Our Approach
Kinematic CBCT
At Keystone, we're pioneering advancements in cervical spine knowledge through
Kinematic CBCT(kCBCT).
kCBCT is 3-D cone beam imaging performed
while holding a specific end-range position — rotation, side-bending, flexion, or extension —
to observe how anatomy behaves in positions
that produce or worsen symptoms.
What is Kinematic CBCT?
Kinematic CBCT (kCBCT) is a true 3-D image performed in a specific position —
like rotation, side-bending, flexion, or extension — to aid in understanding cervical joint mechanics
in the exact context that reproduces symptoms or makes them worse.
True 3-D
Complete 3-D
viewing
capabilities
Matching Position
Matches exact positioning that
flares symptoms
Specific Anatomy
Views your unique anatomy and physiology
kCBCT is not a generalized approach.
It's an advanced procedure to perform, and even more advanced to interpret.
Keystone is one of the few offices in the entire world that offers this specific type of imaging.
What Is The Difference Between Standard Imaging and Kinematic CBCT?
Standard imaging is a 2-D snapshot in a neutral position, most often done laying down.
While this is acceptable for medical pathology imaging, it doesn't paint an accurate picture for patients who feel worse upright and in specific positions that stress joints and stretch soft tissues.
STANDARD 2-D NEUTRAL IMAGING
Laying down
Neutral position
2-D, single view
Generalized
KINEMATIC 3-D CBCT IMAGING
Upright
Provoking positions
Full 3-D, multi-view
Patient-tailored
kCBCT allows for a full 360-degree upright image in symptom-provoking positions.
This advanced view can show case-unique anatomy and structural abnormalities that may explain why symptoms persist.
What Can Kinematic CBCT Help Clarify?
Kinematic CBCT can add useful context when symptoms are position-dependent.
It's one piece of a larger diagnostic picture, being integrated with history, examination,
and functional testing.
Clarity
Better clarity on direction-specific symptom triggers compared to altered joint mechanics
Prognosis
More confident prognosis conversations: what's likely to change quickly, versus won't
Precision
A clearer picture for improved precision in treatment selection(s) and pacing
Support
A more specific map for supporting rehabilitation methods to improve stability
Frequently Asked Questions
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What To Do Next
If you feel like your situation matches what you’ve read here, the next step isn’t to guess
whether this approach will work for you, it’s to have a focused conversation.
A Case Review Call with Dr. Bearder is where you:
Case Review Call
Review your story and what' you've already tried
Decide together whether the Keystone Approach is a good fit
Outline what an evaluation process looks like for your case
What to expect after your evaluation
If you're ready for that level of clarity, your next step is simple.