Imaging

CBCT artifacts you will see and what causes them

Knowing the look of beam hardening, motion blur, ring artifacts and metal scatter helps you read CBCTs accurately and decide when to re-acquire vs interpret around them.

Beam hardening and metal artifacts

Beam hardening produces dark streaks radiating from dense objects — typically metal restorations, crowns and pins. The X-ray beam loses lower-energy photons faster passing through metal, so the reconstruction underestimates attenuation behind it.

Reduce by using metal artifact reduction (MAR) algorithms if your scanner offers them, by avoiding the affected slice in measurement, or by viewing in axial planes where the streak direction is clearer.

Motion, scatter and ring artifacts

Motion artifacts look like blurred or doubled cortical edges. They're caused by patient movement during the 8–25 second acquisition. Re-positioning, bite block, head strap and clear pre-scan instruction reduce incidence.

Scatter creates a low-contrast haze and "cupping" (darker centers). Ring artifacts are concentric rings and signal a miscalibrated detector pixel — usually fixed by a calibration scan.

FAQ

Can software remove metal artifacts after the scan?

MAR algorithms reduce them substantially but rarely eliminate them. Acquiring with the smallest FOV that excludes nearby restorations also helps.

Is movement always visible?

Subtle motion may not be obvious in axial slices but shows up as cortical edge fuzziness in MPR and 3D render.

Should I redo a scan with bad artifacts?

Depends on the indication. For surgical planning, yes. For an incidental finding follow-up, often you can interpret around it.

Inspect artifacts in any plane

Browser-based MPR with sliders for window/level lets you separate true pathology from artifact in seconds.

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