Error Types in Panoramic Imaging

Year 2025, Volume: 6 Issue: 1, 14 - 23, 26.06.2025

Ali Altındağ , Hilal Yalın , Mediha Ertürk , Ömer Altındağ

Abstract

Panoramic radiography is a key diagnostic tool in dentistry and medicine, providing a broad view of the maxillofacial region, including the teeth, jaws, temporomandibular joints, and sinuses. Despite its advantages, the diagnostic accuracy of panoramic radiographs may be reduced by various errors. This study aimed to evaluate the frequency and types of errors in panoramic radiographs taken with digital devices. The study included 2,000 panoramic images from patients aged 16 to 82, acquired using a Morita Veraviewepocs 2D panoramic unit. Errors in positioning and technical execution were classified according to established criteria, with a focus on patient preparation and positioning. The results showed that 92.1% of the radiographs contained errors, primarily related to patient positioning, such as improper tongue placement (53.3%) and head rotation (41.7%). The study found that the most common error was patient positioning, accounting for 71.1% of all errors. The findings emphasize the importance of proper patient preparation and positioning in reducing errors and improving the quality of diagnostic radiographs. This study contributes to enhancing operator training and emphasizes the need for attention to patient positioning to minimize diagnostic inaccuracies and unnecessary radiation exposure.

Keywords

Diagnostic errors , digital imaging , image quality , panoramic radiography

Panoramik Görüntülemede Hata Türleri

Abstract

Panoramik radyografi, diş hekimliği ve tıpta önemli bir tanı aracıdır ve dişler, çeneler, temporomandibular eklemler ve sinüsler dahil olmak üzere maksillofasiyal bölgenin geniş bir görünümünü sağlar. Avantajlarına rağmen, panoramik radyografilerin tanısal doğruluğu çeşitli hatalar nedeniyle azalabilir. Bu çalışma, dijital cihazlarla çekilen panoramik radyografilerdeki hata sıklığını ve türlerini değerlendirmeyi amaçlamıştır. Çalışmaya, Morita Veraviewepocs 2D panoramik ünite kullanılarak elde edilen 16 ila 82 yaş arasındaki hastalardan alınan 2.000 panoramik görüntü dahil edilmiştir. Konumlandırma ve teknik uygulamadaki hatalar, hasta hazırlığı ve konumlandırmaya odaklanılarak belirlenmiş sınıflandırılmıştır. Sonuçlar, kriterlere göre radyografilerin %92,1'inin, öncelikle uygunsuz dil yerleşimi (%53,3) ve baş rotasyonu (%41,7) gibi hasta konumlandırmasıyla ilgili hatalar içerdiğini göstermiştir. Çalışmada, en yaygın hatanın hasta konumlandırması olduğunu ve tüm hataların %71,1'ini oluşturduğu bulunmuştur. Bulgular, hataların azaltılmasında ve teşhis radyografilerinin kalitesini artırmada uygun hasta hazırlanmasının ve konumlandırmanın ve operatör eğitiminin önemini vurgulamaktadır.

Keywords

Dijital görüntüleme , görüntü kalitesi , panoramik radyografi , tanı hataları

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