JSOMR X-0001:2015 (OID: )
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1 Japanese Society of Oral and Maxillofacial Radiology Standards JSOMR X-00:25 (OID: ) Date of enactment: 25- DENTAL IMAGE LAYOUT FOR INTRA-ORAL RADIOGRAPHY Japanese Society of Oral and Maxillofacial Radiology
2 Index 1 Scope 2 2 Related Standards 2 3 Terms and definitions 2 4 Dental 3 5 Description 74 6 Establishment and Revision 79 2/61
3 1. Scope This standard defines Dental for Intra-Oral Radiology. Note: This standard defines the typical image layout, and does not limit the display image layout other than provisions. 2. Related Standards The standards related this standard are as follows; JIS T :24, Medical electrical equipment - Part 2-65: Particular requirements for the basic safety and essential performance of dental intra-oral X-ray equipment Note: Corresponding international standard: IEC :22, Medical electrical equipment - Part 2-65: Particular requirements for the basic safety and essential performance of dental intra-oral X-ray equipment ISO 3665:20, Photography - Intra-oral dental radiographic film and film packets - Manufacturer Specifications ISO 3950:2009, Dentistry - Designation system for teeth and areas of the oral cavity 3. Terms and definitions The terms of this standard are defined as follows; 3. 1 Intra Oral Dental Radiography that is located the film, or whole or part of the X-ray detector to Intra-Oral. Ref ; Intra-Oral IEC :22, JIS T : Dental The location, orientation of each image to locate the plural number of Intra-Oral Radiology images. In general, this is the image layout for the plural number of images, but it allows to locate a image. 3.3 Teeth Designation The tooth number represented with 2 digits, defined in ISO The significant digit means the Jaw number, lower digit means the tooth number in the Jaw, and these are combined 3/61
4 Permanent Teeth Right Left Maxillary Mandibular Deciduous Teeth Right Left Maxillary Mandibular Ref : ISO 3950: Dental The typical image layout of plural number of Intra-Oral Radiology images, and teeth designation of each image are shown in Table 1. If there are some images that have not taken, each image location shall keep in specified location ( the space of images that have not been taken shall not be filled ). The magnification rate of each image shall be same on the same image layout ( This standard does not allow to change the magnification factor each image on the same image layout ). Even if the several size images mapped on a image layout, the magnification rate of each image shall be same, shall not magnify, or minify the some images. Note 1 ID is composed XYYYZ. DL = abbreviation of DENTAL IMAGE LAYOUT X = Large Classification ( S = standard, P = pedodontic, C = occlusal, N=non-standard) Y = The sequential number beginning with 0 of each large classification(0, 002, 003, ) Z = The subordinate sequential number to Y, and show the minor differences (ex. the part of image orientation difference etc. ) It begins with A (A, B, C, ) If there are no minor differences, initial value, A is provided. Note 2 The central number of each image on the image layout means image location code of each image. location code is composed the following 2 digits. Significant digit = Jaw region(0 = Maxilla, 1 = Mandible, 2 = Both) Lower digit = Detail location The hexadecimal sequential number, the most of the image on the left is set to 0. 4/61
5 Note 3 Examination Classification s are as follows; Examination Classification Table Periapical radiography PA Bitewing radiography BW Occlusal radiography OCC Note 4 codes are as follows; It is necessary to care the combination of different image sizes by the image layout. Table Pedodontic PEDO (approximately ISO3665 size number 0, 1A, 1) Standard STD (approximately ISO3665 size number 2) Occlusal OCC (approximately ISO3665 size number 4, 4A, 5) Remarks) The purpose of image size on this standard is classified into 3 types depending on the dental imaging method. size is not requirements on this standard. ISO3665 is the standard of film size. The size of imaging plate and imaging devise is close dimension of ISO3665, but it does not match perfectly. Note 5 Reference information is the supplemental information to understand this image layout standard. Reference information is not include this standard. Please refer to the commentary in details. Note 6 In case of Occlusal the display method is changed based on the direction of the dental arch. Other than the display method of table 1, -UXLY shall be provided behind ID U = abbreviation of Maxilla dental arch X = Maxilla dental arch(0 = no image, 1 = upward, 2 = downward) L = abbreviation of Mandible dental arch Y = Mandible dental arch(0 = no image, 1 = upward, 2 = downward) 5/61
6 Table 1 - DENTAL IMAGE LAYOUT ID Name DENTAL IMAGE LAYOUT S0A standard layout A 00 PA STD S0A: 00 17, 16, 15 NONE NONE 14, 13, ,, 21, , 23, , 26, 27 47, 46, 45 44, 43, , 41, 31, , 33, , 36, 37 6/61
7 ID Name DENTAL IMAGE LAYOUT S002A standard +2 bitewing layout A 00 PA STD BW 24 7/61
8 S002A: 00 17, 16, 15 NONE NONE 14, 13, ,, 21, , 23, , 26, 27 47, 46, 45 44, 43, , 41, 31, , 33, , 36, , 16, 15, 47, 46, 45 PJ-BW 24 25, 26, 27, 35, 36, 37 8/61
9 ID Name DENTAL IMAGE LAYOUT S003A 12 standard layout A 00 PA STD /61
10 S003A : 00 17, 16, 15 NONE 12 NONE 14, 13, , 03 21, , 23, , 26, 27 47, 46, 45 44, 43, , , , 33, , 36, 37 /61
11 ID Name DENTAL IMAGE LAYOUT S004A 14 standard layout A 00 PA STD /61
12 S004A : 00 18, 17, 16 NONE 14 NONE 16, 15, , 13, ,, 21, , 23, , 25, , 27, 28 48, 47, 46 46, 45, , 43, , 41, 31, , 33, , 35, , 37, 38 12/61
13 ID Name DENTAL IMAGE LAYOUT S004B 14 standard layout B 00 PA STD /61
14 S004B : 00 18, 17, 16 NONE 14 NONE 16, 15, , 13, ,, 21, , 23, , 25, , 27, 28 48, 47, 46 46, 45, , 43, , 41, 31, , 33, , 35, , 37, 38 14/61
15 ID Name DENTAL IMAGE LAYOUT S005A 14 standard +4 bitewing layout A 00 PA STD BW /61
16 S005A: 00 18, 17, 16 NONE 14 NONE 16, 15, , 13, ,, 21, , 23, , 25, , 27, 28 48, 47, 46 46, 45, , 43, , 41, 31, , 33, , 35, , 37, , 17, 16, 48, 47, 46 PJ-BW 21 15, 14, 13, 45, 44, , 24, 25, 33, 34, , 27, 28, 36, 37, 38 16/61
17 ID Name DENTAL IMAGE LAYOUT S006A 16 standard layout A 00 PA STD /61
18 S006A: 00 18, 17, 16 NONE 16 NONE 16, 15, , 13, , 04 21, , 23, , 25, , 27, 28 48, 47, 46 46, 45, , 43, , , , 33, , 35, , 37, 38 18/61
19 ID Name DENTAL IMAGE LAYOUT S006B 16 standard layout B 00 PA STD /61
20 S006B: 00 18, 17, 16 NONE 16 NONE 16, 15, , 13, , 04 21, , 23, , 25, , 27, 28 48, 47, 46 46, 45, , 43, , , , 33, , 35, , 37, 38 20/61
21 ID Name DENTAL IMAGE LAYOUT S007A 5 bitewing layout A 20 BW STD PEDO 23 STD 24 S007A: 20 18, 17, 16, 48, 47, 46 PJ-BW NONE 21 15, 14, 13, 45, 44, ,, 21, 22, 32, 31, 41, , 24, 25, 33, 34, , 27, 28, 36, 37, 38 21/61
22 ID Name DENTAL IMAGE LAYOUT S008A 16 standard +4 bitewing layout A 00 PA STD BW /61
23 S008A: 00 18, 17, 16, 15 NONE 18 NONE 17, 16, 15, 14, , 14, 13, , 13, 12, 04 13, 12,, 21, 22, , 22, 23, , 23, 24, , 24, 25, 26, , 26, 27, 28 48, 47, 46, 45, 44, 43 47, 46, 45, 44, , 44, 43, , 41, 31, , 33, 34, , 34, 35, 36, , 36, 37, , 17, 16, 15, 48, 47, 46, 45 PJ-BW 21 17, 16, 15, 14, 13, 47, 46, 45,44, , 24, 25, 26, 27, 33, 34, 35, 36, , 26, 27, 28, 35, 36, 37, 38 23/61
24 ID Name DENTAL IMAGE LAYOUT S009A 2 standard +4 bitewing layout A 02 PA STD BW S009A: 02 12,, 21, 22 NONE NONE 12 42, 41, 31, , 17, 16, 48, 47, 46 PJ-BW 21 15, 14, 13, 45, 44, , 24, 25, 33, 34, , 27, 28, 36, 37, 38 24/61
25 ID Name DENTAL IMAGE LAYOUT P0A 6 standard pedodontic layout A 00 PA PEDO P0A: 00 55, 54, 53 NONE 6 NONE 52, 51, 61, , 64, 65 85, 84, 83 82, 81, 71, , 74, 75 25/61
26 ID Name DENTAL IMAGE LAYOUT P0B 6 standard pedodontic layout B 00 PA PEDO P0B: 00 55, 54, 53 NONE 6 NONE 52, 51, 61, , 64, 65 85, 84, 83 82, 81, 71, , 74, 75 26/61
27 ID Name DENTAL IMAGE LAYOUT P0C 6 standard pedodontic layout C 00 PA PEDO STD 02 PEDO STD 12 PEDO P0C: 00 54, 53, 52 NONE 6 NONE 52, 51, 61, , 64, 65 85, 84, 83 82, 81, 71, , 74, 75 27/61
28 ID Name DENTAL IMAGE LAYOUT P0D 6 standard pedodontic layout D 00 PA PEDO STD 02 PEDO STD 12 PEDO P0D : 00 54, 53, 52 NONE 6 NONE 52, 51, 61, , 64, 65 85, 84, 83 82, 81, 71, , 74, 75 28/61
29 ID Name DENTAL IMAGE LAYOUT P002A 6 standard +2 bitewing pedodontic layout A 00 PA PEDO BW 22 P002A: 00 55, 54, 53 NONE 6 NONE 52, 51, 61, , 64, 65 85, 84, 83 82, 81, 71, , 74, , 54, 53, 85, 84, 83 PJ-BW 22 63, 64, 65, 73, 74, 75 29/61
30 ID Name DENTAL IMAGE LAYOUT P002B 6 standard +2 bitewing pedodontic layout B 00 PA PEDO BW 22 P002B: 00 55, 54, 53 NONE 6 NONE 52, 51, 61, , 64, 65 85, 84, 83 82, 81, 71, , 74, , 54, 53, 85, 84, 83 PJ-BW 22 63, 64, 65, 73, 74,75 30/61
31 ID Name DENTAL IMAGE LAYOUT P002C 6 standard +2 bitewing pedodontic layout C 00 PA PEDO STD 02 PEDO STD 12 PEDO 20 BW PEDO 22 P002C: 00 55, 54, 53 NONE 6 NONE 52, 51, 61, , 64, 65 85, 84, 83 82, 81, 71, , 74, , 54, 53, 85, 84, 83 PJ-BW 22 63, 64, 65, 73, 74,75 31/61
32 ID Name DENTAL IMAGE LAYOUT P002D 6 standard +2 bitewing pedodontic layout D 00 PA PEDO STD 02 PEDO STD 12 PEDO 20 BW 22 P002D: 00 54, 53, 52 NONE 6 NONE 52, 51, 61, , 64, 65 85, 84, 83 82, 81, 71, , 74, , 54, 53, 85, 84, 83 PJ-BW 22 63, 64, 65, 73, 74,75 32/61
33 ID Name DENTAL IMAGE LAYOUT P002E 2 standard +2 bitewing pedodontic layout A PA PEDO 20 BW 22 P002E: 52, 51, 61, 62 NONE 6 NONE 82, 81, 71, , 54, 53, 85, 84, 83 PJ-BW 22 63, 64, 65, 73, 74, 75 33/61
34 ID Name DENTAL IMAGE LAYOUT P003A standard pedodontic layout A 00 PA PEDO 02 STD 03 PEDO STD 13 PEDO 14 P003A: 00 55, 54 NONE NONE 54, 53, , 51, 61, , 63, , 65 85, 84 84, 83, , 81, 71, , 73, , 75 34/61
35 ID Name DENTAL IMAGE LAYOUT P003B standard pedodontic layout B 00 PA PEDO 02 STD 13 PEDO STD 13 PEDO 14 P003B: 00 55, 54, 53 NONE NONE 54, 53, , 51, 61, , 63, , 64, 65 85, 84, 83 84, 83, , 81, 71, , 73, , 74, 75 35/61
36 ID Name DENTAL IMAGE LAYOUT P003C standard pedodontic layout C 00 PA PEDO 02 STD 13 PEDO STD 13 PEDO 14 P003C: 00 55, 54 NONE NONE 54, 53, , 51, 61, , 63, , 65 85, 84 84, 83, , 81, 71, , 73, , 75 36/61
37 ID Name DENTAL IMAGE LAYOUT P003D standard pedodontic layout D 00 PA PEDO 02 STD 03 PEDO STD 13 PEDO 14 P003D: 00 55, 54, 53 NONE NONE 54, 53, , 51, 61, , 63, , 64, 65 85, 84, 83 84, 83, , 81, 71, , 73, , 74, 75 37/61
38 ID Name DENTAL IMAGE LAYOUT P003E standard pedodontic layout E 00 PA PEDO 02 STD 03 PEDO P003E: 00 55, 54, 53 NONE NONE 54, 53, , 51, 61, , 63, , 64, 65 85, 84, 83 84, 83, , 81, 71, , 73, , 74, 75 38/61
39 ID Name DENTAL IMAGE LAYOUT P003F standard pedodontic layout F 00 PA STD PEDO 12 STD 13 PEDO 14 P003F 00 55, 54 NONE NONE 54, 53, , 51, 61, , 63, , 65 85, 84 84, 83, , 81, 71, , 73, , 75 39/61
40 ID Name DENTAL IMAGE LAYOUT P003G standard pedodontic layout G 00 PA STD PEDO 12 STD 13 PEDO 14 P003G 00 55, 54 NONE NONE 54, 53, , 51, 61, , 63, , 65 85, 84 84, 83, , 81, 71, , 73, , 75 40/61
41 ID Name DENTAL IMAGE LAYOUT C0A-U1L0 C0A-U2L0 2 occlusal vertical maxilla layout A 00 OCC OCC C0A-U1L0: C0A-U2L0: 00 PJ-OCC 4 NONE 41/61
42 ID Name DENTAL IMAGE LAYOUT C002A-U0L1 C002A-U0L2 2 occlusal vertical mandible layout A OCC OCC C002A-U0L1 C002A-U0L2 PJ-OCC 4 NONE 42/61
43 ID Name DENTAL IMAGE LAYOUT C003A-U1L0 C003A-U2L0 2 occlusal horizontal maxilla layout A 00 OCC OCC C003A-U1L0: C003A-U2L0: 00 PJ-OCC 4 NONE 43/61
44 ID Name DENTAL IMAGE LAYOUT C004A-U0L1 C004A-U0L2 2 occlusal horizontal mandible layout A OCC OCC C004A-U0L1: C004A-U0L2: PJ-OCC 4 NONE 44/61
45 ID Name DENTAL IMAGE LAYOUT C005A-U1L0 C005A-U2L0 3 occlusal vertical maxilla layout A 00 OCC OCC 02 C005A-U1L0: C005A-U2L0: 00 PJ-OCC 6 NONE 02 45/61
46 ID Name DENTAL IMAGE LAYOUT C006A-U0L1 C006A-U0L2 3 occlusal vertical mandible layout A OCC OCC 12 C006A-U0L1: C006A-U0L2: PJ-OCC 6 NONE 12 46/61
47 ID Name DENTAL IMAGE LAYOUT C007A-U1L1 C007A-U1L2 C007A-U2L1 C007A-U2L2 6 occlusal vertical layout A 00 OCC OCC C007A-U1L1: C007A-U1L2 C007A-U2L1: C007A-U2L2: 00 PJ-OCC 6 NONE /61
48 ID Name DENTAL IMAGE LAYOUT C008A- U1L0 C008A- U2L0 5 standard +3 occlusal maxilla layout A 00 PA STD OCC OCC C008A-U1L0: C008A-U2L0: 00 18, 17, 16 NONE NONE 15, 14, ,, 21, , 24, , 27, PJ-OCC /61
49 ID Name DENTAL IMAGE LAYOUT C009A- U0L1 C009A- U0L2 5 standard +3 occlusal mandible layout A PA STD OCC OCC C009A-U0L1: C009A-U0L2: 47, 46, 45 NONE NONE 44, 43, , 41, 31, , 33, , 36, PJ-OCC /61
50 ID Name DENTAL IMAGE LAYOUT C0A- U1L0 C0A- U2L0 7 standard +3 occlusal maxilla layout A 00 PA STD OCC OCC C0A-U1L0: C0A-U2L0: 00 18, 17, 16 NONE 14 NONE 16, 15, , 13, ,, 21, , 23, , 25, , 27, PJ-OCC /61
51 ID Name DENTAL IMAGE LAYOUT C0B- U1L0 C0B- U2L0 7 standard +3 occlusal maxilla layout B 00 PA STD OCC OCC C0B-U1L0: C0B-U2L0: 00 18, 17, 16 NONE 14 NONE 16, 15, , 13, ,, 21, , 23, , 25, , 27, PJ-OCC /61
52 ID Name DENTAL IMAGE LAYOUT C0A- U0L1 C0A- U0L2 7 standard +3 occlusal mandible layout A PA STD OCC OCC C0A-U0L1: C0A-U0L2: 48, 47, 46 NONE 14 NONE 46, 45, , 43, , 41, 31, , 33, , 35, , 37, PJ-OCC /61
53 ID Name DENTAL IMAGE LAYOUT C0B- U0L1 C0B- U0L2 7 standard +3 occlusal mandible layout B PA STD OCC OCC C0B-U0L1: C0B-U0L2: 48, 47, 46 NONE 14 NONE 46, 45, , 43, , 41, 31, , 33, , 35, , 37, PJ-OCC /61
54 5. Description 5. 1 Purpose of establishment ISO 3665 is defines the size of Intra-Oral film, but there are no standards about the layout of the plural films, including ISO Along with the film-less environment, Japanese dentists need to map the plural Intra-Oral images on the Monitor for diagnosis, but there are no standards about the layout of the plural films, so each dental clinic, hospital have to ask the PACS vender to map the plural Intra-Oral images on the proper layout on the display using the hanging protocol, customization etc. in custom. They demand to standardize the layout for the Intra-Oral Radiography, so Japanese Society of Oral and Maxillofacial Radiology establishes this JSOMR X-00 standard Policy of establishment This standard is based on Y.Hayakawa. the result of questionnaire to Japanese 29 dental universities and dental colleges in 20 *1, Y. Ito. The minimum attributes for displaying intraoral radiographic digital images under DICOM standard *2 and the result of questionnaire at the Contact Council of Whole Dental University, Dental Hospital Clinical Radiologists. *1 Yoshihiko Hayakawa, Kenichiro Ejima, Kazuyuki Araki, Kaoru Kobayashi, Yoshinori Arai, Hideyuki Baba, Akitoshi Katsumata, Yutaka Ito, Hiroshi Sakamoto, Yuishiro Yamamoto, Hiroo Tamagawa, Tomoyuki Okano. The display layout for Intra-Oral Radiopraphy : the proposal based on the questionnaire survey to DICOM standard, Dental Radiography. 22:1-8. *2 Y. Ito. The minimum attributes for displaying intraoral radiographic digital images under DICOM standard. Oral Radiol. 23. The image layout of S008A, S009A and P002E is the high frequency in abroad which is listed in DICOM WG22, these are not due to the above articles. The dental number is followed the proposition of the working group. This standard is focused on the standard image layouts, and standardized for the 1 st edition. Next step, we would like to pervade this standard, collect the various opinions, and standardize about the exception of image layouts etc. 54/61
55 5.3 Dental The maintenance of image layout, same magnification factor that requested on Section 4 on this standard is the requirement to prevent the mistake of teeth handling. The maintenance of image layout If there are some images that have not been taken, the concrete example about the image layout is as follows; This standard defines the space of the images that have not been taken shall not be filled. In case of ID: S003A Proper image layout Wrong image layout(the space of the images that have not been taken are filled.) Same magnification factor The concrete example of image layout that is combined with the different size images is as follows; It shall not change the magnification factor each image. In case of ID: P002D Proper image layout: 55/61
56 Wrong image layout( the central image is minified. ) 5.4 Reference Information Dental images and teeth designation Dental images are captured with the general positioning using the Phantom. Teeth designation is correspond to the above images. These reference information is described to understand this standard concretely style This standard adopts the orthographic projection because of standard image layout. The eccentric projection is described on section The exceptions of image layout This standard requirement is standard image layout. This section describes the exceptions of image layout. These exceptions are the proposal of reference information because the individual and special agreement are needed between the customers and image acquisition venders, PACS venders. There are the unlimited combination on these exceptions of image layout, so they need to decide the specification and combination based on their workflow. The exceptions of image layout are classified into 2 patterns (A) The exceptions of image layout adapt to the policy of maintenance of image layout and same magnification factor (B) The exceptions of image layout does not adapt to the policy of maintenance of image layout and same magnification factor 56/61
57 - (A)The exceptions of image layout adapt to the policy of maintenance of image layout and same magnification factor The proposal is to use the standard image layout ID and combine the sub code. There were 4 cases about the exceptions that this committee discussed. - Change and add the projection method : eccentric projection ( mesio, disto) - Bisecting technique : typical example is bisecting technique at anterior teeth - Change the size : typical example is pediatric size to standard size. - Change the directions ( vertical / horizontal ) These exceptions may be considered multiple apply not alone only. For example, change the directions and bisecting technique. The note is to place more of the image than the standard image layout. The addition of Dental location should be within 2 teeth each jaw. The following is the sub code sample code style table As standard ( Orthographic None projection ), no change Mesio- eccentric projection PJ-MESIO Disto- eccentric projection PJ-DISTO Bitewing PJ-BW Occlusal PJ-OCC Bisecting technique Bisecting technique As standard, no change Left image after bisecting Right image after bisecting table None L R change code change As standard, no change Change to pediatric size table None SIZE-PEDO 57/61
58 Change to standard size Change to occlusal size SIZE-STD SIZE-OCC Direction change code Direction change As standard, no change Change from standard table None DIR - (B) The exceptions of image layout does not adapt to the policy of maintenance of image layout and same magnification factor The basic workflow is proposed to use the ID of NYYYZ ( large classification, N= non-standard), not to use the ID of standard image layout. Should not use the ID of standard image layout if image layout strays the standard drastically The expected image layout is based on the S0A teeth, S004A 14 teeth and P0C 6 teeth, preparing the private image layout, N0A, N002A, N003A and change the directions, size and magnification factor arbitrarily. 5.5 OID ( Object identification ) Object identification is the unique string that registered, controlled internationally to share the common understanding when the systems communicate via network. JIRA ( Japan Medical Imaging and Radiological Systems Industries Association ) provides the level 5 control number, 9174 to Japanese Society of Oral and Maxillofacial Radiology. JIRA object identification : ( level 1 to 4 ) Japanese Society of Oral and Maxillofacial Radiology object identification : ( level 1 to 5 ) Japanese Society of Oral and Maxillofacial Radiology controls and uses the level 6 to 8 as follows; Level 6 ( classification ) Level 7 ( sequence number) Level8 (publication date) Not assigned Not assigned 25 58/61
59 Standard of this academic conference JSOMR X-00 DICOM object OID of this standard is as follows; /61
60 6 Establishment / Revision This standard was established by Japanese Society of Oral and Maxillofacial Radiology 6.1 Document The draft of this standard is prepared by Japanese Society of Oral and Maxillofacial Radiology, Medical Information Committee and Project Research Committee of Japanese Association for Dental Science. Member list Name Facility name/ Company name title Akitoshi Katsumata Asahi University Medical Information Committee Chairman, Representative of project research (25--) Yoshinori Arai Nippon University Medical Information Yoshihiko Hayakawa Kitami Institute of Technology Committee Commission Kenishiro Ejima Nippon University member, Commission Akira Mishima Tsurumi University Dental Hospital member of project Kenichi Goto Aichi Gakuin University Dental Hospital research(25--) Ichiro Suzuki Niigata University Commission member of Tomohiro Okano Showa University project research Hiroo Tamagawa Osaka University Dental Hospital (25--) Yutaka Ito Hiroshi Sakamoto Mitsuhiro Aizawa Yuichiro Yamamoto Jun Ito Kazuhiro Sekine Go Kinoshita Yoshito Sugihara Hokkaido University Hospital Tohoku University Hospital Tokyo Dental University Suidobashi Hospital Osaka University Carestream Health Japan Co., Ltd. Yoshida Corp. J.Morita MFG. CORP. J.Morita MFG. CORP. 60/61
61 6.2 Examination / Approval This standard was examined and approved by the board of directions of Japanese Society of Oral and Maxillofacial Radiology /61
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