For single-slice scanners, the same CT parameter settings should be applied for scanning the patient and the radiographic guide. The field of view, however, can be different.
For multi-slice scanners, the CT parameter settings for scanning the patient can also be applied for scanning the radiographic guide. However, for scanning the radiographic guide, a thinner slice thickness and a smaller reconstruction interval (half of the slice thickness) can be considered as the patient’s radiation dose is not affected during the scan of the radiographic guide.
A generic CT protocol for single slice scanners, multi-slice scanners, and cone-beam scanners, is provided below. This protocol is only a recommendation and should be tailored to the (CB)CT scan equipment to be used.
Tip
To check out the recommended protocols for a specific scanner make and model, refer to the CT protocol page on the Nobel Biocare website.
Scan settings  | 
		
  | 
	
Spiral CT  | 
		
  | 
	
No gantry tilt  | 
		
  | 
	
Tube voltage  | 
		120 kV  | 
	
Effective tube current  | 
		100 mAs  | 
	
Collimation  | 
		1 mm  | 
	
Table speed  | 
		1 mm / rotation  | 
	
Gantry rotation speed  | 
		1 rotation / s  | 
	
Reconstruction settings  | 
		
  | 
	
Reconstruction interval  | 
		0.5 mm  | 
	
Reconstruction kernel  | 
		A sharp bone filter is preferred  | 
	
Scan settings  | 
		
  | 
	
Spiral CT  | 
		
  | 
	
No gantry tilt  | 
		
  | 
	
Tube voltage  | 
		120 kV  | 
	
Effective tube current  | 
		90 mAs  | 
	
Collimation  | 
		For patient: (number of detectors x) detector width 1 mm or smaller For radiographic guide: (number of detectors x) smallest detector width (mm)  | 
	
Feed per rotation  | 
		Collimation x 0.7  | 
	
Gantry rotation speed  | 
		± 0.75 rotation / s  | 
	
Reconstruction settings  | 
		
  | 
	
Reconstruction interval  | 
		Half detector width (for patient typically 0.5 mm; for radiographic guide typically 0.5 mm or smaller)  | 
	
Reconstruction kernel  | 
		A sharp bone filter is preferred  | 
	
Cone-beam CT scanners are dedicated for imaging the skull. Follow the manufacturer’s instructions to scan a jaw and the radiographic guide for oral implant planning.
The size of a cubic voxel should be within the range of 0.25 – 0.5 mm. During reconstruction, no tilting of the axial slices is allowed.