SkyView

3D panoramic images, at your ngertips

Cone-Beam Computed Tomography (CBCT)

CBCT - Cone-Beam Computed Tomography

SkyView Into the third dimension

3D panoramic imager SkyView

Image-based diagnostics:
the evolution of excellence

SkyView takes you into

the third dimension

Fifty years have passed since the first

Today, a new X-ray image diagnostic

You are about to be released from

SkyView adopts a new and

with just one partial rotation of the

The diagram illustrates the basic principle

clinical utilisation of pantomography in

revolution is under way, and it is already

the limitations of two dimensions

increasingly successful X-ray

source-detector system around the

behind CBCT technology. A source-detector

the dentistry field. Effective, fast and

changing dental treatment standards.

to discover true-to-life views of the

technique, known as Cone Beam

patient. Consequently, less time is

system rotates around the patients head; this

economic, this technique provides

MyRay guides you towards the

maxillofacial area.

Computed Tomography (CBCT),

needed to perform the examination

system consists of a cone-beam X-ray source

an overall view of the dental arches

discovery of this new horizon: the 3-D

Relax, and enjoy the experience.

ideal for obtaining three-dimensional

and, above all, the patient is exposed

on one side and a state-of-the-art detector on

and adjacent anatomical structures.

X-ray imagery of SkyView.

reconstructions of teeth and the entire

to a considerably lower X-ray dose.

the other.

Fast, safe imaging

In recent years it has evolved to

maxillofacial area. If compared to

incorporate digital technology and,

more dated tomography techniques

for most dentists, has become not

such as hospital CAT scans, CBCT

just a technique but one of the

has the advantage of acquiring images

dental surgerys most common X-ray

equipment items, the panoramic
dental system.
The two-dimensional approach to
panoramic images generates data
requiring interpretation. In many

SkyView with 9 detector

cases this does not give the required

level of precision: patient positioning
errors can make measurements

Especially suitable for X-ray and

on the resulting image unreliable.

image-based diagnosis centres, the

There may be non-uniform resolution

15 cm-diameter spherical field of view

dependent on proximity to the

allows the entire maxillofacial

theoretical line along which the focal

region to be framed in a single scan.

layer runs. Above all, the technique

is limited by the overlapping of
anatomical structures belonging to
different planes in short, it is twodimensional.

SkyView with 6 detector

It is necessary to interpret the

panoramic image to determine, for

By limiting the field of view to a sphere

example, whether an object is labial

with a diameter of 11 cm, SkyView can

or lingual, as there is no perception of

produce high-resolution images of the

the missing dimension, depth.

entire adult dentition, with minimal

X-ray doses.
The field of view can, however, be
shifted to frame other areas of interest,
such as the temporomandibular joints.

NEW COMFORT
IN DIGITAL IMAGING

better workow means you can focus on what

matters the most: patient care.

MyRay is a line of technologically advanced

imaging systems designed specifically for
dentistry. Whereas new technologies generally
offer increasingly higher performance, MyRay
aims at taking technology a step further, by
creating unique features for each device, to bring
digital imaging comfortably within every dental
professionals reach. MyRays main focus is to
simplify workow within the operatory, because

MyRay whole new imaging experience also

includes:
X-POD, handheld digital system for mobile
intraoral radiography
HYPERION, panoramic imager with Morphology
Recognition Technology
RXDC HyperSphere, touch-activated X-ray unit
with Wireless Control

Discover more about digital intraoral cameras,

wireless X-ray sensors, high-frequency X-ray
units at www.my-ray.com.

4 HR Zoom
Where necessary a variable X-ray beam
collimation system (HR Zoom) allows
the field of view to be narrowed further,
to give higher-resolution focussing of
smaller anatomical regions, to a sphere
just 7 cm in diameter.

Created for those who value a patients wellbeing

SkyView The evolution of diagnostics

Image Intensier

SkyView The evolution of diagnostics

Absolute diagnostic
precision

SkyView is a tomographic system

those of the panoramic X-ray systems

After acquisition, SkyView proceeds

based on a state-of-the-art detector: a

commonly used in dental practices.

with volumetric reconstruction.

variable-field image intensifier offering

So diagnostic potential is

This fully automatic operation

maximum contrast and maximum

enhanced but without increasing

generates a faithful, virtual

definition with low X-ray doses. The

the risk to the patient.

representation of the examined area,

high sensitivity of the image intensifier,

free from distortion and measurable

the scan speed and the pulsed X-ray

with absolute precision whatever its

emission system ensure that X-ray

orientation.

doses are very low indeed; in fact,

The third dimension is now at your

by restricting the field of view to the

fingertips, leaving you free to explore

dentition only, doses are comparable to

a new world of diagnostic efficiency.

High denition with low

emissions

1200
1000

The technology is based on 3 main elements:

A scintillator that converts radiation into a visible
image

800
600
400
200

37 Sv

20 Sv

SkyView

Highest
Film Pan

A beam concentrator that intensifies the image by a

factor of 105

0
Medical CT

Full mouth
series

Digital
Panoramic

Daily
Background

A high resolution CCD digital sensor consisting of

pixels with a size of 7.4 m to detect the image.

SkyView The evolution of diagnostics

Image quality

Different by choice

Putting the patient at ease

The evolution of diagnostics SkyView

Enhanced image quality

reclining patient chair is automatically

comfortable headrest; the field of view

It has been demonstrated that patient

minimal movements can generate

Patient immobility is a fundamental prerequisite

achievements of MyRay research, aimed

lowered into the access position to make

is unhindered and the whole procedure

immobility is greatly enhanced when

confused or blurred images.

for good extra-oral radiography, especially so

at providing the very best diagnostic

seating the patient easier; the patients

is a pleasant anxiety-free experience,

patients are lying down and relaxed as

So supine is simple and better.

when 3-D images are acquired using the CBCT

experience for dentist and patient alike.

head is supported by the comfortable

simpler for both patient and dentist,

opposed to standing or seated. Image

So MyRay has chosen to go the supine

headrest, a soft height-adjustable cushion

who maintains reassuring eye contact

quality is proportional to the immobility

way, conceived for total patient relaxation.

designed to stabilise the cranium; then

with the patient during positioning.

of the irradiated subject, since even

For the patient, the entire SkyView X-ray

the chair stretches out to perform the

imaging experience is, starting with

quick X-ray examination. The patient

positioning, a comfortable one. The

can lie down and relax thanks to the

SEATED POSITION

SUPINE POSITION

SkyView clearly demonstrates the

technique.

Movement
0,3 / 0,9

Movement
0,5 / 1,5

The total lack of cephalostats, straps

specially designed to guarantee

or bites means that the patient

stability.

can be made ready for the X-ray

During the examination, the detector

simply and quickly. This prevents

rotates - in just a few seconds -

the downtimes normally associated

around the table, without the patient

with seating the patient and

experiencing the unpleasant feeling of

preparing them for the brief scan

being enclosed in a machine.

ERECT POSITION

Speed and comfort

Movement
0,7 / 1,8

that completes the examination.

No unpleasantness for the patient:
all they have to do is lie down and
rest their head on a soft cushion

LOW DEFINITION

MEDIUM DEFINITION

HIGH DEFINITION

Relevance of head motion in dental cone-beam CT scanner images depending on patient positioning Int. J CARS (2008) 3:249-255

Precision measurement
SkyView produces high definition images, completely free from
geometric deformation, perfectly measurable with micrometric
precision and reliable over time. Thanks to Isotropic Voxels,
measurements are reliable and on a 1:1 scale whatever the
reference plane of the measured sections.

Processing

SkyView Positioning and acquisition

Software SkyView

Preparation
SkyView has two simple, user-friendly,
instruments to identify the anatomical
region to be X-rayed: laser tracking or

SkyView is equipped with comprehensive software for the acquisition and

processing of volumetric images.

software on an automatic console.

Tracking laser
As on the best panoramic systems, three laser
beams identify correct alignment of the region of
interest. The innovation here lies in the fact that
alignment is adjusted by controlling the motordriven bed via the dedicated keypad.
The control panel allows both pre-set movements

Guided procedures help the user highlight the mandibular canal and define
the best profile for a reconstruction panoramic, which will be unaffected by
the geometrical limitations typical of conventional panoramic images: no
cancellation, no spinal column shadow and, above all, uniform resolution.

Outstanding data control

allows for better
treatment planning

Data on tap

The supplied software allows

At the end of the acquisition/volumetric

with implants.

the user to manage one or more

reconstruction procedure, the dentist

These views are interconnected and

X-ray directories, organised into

will have multiple views of the patients

colour-coded to aid exploration of the

medical record folders. Each X-ray

anatomy: a curvilinear cross-section

anatomical structures.

examination can generate several

that resembles the panoramic image,

All cross-sections and two-dimensional

studies in that, once the volumetric

a moveable 3-D model, a coronal

reconstructions can be defined

data has been acquired, it can be

cross-section that allows exploration

according to modifiable profiles and the

used in several investigations during

of the upper/lower dental arches, and

user can select their thickness.

different stages of the treatment

ten transverse cross-sections that are

plan without any need for further

especially useful for the linear and

exposure.

angular measurements so often used

and fine adjustment.

Positioning is therefore precise and effortless
and also comforting as visual contact with the
patient is maintained.

Scout method
A software-guided procedure allows the
operator to align the region of interest
while remaining comfortably seated at the
PC workstation.
This method is extremely high-precision
and involves the acquisition of two
preview (Scout) X-ray images at extremely
low dosages; these previews are used
to identify the centre of volumetric
reconstruction.
By using the mouse cursor to adjust the

Analysis of the maxillary and frontal sinuses, together with examination of airways, allows
detection of certain pathologies such as: malformations, sinusitis and deviations of the nasal
septum

3-D examination is a particularly effective means of studying

relationships between impacted teeth and planning surgical
treatment

Easy installation

Compact design

automatically be repositioned to frame the

The radiation source is a 90 kV X-ray

SkyView is a compact, professionally

one of the two table sides; the control

selected region.

tube, a power level comparable to that

designed device.

panel can be installed on either side

These advanced positioning methods,

of a panoramic dental system. This

Minimum dimensions for a room in

of the patient table.

used alternatively or in combination,

allows the equipment to be installed

which SkyView is to be installed are

ensure the X-ray will not have to be

easily in any dental surgery: X-ray

approximately 160 cm x 250 cm. A

repeated because of alignment errors.

shielding requirements are, in fact,

more spacious room will undoubtedly

comparable to those of a panoramic

enhance the users experience.

system.

The room must allow easy access to

aiming device superimposed on the Scout

images, the motorised SkyView table will

Case studies

SkyView Software

Dental problems from a

new viewpoint

154

(60.)

1460

(57.4

Accurate 3-D representation of

1693 (66.7)

1733 (68.2)

Supernumerary teeth

(19.8 - 36.9)

impacted molars, supernumerary

teeth and unerupted teeth allows
precise illustration of relationships

504 - 938

Unerupted teeth

with adjoining anatomic structures.

1794 (70.6)

Clear 3-D imaging 3-D planar

1530 - 2103

(60.2 - 82.8)

1807 - 2421

cross-sections of the condyloid

process, the articular space and

(71.1 - 95.3)

Impacted molars

adjoining structures to analyse

631 (24.1)
651 (25.6)

760 (29.9)

1480 (58.3)

Latero-lateral analysis

Analysis with 3-D rendering

520 (20.5)

temporomandibular dysfunction.

719 (28.3)

720 (28.3)

and prepare reports on any kind of

dimensions in millimetres (dimensions in inches)

TECHNICAL DATA
Patient position

Supine

Positioning

3 laser guides - Table-side console (right/left) - Virtual console on workstation

Automatic tracking system

A dedicated protocol for surgical template acquisition

Table movement

Servo-assisted by 5 motors (x-y-z)

and DICOM 3 tomography data exportation ensures

X-ray beam

Conical, variable-field (H.R. Zoom)

compatibility with all third party software, which allows

X-ray source

90 kVp, 10 mA (max), pulsed emission

Total filtration

11.4 mm Al equivalent

Focal spot

0.5 0.6 mm (IEC standard)

Image detector

High Resolution Image Intensifier - digital CCD sensor 1000x1000 - pixel 7.4m

Grey levels

4096 (12 bit)

Spherical reconstruction volume (FOV)

15 cm (9 detector) - 11 cm (6 detector) - 7 cm (H.R. Zoom 4)

Scan mode

Short scan: 190 - Full scan: 360

Rotation rate

2 rpm (12/s) 3 rpm (18/s)

Scan time

10, 15, 20, 30 seconds

Estimated effective dose

37Sv standard from 24 Sv to 71 Sv (ICRP 2007) according to exam and field of view

standard DICOM protocol with the normal

Standard irradiation time

6.88 seconds

hospital IT systems: sending and receiving

Isotropic voxel dimensions

0.33 mm (FOV 15cm) - 0.23 mm (FOV 11cm) - 0.17 mm (FOV 7cm)

data, consultation of work lists and much

Thickness of axial tomography sections

starting from 0.05 mm

more.

Reconstruction time

30 - 70 seconds

The report generator allows useful report

Overall SkyView dimensions

Width: 1460 mm (57.4- detector 6) 1540 mm (60.7- detector 9)

Length: 2421 mm (95.3)
Height: 1733 mm (68.2)

using forms with the users favourite layout and

Weight

360 Kg

content; these forms can also be personalised.

Power supply

International 230V AC 50/60

USA e Canada 115V AC 50/60

Class

Electro-medical equipment - Class IIb (CCE 93/42, annex IX)

Certification

CE 0051, cCSAus, FDA approved

Implant placement planning

implant placement planning and design surgical templates.

Connectivity and Reports

Flexible, able to communicate through the

documents to be created in automatic mode

Cefla Dental Group - Via Bicocca 14/c - 40026 Imola (BO) - Italy

Due to a policy of constant technological upgrading, technical specifications may be subject to change without prior notice.

www.my-ray.com
02/2011

MSKYGB111S00