Support for this activity provided by TDO
How to Read a Scan
Efficient, unbiased CBCT study review presents significant challenges to the busy private-practice endodontist. Many findings from medical radiology lead counter-intuitive conclusions and suggest the opposite of many guidelines and commonly proffered best practices. The body of work on the role of clinical history and prior imaging in interpretation sits on the medical model of radiologic practice, in which the ordering clinician, the radiologist, and the surgeon are often three different people. In contrast, in endodontics we may want to think of ourselves as wearing the three hats of the ordering, interpreting and intervening clinician(OII). This colors every aspect of the interpretive process as we generally have reasons for ordering the imaging, often based on clinical history. Because we need to wear each of these three hats—something that we have actually needed to do for decades but that has been brought into sharper focus with CBCT—we need to develop a mindset for the interpretive process that respects all three hats. This presentation will briefly review the work in medical and dental radiology on the topic, and introduce an explicit, evidence-based strategy for CBCT study review.
The attendee will understand the role of explicit and tacit history in the interpretive process The attendee will experience how that information influences and biases the interpretive process The attendee will have an explicit strategy for reducing bias in the interpretation.
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