EPA 1C: Radiological Acquisition

Radiological Acquisition	Meets Expectations of the Graduate	Progressing	Below Expectations	Critical Error

Isolation and Operatory Set Up	X-ray unit turned on Barriers placed on x-ray unit, chair and exposure control unit Proper patient opened in Epic and MiPACS Lead apron used if appropriate Rectangular collimator used Proper use of XCP equipment Proper detector used Correct radiographs taken Correct exposure settings used Infection control procedures followed Images properly mounted Operatory cleaned up	Operatory not completely setup (student does not require assistance to remedy)	X-ray unit not turned on Lead apron not used Settings not according to chart some of the time Operatory not completely setup (student requires assistance to remedy)	No barriers placed MiPACS not opened Rect collimator not in place Infection controlled not followed Improper mounting of images Operatory not cleaned up Additional exposures made without approval
Intraoral radiography image quality (general, regional, local)
All Intraoral Radiograph	Correct density and contrast No vertical distortion No cone-cuts Occlusal plane parallel to receptor Apices 5 mm or more from the edge	Minor deviation not affecting Dx Minor distortion not affecting Dx Minor cone-cut not affecting Dx Minor deviation not affecting Dx	Major deviation not affecting Dx Major distortion not affecting Dx Major cone-cut not affecting Dx Major deviation not affecting Dx	Major deviation affecting Dx Major distortion affecting Dx Major cone-cut affecting Dx Major deviation affecting Dx
Periapical Radiograph	No overlap of roots Occlusal surfaces visible	Apices spaced from edge but less than 2 mm Minor overlap of roots not affecting diagnosis Some cusps missing	Apices at edge Major overlap of roots not affecting diagnosis All cusps missing	One or more apices not visible Major overlap of roots affecting diagnosis Occlusal surface missing
Bitewing Radiograph	Vertically centered* Crestal bone clearly visible No overlap of proximal surfaces	Minor deviation but all alveolar bone visible Slight overlap but less than 1/3 enamel	Major deviation but all alveolar bone visible More than 1/3 enamel overlap but less than 1/2	Alveolar bone of maxilla or mandible not visible 1/2 or more enamel overlap
Anterior Periapical Radiograph	Central incisor contact centered	Minor deviation, but all teeth visible	Major deviation, but all teeth visible	Not all teeth visible
Lateral-Canine Periapical Radiograph	Lateral-canine contact centered	Minor deviation, but all teeth visible	Major deviation, but all teeth visible	Not all teeth visible
Premolar Periapical Radiograph	Distal half of canine visible	Only distal 1/3 of canine visible	Only canine enamel visible	No canine enamel visible
Molar Periapical Radiograph	All molars visible Third molar area visible	More than 1/2 of one molar visible	Less than 1/2 of one molar visible	One molar not visible
Premolar Bitewing Radiograph	Distal half of canine visible	Only distal 1/3 of canine visible	Only canine enamel visible	No canine enamel visible
Molar Bitewing Radiograph	Most distal surface visible			Most distal surface not visible
Panoramic Radiography Equipment Use	Machine properly setup up with appropriate barriers Proper exposure parameters selected Proper guidance and positioning of patient to include bite location, chin level, midsagittal, spine inclination, tongue positioning	Minor deviation not affecting diagnosis	Major deviation not affecting diagnosis	No attention to machine setup No attention to exposure parameter selection No, or incorrect, instructions to patient affecting image quality and potential need for reimaging
Panoramic Radiography Image Quality	Symmetrical structures with no positioning errors or distortion All appropriate structures are present No artifacts from jewelry, shielding, removable appliances, or tongue placement Ideal image density and contrast	Minor deviation not affecting diagnosis Minor distortion not affecting diagnosis	Major deviation not affecting diagnosis Major distortion not affecting diagnosis	Major deviation affecting diagnosis Major distortion affecting diagnosis

Introduction Radiological Interpretation