Method of reducing the x-ray dose in an x-ray system

1. A method of obtaining medical images of a patient using a cone beam computed tomography scanner, the method comprising:

defining a region of interest of the patient;

obtaining at least two tracking images of a tracking element taken with at least one camera having a known positional relationship relative to a radiation source or sensor;

determining any movement of the tracking element between the acquisition of at least two tracking images;

obtaining a plurality of x-ray images of the region of interest simultaneously with the tracking images; and

dynamically adjusting a collimator of the radiation source of the cone beam computed tomography scanner to compensate for any movement of the tracking element between the acquisition of the at least two tracking images, providing that the field of exposure of the x-ray radiation is confined to the region of interest,

wherein the medical images are x-ray images defining a panoramic trajectory,

wherein the method further comprises:

adjusting the cone beam computed tomography scanner to follow the determined panoramic trajectory based on the determined movement from the tracking element.

2. The method according to claim 1 , wherein a scout image is taken with a lower resolution/image quality using the x-ray source and sensor, and the region of interest is defined using the scout image.

3. The method according to claim 1 , wherein a scout image is taken using at least one of a face scanner, an intra-oral scanner, and a surface contour laser scanner, and the region of interest is defined using the scout image.

4. The method according to claim 1 , wherein the tracking element comprises a predefined geometry or predefined information.

5. The method according to claim 1 , wherein determining any movement of the tracking element between the acquisition of at least two tracking images comprises:

recognizing a plurality of fiducial markers in each tracking image;

obtaining a digital representation in a database of the known predefined pattern or shape of the fiducial markers; and

recognizing the pattern of the fiducial markers in each image to achieve a best fit to the known predefined pattern of the fiducial markers on the tracking element from each tracking image.

6. The method according to claim 5 , wherein determining any movement of the tracking element between the acquisition of at least two tracking images comprises:

recognizing a plurality of the individual fiducial markers in each tracking image;

using classification of the indices of the fiducial markers; and

matching the known pattern of the fiducial markers on the tracking element to the pattern of the fiducial markers on the tracking image using the classification of the indices of the fiducial markers.

7. The method according to any claim 1 , wherein the x-ray images are combined to make a digital medical model.

8. A system for obtaining medical images of a patient, the system comprising:

a cone beam computed tomography scanner;

one or more tracking image cameras configured to take tracking images of a tracking element;

a computer device comprising a micro processor and a non-transitory computer readable medium;

a visual display unit; and

input device for controlling the cone beam computed tomography scanner,

wherein the computer device is configured to adjust a collimator of the cone beam computed tomography scanner in response to determined movement of the tracking element,

wherein the system is configured to:

define a region of interest of the patient;

obtain at least two tracking images of a tracking element taken with at least one camera having a known positional relationship relative to a radiation source or sensor;

determine any movement of the tracking element between the acquisition of at least two tracking images;

obtain a plurality of x-ray images of the region of interest simultaneously with the tracking images; and

dynamically adjust a collimator of the radiation source of the cone beam computed tomography scanner to compensate for any movement of the tracking element between the acquisition of the at least two tracking images, providing that the field of exposure of the x-ray radiation is confined to the region of interest,

wherein the medical images are x-ray images defining a panoramic trajectory,

wherein the system is further configured to:

adjust the cone beam computed tomography scanner to follow the determined panoramic trajectory based on the determined movement from the tracking element.

9. The system according to claim 8 , wherein the computer device is further configured to adjust the cone beam computed tomography scanner by changing the geometry of the cone beam computed tomography scanner.