EN
OPERATOR'S MANUAL
23
It is essential that the patient remains still to obtain images of adequate quality. It is recommended
to use any measure which could be necessary for reassuring the child before starting the imaging
procedure. If necessary, in order to prepare and carry out the examination, plan time intervals
suitable for children, longer than those which are usually required for an adult. If the patient cannot
be reassured, postpone the examination.
When possible and appropriate, use the suitable protective devices, such as lead thyroid collar and
lead apron. The lead collar helps to significantly reduce thyroid dose for any dental radiodiagnostic
examination. This device is particularly recommended in case of CBCT examinations with
extended fields, except when the specialist detects possible risks of artefacts or possible
overlapping on concerned anatomical structures.
In case of cephalometric examinations, using the lead collar is recommended if it is not necessary
to view the bone structures which are under the second cervical vertebra.
NewTom GiANO HR can be used to examine children and small-sized patients, in compliance with the limitations on
use shown in the instructions. The functions available for this purpose are:
•
automatic calculation of minimum X-ray parameters required to carry out an examination, according to the size
and the density of the volume to be examined;
•
indication of the values of the dose administered during the examination, before the actual scanning;
•
possibility of carrying out examinations with the patient seated, to reduce risk of movement;
•
presence of an adjustable craniostat, to secure the patient’s head and allow a correct positioning;
•
for 2D projections: possibility of setting reduced X-
ray parameters. For selected 2D protocols, the “CHILD”
function is available with lower dose profiles as compared with adult patient doses;
•
for CBCT examinations: possibility of using fields of view with reduced dimensions, such as: 6X6 (6 cm volume
diameter, 6 cm height), 8x6, 8x8. Possibility of scanning in Low Dose mode, a low-dose protocol characterised
by reduced scanning time.
The table below summarises the device functions which are relevant for pediatric imaging.
Device features which are relevant for pediatric
imaging
Reference
Instructions for use
This manual
Para. “INTRODUCTION AND INDICATIONS FOR
USE”
Protection against radiations
This manual
Para. “PROTECTION AGAINST RADIATIONS”
Description of the operation
This manual
Para. “DESCRIPTION OF THE OPERATION”
Perform a simulation of the examination
This manual
Para. “PERFORM A SIMULATION (DUMMY RUN)”
Available protocols - 2D examinations
This manual
Para.
“EXAMINATION
SETTINGS
FOR
CHILDREN”
Patient positioning - 2D examinations
This manual
Para. “PATIENT POSITIONING”
Available protocols - CBCT examinations
This manual
Para. “3D TOMOGRAPHIC
EXAMINATION
(CBCT)”
Patient positioning - CBCT examinations
This manual
Para. “PATIENT
POSITIONING FOR
3D
EXAMINATIONS”
Instructions for image quality check
This manual
Para. “PERIODIC INSPECTIONS TO CHECK THE
IMAGE”
Dose measurements (CTDI)
Manual “Dose declaration and acceptance test
(cod. 97050997)”.
