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Ghost image (orthopantomogram)

Changed by Craig Hacking, 8 Apr 2020

Updates to Article Attributes

Body was changed:

A ghost image is a commonly observed artefact in an orthopantomogram whereby a dense, often metallic object is located between the source of x-ray and the focal centre, resulting in a duplicate 'ghost' image at the contralateral aspect of the image. 

Real image vs ghost image

In panoramic image such as the orthopantomogram, structures within the focal trough (a panoramic arch similar to that of the teeth) will be sharp, well defined and overall lacking in distortion. Objects outside of this focal trough that are dense enough to attenuate x-rays will occasionally present twice as the x-ray tube rotates around the patient, this is known as a ghost image. The density will appear at the true location and secondly on the contralateral aspect of the image as a distorted 'ghost' image. The ghost image is distorted and larger than the actual object projected and often not at the same height 1.

Practical points

When positioning for an orthopantomogram take into account any metallic objects on the patient's face and head can impact the image. This includes earrings, cheek piercings and hair clips. 

  • -<p>A <strong>ghost image</strong> is a commonly observed artefact in an <strong>orthopantomogram</strong> whereby a dense, often metallic object is located between the source of x-ray and the focal centre, resulting in a duplicate 'ghost' image at the contralateral aspect of the image. </p><h4>Real image vs ghost image</h4><p>In panoramic image such as the orthopantomogram, structures within the focal trough (a panoramic arch similar to that of the teeth) will be sharp, well defined and overall lacking in distortion. Objects outside of this focal trough that are dense enough to attenuate x-rays will occasionally present twice as the x-ray tube rotates around the patient, this is known as a ghost image. The density will appear at the true location and secondly on the contralateral aspect of the image as a distorted 'ghost' image. The ghost image is distorted and larger than the actual object projected and often not at the same height <sup>1</sup>.</p><h5>Practical points</h5><p>When positioning for an orthopantomogram take into account any metallic objects on the patient's face and head can impact the image. This includes earrings, cheek piercings and hair clips. </p>
  • +<p>A <strong>ghost image</strong> is a commonly observed artefact in an <a title="Orthopantomogram" href="/articles/orthopantomography">orthopantomogram</a> whereby a dense, often metallic object is located between the source of x-ray and the focal centre, resulting in a duplicate 'ghost' image at the contralateral aspect of the image. </p><h4>Real image vs ghost image</h4><p>In panoramic image such as the orthopantomogram, structures within the <strong>focal trough</strong> (a panoramic arch similar to that of the teeth) will be sharp, well defined and overall lacking in distortion. Objects outside of this focal trough that are dense enough to attenuate x-rays will occasionally present twice as the x-ray tube rotates around the patient, this is known as a ghost image. The density will appear at the true location and secondly on the contralateral aspect of the image as a distorted 'ghost' image. The ghost image is distorted and larger than the actual object projected and often not at the same height <sup>1</sup>.</p><h5>Practical points</h5><p>When positioning for an orthopantomogram take into account any metallic objects on the patient's face and head can impact the image. This includes earrings, cheek piercings and hair clips. </p>

Systems changed:

  • Head & Neck

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