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more use of functional imaging, so that       head of neck patients must be turned         You should not look back, but protect
patients could be imaged in their normal      with extreme caution.”                       yourself”, says Villanen.
working positions, for example.”
                                                  The open patient positioning also            Villanen and Mikkonen state that
Fast imaging increases                        pleases people with claustrophobia.          the upper neck is a relatively new area
patient comfort                               “Some patients may be very relieved for      of interest in imaging and medicine.
From the patient’s perspective, a CBCT        not having to go into a tube for a scan.”    “The upper neck has been somewhat
scan is quite pleasant – in addition to                                                    of a no-man’s land, even though it is
the low radiation dose, the procedure         CBCT images of trauma patients               one of the most mobile joint systems in
is quick. While a regular MRI scan takes      Some of Villanen’s CBCT patients have        the body. A neuroradiologist examines
about 20 to 30 minutes, and a functional      sustained a neck or head injury in an        the brain, while a radiologist usually
MRI scan up to two hours, a CBCT scan is      accident: car accident, horse riding         examines the area below the C3 vertebra.
completed in less than a minute.              accident, a fall, or by a heavy object       Treatment of a neck injury patient is a
                                              falling on their head at a construction      challenging multidisciplinary effort that
    “Many patients have been surprised        site. The patients range from 17 to 80       requires a clinician, a physiotherapist
at the brevity of the scan”, says Mika        years of age, and the majority of them       and a radiologist. If a brain or spinal
Mattila, a dentist specialised in radiology,  are women.                                   injury is also suspected, the team needs
who is in charge of imaging neck patients                                                  a neurologist and a neuropsychologist
referred to Pantomo Oy by Villanen.               “Research shows that all other things    as well.”
“Planmeca’s device has a handy cervical       being equal, women are more prone to
spine program that sets the device to         injuries in a car crash than men.” The           A CBCT scan is an economical
the right position automatically. The         position of the head is crucial in a crash,  imaging method of which many
only difference in patient positioning,       and women often make the mistake             insurance companies have agreed to
compared to dental patients, is that the      of first turning their head to see if        cover the costs, describes Villanen.
                                              the children in the back seat are okay.

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