RADR 2301 Lab Projections Bundled

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Author:
jimmycrow
ID:
270489
Filename:
RADR 2301 Lab Projections Bundled
Updated:
2014-04-13 23:20:47
Tags:
RADR
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Description:
RADR 2301 Lab Projections -Bundled individually with each position
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  1. AP C-Spine Open Mouth (Odontoid)
    • IR: -8 x 10 lengthwise
    • Center IR to CR
    • CR: -Perpendicular to the IR and Direct CR through center of open mouth
    • SID: -40 inches
    • Collimate: -Tightly on vertical sides and horizontally with enough light field for marker.
    • Breathing Instructions: -
    • Suspend respiration.
    • Part Positioning: -
    • Adjust head with the mouth open, so that a line from the lower margin of the upper incisors to the mastoid tips is perpendicular to the IR.
    • Ensure no rotation in the head.
    • Ensure mouth as wide open
  2. AP Axial C-Spine
    • IR: -8 x 10 lengthwise,
    • Vertically adjust IR to CR.
    • CR: -
    • Angled CR 20° for upright
    • Angled CR 15° for supine.
    • Direct CR to enter the lower margin the thyroid cartilage.
    • SID: -40 inches
    • Collimation: -
    • Collimate vertically from chin to jugular notch and horizontally with enough light field for marker.
    • Breathing Instructions: -Suspend respiration. Ensure patient does not swallow.
    • Part Positioning: -
    • Stand patient erect at Bucky with head straight.
    • Adjust head so that a line from the lower margin of upper incisors to the mastoid tips is perpendicular to IR.
  3. Oblique C-Spine
    • IR: -8 x 10 or 10 x 12 lengthwise.
    • Vertically adjust IR to CR.
    • CR: -CR 15° cephalad to lower margin of thyroid for RPO and LPO.
    • 15° caudad to upper margin of thyroid for RAO and LAO.
    • SID: -72 inches
    • Collimation: -
    • Collimate vertically to EAM and horizontally, to include enough light field for marker.
    • Breathing Instructions: -Suspend respiration.
    • Part Positioning: -
    • Rotate head and body into a 45° angle to IR.
    • Protract chin and ensure head is level.
  4. Lateral C-Spine
    • IR: -8 x 10 are 10 x 12 lengthwise.
    • Top of IR at top of EAR
    • CR: -CR is perpendicular to IR.
    • Center vertically to EAM and horizontal to upper margin of thyroid
    • SID: -72 inches
    • Collimation: -
    • Wide open vertically and horizontally with enough light field for marker.
    • Breathing Instructions: -Suspend respiration on full expiration
    • Part Positioning: -
    • Place patient in a true lateral position to IR.
    • Ensure no rotation or tilting of head.
  5. Swimmers Lateral C-Spine
    • IR: -10 x 12 lengthwise.
    • CR: -CR perpendicular to IR.
    • Vertically 1 inch above jugular notch and mid-coronal
    • SID: -72 inches
    • Collimation: -
    • Collimate vertically to bottom of chin and horizontally to allow light field for marker.
    • Breathing Instructions: -
    • Breathing technique, if possible. Otherwise suspend respiration on full expiration
    • Part Positioning: -
    • Place patient erect in a true lateral to IR Bucky.
    • Raise arm closest to Bucky as high as possible.
    • Lower opposite shoulder.
    • Ensure no rotation of thorax or head.
  6. AP T-Spine
    • IR: -14 x 17 lengthwise.
    • Top of IR 1/2 inches above shoulders.
    • CR: -CR is perpendicular to IR.
    • 4 inches below jugular notch at T7. (similar to AP chest)
    • SID: 40 inches
    • Collimation: -
    • Open all the way vertically and 7 to 8 inches horizontally.
    • Breathing Instructions: -Suspend respiration on expiration
    • Part Positioning: -
    • Patient is supine mid-table line.
    • Flex knees and hips to reduce OID.
    • Ensure no rotation of thorax, or pelvis.
  7. Lateral T-Spine
    • IR: -14 x 17 lengthwise.
    • Top of IR 1 to 2 inches above shoulders.
    • CR: -CR is perpendicular to IR.
    • Level with inferior portion of scapula.
    • Halfway between mid coronal and vertebral spine.
    • SID: -40 inches
    • Collimation: -No collimation top to bottom and 7 inches horizontally.
    • Breathing Instructions: -
    • Use breathing technique, if possible, otherwise suspend breath after full expiration
    • Part Positioning: -
    • Place patient on their side into lateral position.
    • Patients arms forward in prayer position.
    • Knees and hip flexed for stability.
    • Place sponge under waist if needed for level, spinal column.
    • Place lead strip on table to reduce scatter.
  8. AP Knee
    • IR: -10 x 12 lengthwise.
    • Adjust the IR vertically to the CR
    • CR: -1/2 inch distal to apex of patella.
    • Angle CR 5° caudad if ASIS <19 inches.
    • Angle 5° cephalad if ASIS >24 inches.
    • Perpendicular to IR if ASIS 19 to 24 inches
    • SID: -40 inches
    • Collimation: -
    • No collimation top to bottom and 2 skin margins horizontally.
    • Breathing Instructions: -None
    • Part Positioning: -
    • Rotate knee medially 5°
  9. Oblique Knee
    • IR: -10 x 12 lengthwise.
    • Adjust the IR vertically to the CR
    • CR: -Mid-joint space and 1/2 inch distal to apex of patella.
    • Angle CR 5° caudad if ASIS <19 inches.
    • Angle 5° cephalad if ASIS >24 inches.
    • Perpendicular to IR if ASIS 19 to 24 inches.
    • SID: -40 inches
    • Collimation: -
    • No collimation top to bottom and skin to skin on sides.
    • Breathing Instructions: -None
    • Part Positioning: -
    • Rotate leg 45° medially and laterally (both projections required for comparison)
  10. Lateral Knee
    • IR: -10 x 12 lengthwise.
    • Adjust IR vertically to the CR
    • CR: -Angle CR 5° cephalad
    • CR 1 inch distal to medial epicondyles
    • SID: -40 inches
    • Collimation: -
    • No collimation top to bottom skin the skin horizontally.
    • Breathing Instructions: -None
    • Part Positioning: -
    • Flex knees 20 to 30°.
    • Ensure knee is in true lateral position with epicondyles perpendicular to IR
  11. PA Axial Knee (Camp Coventry Method)
    • IR: -10 x 12 lengthwise.
    • Adjust the IR vertically to the CR
    • CR: -Centered to medial popliteal crease
    • Angulation of CR matches angulation of leg.
    • SID: -40 inches
    • Collimation: -
    • Collimate closely to 4 sides.
    • Breathing Instructions: -None
    • Part Positioning: -
    • Position the patient prone on the table.
    • Flex knee 40 to 45°
  12. PA Patella
    • IR: -10 x 12 lengthwise.
    • CR: -Perpendicular to IR and centered at popliteal crease
    • SID: -40 inches
    • Collimation: -
    • Collimate to 8 inches vertically and skin to skin sites.
    • Breathing Instructions: -None
    • Part Positioning: -
    • Position the patient prone on the table.
    • Rotate knee medially 5°.
    • Ensure the patella is flat on the table.
  13. Lateral Patella
    • IR: -8 x 10 lengthwise.
    • CR: -Perpendicular to IR and centered to mid-patellofemoral joint space
    • SID: -40 inches
    • Collimation: -
    • Collimate to the area of knee joint, patella, and patellofemoral joint
    • Breathing Instructions: None
    • Part Positioning: -
    • Patient is recumbent on affected side.
    • Unaffected knee and leg behind patient.
    • Knee is flex 5 to 10°
  14. Tangential Patella (Settegast)
    • IR: 10 x 12 crosswise tabletop.
    • CR: -Angle CR 20° cephalad
    • CR centered to patellofemoral joint space
    • SID: -40 inches
    • Collimation: -
    • Collimate closely to the patella region.
    • Breathing Instructions: -None
    • Part Positioning: -
    • Patient is prone with knee flexed a minimum 90°.
    • Have patient hold leg steady with strap
  15. AP Mid Distal Femur
    • IR: -14 x 17 lengthwise.
    • Bottom of IR placed 2 inches below knee joint
    • CR: -Perpendicular to IR and centered to mid-IR
    • SID: -40 inches
    • Collimation: -
    • No collimation top to bottom and skin to skin on sides.
    • Breathing Instructions: -None
    • Part Positioning: -
    • Rotate leg 5° internally. (Epicondyles should be parallel to IR)
    • Ensure no rotation by checking height of both ASIS
  16. Lateral Distal Femur
    • IR: -14 x 17 lengthwise.
    • Bottom of IR placed 2 inches below knee joint
    • CR: -Perpendicular to IR and centered to mid-IR
    • SID: 40 inches
    • Collimation: -
    • No collimation top to bottom in skin to skin on sides.
    • Breathing Instructions: -None
    • Part Positioning: -
    • Affected knee is flexed approximately 45°.
    • Unaffected knee place behind patient.
    • Check for rotation to ensure knee is in true lateral position.
  17. Lateral Proximal Femur
    • IR: -14 x 17 lengthwise.
    • Top of IR level with ASIS
    • CR: -Perpendicular to IR
    • CR centered to the midpoint of IR
    • SID: -40 inches
    • Collimation:-
    • No collimation top to bottom and skin the skin on sides.
    • Breathing Instructions: -Suspend respiration.
    • Part Positioning: -
    • Patient is supine with affected knee flexed 45°.
    • Foot of unaffected leg placed on tabletop.
    • Patient is rolled back 15° to 20°
  18. AP Pelvis
    • IR: 14 x 17 crosswise.
    • CR: -CR Perpendicular to IR
    • @ midsagittal plane and 2 inches below ASIS
    • SID: 40 inches
    • Collimation: -
    • No collimation top to bottom and to skin margins on sides.
    • Breathing Instructions: -Suspend respiration.
    • Part Positioning: -
    • Patient is supine and centered to midline of table.
    • Check height of both ASIS to ensure no rotation.
    • Rotate both feet internally 15 to 20°
  19. AP Pelvis Bilateral Frog Leg
    • IR: 14 x 17 crosswise.
    • CR: -CR Perpendicular to IR
    • @ midsagittal plane, and 3 inches below ASIS
    • SID: -40 inches
    • Collimation: -
    • No collimation top to bottom and to skin margins on side.
    • Breathing Instructions: -Suspend respiration.
    • Part Positioning: -
    • Patient is supine and centered to midline of table.
    • Check height of both ASIS to ensure no rotation.
    • Flexed knees, 90° and abduct legs 45°
  20. AP Hip
    • IR: -10 x 12 lengthwise.
    • Center IR to the CR.
    • CR: -CR Perpendicular to IR
    • 1 to 2 inches medially from ASIS and 3 to 4 inches inferior
    • SID: -40 inches
    • Collimation: -
    • No collimation top to bottom and is skin margins on the sides.
    • Breathing Instructions: -Suspend respiration
    • Part Positioning: -
    • Patient is supine with hip centered to midline of table.
    • Check height of ASIS to ensure no rotation.
    • Rotate affected leg internally 15 to 20°
  21. AP Proximal Femur
    • IR: -14 x 17 lengthwise
    • Center IR to the CR.
    • CR: -CR Perpendicular to IR.
    • 1 to 2 inches medially from ASIS and 3 to 4 inches inferior
    • SID: -40 inches
    • Collimation: -
    • No collimation top to bottom and is skin margins on the sides.
    • Breathing Instructions: -Suspend respiration.
    • Part Positioning: -
    • Patient is supine with hip centered to midline of table.
    • Check height of ASIS to ensure no rotation.
    • Rotate affected leg internally 15 to 20°
  22. AP Hip Unilateral Frog Leg
    • IR: -10 x 12 crosswise.
    • Center IR to the CR.
    • CR: -CR Perpendicular to IR.
    • 1 to 2 inches medially from ASIS and 3 to 4 inches inferior.
    • Rotate tube head to align with femur
    • SID: 40 inches
    • Collimation: -
    • No collimation top to bottom and to skin margins on the sides.
    • Breathing Instructions: -Suspend respiration.
    • Part Positioning: -
    • Patient is supine with hip centered to midline of table.
    • Checks height of ASIS to ensure no rotation.
    • Flex leg with soul of foot on the knee.
    • Abduct femur 45° from vertical

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