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PIMA RA102
Cassette size, CR, kVp, SID
| Question | Answer |
|---|---|
| Chest PA | 14x17 CW or LW depending on body habitus of patient; CR perpendicular to T7; kVp-110; SID-72; ID blocker up |
| Chest Lateral | 14x17 LW; CR perpendicular to mid thorax at level of T7; kVp-125; SID-72; ID blocker up |
| Hand PA | 10x12 (small hand, split into two sides), 8x10 (large hand); CR perpendicular centered to 3rd MCP joint; kVp-55, SID-42(tabletop) |
| Lateral Hand (fan and foreign object) | 8x10; CR perpendicular centerd to 2nd MCP joint; kVp-60, SID-42(tabletop) |
| Oblique Hand PA | 10x12 (small hand, 2 images per cassette), 8x10 (large hand); CR perpendicular centered to 3rd MCP joint; kVp-55; SID-42(tabletop) |
| Digits PA, oblique, Lateral | 8x10 CW (2 or more images per cassette); CR perpendicular centered to PIP joint; kVp-55; SID-42(tabletop) |
| Thumb Oblique, lateral, AP | 8x10 CW (2 or more images per cassette); CR perpendicular centered to 1st MCP joint; kVp-55; SID-42(tabletop) |
| Wrist PA | 8x10 CW (2 images per cassette); CR perpendicular centered to midcarpals; kVp-55; SID-42(tabletop) |
| Wrist Oblique | 8x10 CW (2 images per cassette); CR perpendicular centered to midcarpals; kVp-55; SID-42(tabletop) |
| Wrist Lateral | 8x10 LW; CR perpendicular centered to midcarpals; kVp-60; SID-42(tabletop) |
| Wrist PA Ulnar Deviation | 8x10 LW or CW (2 images per cassette); CR perpendicular to scaphoid; kVp-55; SID-42(tabletop) |
| Forearm AP | 14x17 LW (2 images per cassette); CR perpendicular to midpoint on forearm; kVp-60; SID-42(tabletop) |
| Forearm Lateral | 14x17 LW (2 images per cassette); CR perpendicular to midpoint on forearm; kVp-60; SID-42(tabletop) |
| Elbow AP | 8x10 LW; CR perpendicular centered to mid elbow joint; kVp-60; SID-42(tabletop) |
| Elbow Lateral | 8x10 CW; CR perpendicular centered to mid-elbow joint; kVp-65; SID-42(tabletop) |
| Elbow Oblique medial(internal), lateral(external) | 8x10 LW, or 10x12 CW (2 images per cassette); CR perpendicular centered to mid elbow joint; kVp-65; SID-42(tabletop) |
| Humerus AP, Lateral | 14x17 LW; CR to mid humerus; kVp-70; SID-40; top margin of IR 1.5in above humeral head |
| Humerus transthoracic lateral | 14x17 LW; CR to mid humerus; kVp-80; SID-40 |
| Shoulder AP (neutral, internal, external rotation) | 10x12 CW; CR perpendicular to a point 1 inch inferior to coracoid process; kVp-75; SID-40 |
| Shoulder PA Oblique (scapula Y) | 10x12 LW; CR perpendicular to scapulohumeral joint; kVp-85; SID-40 |
| Clavicle AP, AP axial (25 degrees cephalad) | 10x12 CW; AP (CR perpendicular to mid clavicle), AP axial (CR 25 degrees cephalad to mid clavicle) kVp-70; SID-40 |
| Scapula AP (salute) | 10x12 LW; CR perpendicular to midscapular area at a point approxiametly 2 inches inferior to coracoid process; kVp-75; SID-40;IR-2in above shoulders |
| Scapula lateral (scapula Y) | 10x12 LW; CR perpendicular to mid-medial (vertebral)border; kVp-85; SID-40; IR-2in above shoulders |
| Toes AP | 8x10 CW (2 images per cassette); CR (if including all toes) perpendicular to 3rd MTP joint. CR (if singling out a toe) perpendicular to PIP joint; kVp-55; SID-42(tabletop) |
| Toes Lateral | 8x10 CW (2 images per cassette); CR perpendicular to IP joint of great toe or PIP joint of lesser toes; kVp-55; SID-42(tabletop) |
| Toes oblique (30-45 degree medial rotation for 1st-3rd digits and lateral rotation for 4th-5th digitd) | 8x10 CW (2 images per cassette); CR perpendicular to MTP joint of affected toe; kVp-55; SID-42(tabletop) |
| Foot AP | 10x12 LW; CR either perpendicular to IR centered to base of 3rd metatarsal or 10degrees posteriorly (toward heel) centered to base of 3rd metatarsal; kVp-60; SID-42(tabletop) |
| Foot Oblique (30-45 degrees medial rotation) | 10x12 LW; CR perpendicular centered to base of 3rd metatarsal; kVp-60; SID-42(tabletop) |
| Foot Lateral (mediolateral projection) | 8x10 CW or 10x12 CW for large foot; CR perpendicular centered to base of 3rd metatarsal; kVp-60; SID-42(tabletop); kVp-60; SID-42(tabletop) |
| Calcaneous Axial plantodorsal projection (40 degrees) | 8x10 LW; CR 40 degrees to long axis of plantar surface, CR centered to base of 3rd metatarsal, to emerge just distal and inferior to ankle joint; kVp-65; SID-42(tabletop) |
| Calcaneous Lateral | 10x12 CW; CR perpendicular 1-1.5 inches distal to medial malleolus; kVp-60; SID-42(tabletop) |
| Ankle AP | 8x10 LW or 10x12 CW (2 images per cassette); CR perpendicular to midway between malleoli; kVp-65; SID-42(tabletop) |
| Ankle Lateral | 8x10 CW; CR perpendicular to ankle joint entering medial malleolus; kVp-60; SID-42(tabletop) |
| Ankle Oblique | 8x10 LW or 10x12 CW (2 images per cassette); CR perpendicular to midway between malleoli; kVp-65; SID-42(tabletop) |
| Ankle AP mortise | 8x10 LW or 10x12 CW (2 images per cassette); CR perpendicular to midway between malleoli; kVp-65; SID-42(tabletop) |
| Tib/Fib AP | 14x17 diagonal if needed; CR perpendicular to midshaft of leg to mid IR; kVp-65; SID-42(tabletop) |
| Tib/Fib Lateral (external rotation) | 14x17 diagonal if needed; CR perpendicular to midshaft of leg (to mid IR); kVp-65; SID-42(tabletop) |
| Knee AP | 10x12 LW; CR directed to 1/2 inch below patellar apex. Depending on pt measurement from ASIS to tabletop:<19cm 3-5 degrees caudad, 19-24cm 0degrees, >24cm 3-5 degrees cephalad; kVp-65; SID-42(tabletop) |
| Knee Oblique (45 degrees medial or lateral rotation) | 10x 12 LW; CR CR directed to 1/2 inch below patellar apex. Depending on pt measurement from ASIS to tabletop:<19cm 3-5 degrees caudad, 19-24cm 0degrees, >24cm 3-5 degrees cephalad; kVp-65; SID-42(tabletop) |
| Knee Lateral | 10x12 LW; CR at 1 inch distal to medial epicondyle at 5-7 degree cephalad; kVp-65; SID-42(tabletop) |
| Patella Lateral (mediolateral) | 8x10 LW; CR perpendicular centered to mid-patellofemoral joint space; kVp-65; SID-42(tabletop) |
| Patella PA | 8x10 LW; CR perpendicular centered to central patella region (at mid popliteal crease); kVp-65; SID-42(tabletop) |
| Patella Tangential (Settegast or sunrise) | 8x10 CW; CR centered to patellofemoral space, if knee is 90 degrees, use 15-20 cephalad to long axis of leg; kVp-65; SID-40(use tape measurement) |
| Femur AP | 14x17 LW; CR perpendicular to mid IR; kVp-70; SID-40(bucky) |
| Femur Lateral | 14x17 LW; CR perpendicular to mid IR; kVp-70; SID-40(bucky) |
| Hip AP unilateral | 10x12 LW; CR perpendicular to femoral neck; kVp-70-80; SID-40(bucky) |
| Hip AP bilateral | 14z17 CW; CR perpendicular to midpoint between femoral heads (1inch superior to pubic symphysis); kVp-70-80; SID-40(bucky) |
| Hip Lateral (unilateral "frog-leg") | 10x12 CW;CR perpendicular to midfemoral neck or head; kVp-70; SID-40(bucky) |
| Hip Lateral (bilateral "frog-leg") | 14x17 CW; CR perpendicular to level of femoral heads (3inches inferior to level of ASISs); kVp-70; SID-40(bucky) |
| Abdomen Upright AP | 14x17 LW (blocker down); CR centered to IR and perpendicular to 2 inches above iliac crest; kVp-75; SID-40(bucky) |
| Abdomen KUB AP (supine) | 14x17 LW (blocker down); CR centered to IR at level of iliac crests; kVp-75; SID-40(bucky) |
| Sternum PA Oblique, RAO(15-20degrees) | 10x12 LW; CR perpendicular to IR, at level of T7, between spine and medial border of scapula; IR positioned 1.5in above jugular notch; kVp-65; SID-40(bucky); Respiration-suspend after deep inspiration |
| Sternum Lateral | 10x12 LW; CR perpendicular to IR and entering the lateral border of the midsternum; IR positioned 1.5in above jugular notch; kVp-70; SID-72(bucky); Respiration-suspend after deep inspiration |
| Upper anterior Ribs-PA | 14x17 LW or CW depending on body habitus; CR perpendicular to T7; kVp-70; SID-40(bucky); Respiration-suspend after deep inspiration |
| Posterior Ribs- AP upper- unilateral | 14x17 LW; CR perpendicular and midway between sternum and lateral skin border of affected side; kVp-70; SID-40(bucky); Respiration-suspend after deep inspiration; IR superior border 1.5in above shoulders |
| Posterior Ribs- AP lower- unilateral | 10x12 CW; CR perpendicular and midway between sternum and lateral skin border of affected side; kVp-70;SID-40(bucky); Respiration-suspend after deep expiration; IR inferior border at level of iliac crests |
| Ribs-Axillary-AP oblique-RPO or LPO | 14x17 LW; CR perpendicular and midway between sternum and lateral skin border of affected side; kVp-70; SID-40(bucky); Respiration-suspend after deep inspiration; IR superior border 1.5in above shoulders |
| Ribs-Axillary-PA oblique-RAO or LAO | 14x17 LW; CR perpendicular and midway between sternum and lateral skin border of affected side; kVp-70; SID-40(bucky); Respiration-suspend after deep inspiration; IR superior border 1.5in above shoulders |
| AP Axial C-spine | 8x10 LW; Blocker up; CR 15-20 degrees cephalad at C4 (adams apple for males); pt's MSP centered to IR; Collimate- top of light to mid ear down to jugular notch- tight to neck; kVp-75; SID- 40(bucky); Respiration-suspended |
| AP Open Mouth C-Spine (odontoid) | 8x10 LW; Blocker up; CR perpendicular to IR midpoint of open mouth; pt's MSP at center of IR- pt stand still with mouth open comfortably and adjust, then open wide before exposure; Collimate- incisors to tip of chin (4x4); kVp-75; SID-40(bucky); Suspend |
| AP Oblique C-Spine (RPO or LPO) | 8x10 LW; Blocker up; CR at C4 and behind ear with 15 degree cephalad; pt stand 45 degree, turn head so parallel with IR toward shoulder resting on IR; Collimate- middle ear to C7; kVp-75; SID-40(bucky); Suspend |
| Lateral C-Spine | 8x10 LW; Blocker up; CR perpendicular to C4 and behind the ear; pt relax shoulders or stand on bed sheet & pull edges to bring shoulders down; Collimate- mid ear to C7 & skin borders; kVp-75; SID-72; Suspended |
| AP C-Spine Fuchs | 8x10 CW; Blocker up; CR perpendicular to midpoint of IR entering MSP just distal to tip of chin; pt tilt head so mandibular plane is perpendicular to IR; kVp-75; SID-40; Suspended |
| Lateral C-Spine Swimmer's | 10x12 LW; Blocker up; CR perpendicular to C7-T1(vertebral prominens)junction with 3-5 degree caudad angle; pt lift arm closest to IR up and rest on head, depress opposing shoudler; Collimate-full length of cassette, tighten sides; kVp-80; SID-40; Suspend |
| AP T-Spine | 14x17 LW; Blocker up; CR perpendicular to IR at T7; IR 1.5" above shoulders; Collimate-full length of cassette, width of pinky to thumb; kVp-80; SID-40; Respiration- shallow breathing or suspend at expiration |
| Lateral T-Spine | 14x17 LW; Blocker up; CR perpendicular to T7, posterior half thorax in coronal plane behind ear, IR 1.5" above shoulders, arms 90degrees from body; Collimate- 17" length, slightly past skin border; kVp-80; SID-40; respiration as AP T-spine |
| AP L-Spine | 14x17 LW; Blocker up; CR perpendicular to level of iliac crests; Collimate- top of IR at xiphoid tip using all 17" length, width pinky to thumb; kVp-80; SID-40 table bucky; Respiration-suspend at expiration |
| AP Oblique L-Spine (right first then left, into left lateral) | 14x17 LW; Blocker up; CR level of iliac crests and long axis 2in medial from elevated ASIS; Collimate-top of IR at xiphoid tip using all 17" length, width pinky to thumb; kVp-85; SID-40 table bucky; Respiration-suspend at expiration |
| Lateral L-Spine | 14x17 LW; Blocker up; CR at level of iliac crests and MCP centered to IR; Collimate- all 17"length; pt in true lateral, knees and elbows slightly bent in front; kVp-90; SID-40 table bucky; Respiration-suspend at expiration |
| Lateral L5-S1 | 8x10 LW; Block up; CR centered to coronal plane and 2" posterior to ASIS and 1.5" inferior to iliac crest (finger-thumb);if spine not hrzntl, M-5degree, F-8degree caudad pt in true lateral; kVp-95; SID-40 table bucky; respiration- suspended |
Created by:
Jgiron6994
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