The Effect of Rare Earth Filtration on Patient Exposure, Dose Reduction, and Image Quality in Oral Panoramic Radiology

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Abstract
Rare earth intensifying screen material (Gd2O2S:Tb) was added to the standard A1 filtration of an oral panoramic x-ray unit, resulting in a beam capable of achieving reductions in patient dose without a loss of image quality. The added rare earth filtration technique resulted in patient dose reductions of 21–56%, depending on anatomic sites, when compared to the conventional AI filtration technique. Films generated from both techniques were measured densitometrically and evaluated by a panel of practicing clinicians. Diagnostically significant differences were minimal. The results indicate that use of rare earth filters in oral panoramic radiography is an effective means of reducing exposures of dental patients to ionizing radiation.