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Advances in Radiotherapy
& Nuclear Medicine Optimal tube voltage for dental CBCT

also the mean energy and amount of released photons in Availability of data
an X-ray beam. 3
Data are available from the corresponding author upon
4. Conclusion reasonable request.

In the present study, we identified the optimal exposure References
protocols for the Planmeca ProMax 3D Mid CBCT unit 1. Venkatesh E, Elluru SV. Cone beam computed tomography:
(Planmeca, Helsinki, Finland). The highest selectable tube Basics and applications in dentistry. J Istanbul Univ Fac
current at constant tube voltage was revealed to be the Dent. 2017;5:102-121.
most efficient in noise reduction. However, an increase
in noise of about 0.09% was noticed at the same exposure doi: 10.17096/jiufd.00289
setting when the tube voltage was varied at constant mAs, 2. Lemoigne Y, Caner A, Rahal G. Physics for Medical
given that noise increases at lower mAs. Hence, to achieve Imaging Applications. vol. 240. Netherlands: Springer
lower noise with the higher dose, 70 kV and 168.16 mAs Dordrecht; 2007.
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In conclusion, low noise protocols should consist of a quality and radiation dose using different cone-beam CT
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kVp, as the former would result in a smaller level of noise doi: 10.1016/j.ejrad.2019.04.005
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The X-ray tube’s potential, tube current, and exposure Tangtraitham N, Pauwels R. Optimization of exposure
time may influence the radiation production, image parameters in dental cone beam computed tomography
using a 3-step approach. Oral Surg Oral Med Oral Pathol
quality, and dose produced. Hence, tube performance Oral Radiol. 2018;126(6):545-552.
should be assessed in a series of periodic tests.
doi: 10.1016/j.oooo.2018.08.004
Acknowledgments 5. Bamba J, Araki K, Endo A, Okano T. Image quality
The authors would like to thank all staff at the Imaging Unit assessment of three cone beam CT machines using the
of AMDI, Universiti Sains Malaysia, Penang, Malaysia for SEDENTEXCT CT phantom. Dentomaxillofac Radiol.
their help and support throughout this work. 2013;42(8):20120445.
doi: 10.1259/dmfr.20120445
Funding 6. Pauwels R, Seynaeve L, Henriques JC, et al. Optimization
None. of dental CBCT exposures through mAs reduction.
Dentomaxillofac Radiol. 2015;44(9):20150108.
Conflict of interest doi: 10.1259/dmfr.20150108

The authors declare that they have no competing interests. 7. De Oliveira MVL, Santos AC, Paulo G, Campos PSF,
Santos J. Application of a newly developed software program
Author contributions for image quality assessment in conebeam computed
Conceptualization: James Anthony Rabba, Noor Diyana tomography. Imaging Sci Dent. 2017;47(2):75-86.
Osman doi: 10.5624/isd.2017.47.2.75
Investigation: James Anthony Rabba, Hanis Arina Jaafra 8. Park HN, Min CK, Kim KA, Koh KJ. Optimization of
Methodology: James Anthony Rabba, Noor Diyana Osman, exposure parameters and relationship between subjective
Godwin Irinam Efenji and technical image quality in cone-beam computed
Writing – original draft: James Anthony Rabba tomography. Imaging Sci Dent. 2019;49(2):139-151.
Writing – review & editing: Noor Diyana Osman, Fatanah doi: 10.5624/isd.2019.49.2.139
Mohamad Suhaimi, Felix Omachoko Uloko, Dauda
Biodun Amuda, James Anthony Rabba 9. Alawaji Y, MacDonald DS, Giannelis G, Ford NL.
Ethics approval and consent to participate Optimization of cone beam computed tomography
image quality in implant dentistry. Clin Exp Dent Res.
Not applicable. 2018;4(6):268-278.
doi: 10.1002/cre2.141
Consent for publication
10. Brasil DM, Pauwels R, Coucke W, Haiter-Neto F,
Not applicable. Jacobs R. Image quality optimization of narrow detector

Volume 2 Issue 2 (2024) 6 doi: 10.36922/arnm.2972