4. Physiology, Cardiac Output - StatPearls https://www.ncbi.nlm.nih.gov/books/NBK470455/
Cardiac Output, Venous Return, and Their Regulation
Cardiac Output, Venous Return, and Their Regulation
MedicoseAcademics
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Circulatory Shock, types and stages, compensatory mechanisms
Circulatory Shock, types and stages, compensatory mechanisms
Difference Between Skeletal Smooth and Cardiac Muscles
Difference Between Skeletal Smooth and Cardiac Muscles
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Cardiac Output, Venous Return, and Their Regulation
Cardiac Output, Venous Return, and Their Regulation
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