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AA CR book locations
Radiography
| Question | Answer |
|---|---|
| PA chest | T7 or 7-8 inches below vertebra prominent at 72” |
| Lateral chest | T7 may have to lower 1” at 72” |
| AP chest | T7 or 3-4 inches below jugular notch |
| AP and Lateral Trachea and Larynx; soft tissue neck | C6-C7 midway between the prominence and jug notch |
| Chest on pediatric | Nipple line |
| PA finger; lateral and oblique | PIP. 40” |
| AP, lateral and oblique Thumb | First MCP joint |
| PA and Oblique Hand | 3rd MCP joint |
| Lateral Hand | 2nd MCP joint |
| PA, lateral and oblique Wrist | Center of carpals |
| Ulnar deviation | 10-15 degrees towards proximal towards elbow, centered on Scaphoid |
| Modified Stecher method Wrist | Cr perpendicular to IR hand elevated 20 degrees cr at scaphoid |
| AP and Lateral Forearm | Midpoint of forearm 40” |
| AP, Oblique and Lateral Elbow | Midpoint of the Elbow Joint |
| Coyle Method Elbow | Radial head elbow @ 90 degrees CR @ 45 centered on radial head:; Coronoid elbow @ 80 degrees CR @ 45 degrees mid elbow joint |
| AP and Lateral Humerus | Midpoint of Humerus 40” Mid to Distal @ 1/3 distal humerus |
| AP shoulder ; ext and int | 1” inferior to the coracoid 40” |
| Inferiosuperior Axial shoulder ; Lawrence | Horizontal beam @ 25-30 degrees medially to axilla 40” |
| Superoinferior Axial shoulder | 5-10 degrees towards the body 40” |
| AP Oblique- Glenoid cavity; Grashey method | 2” inferior and 2” medial from superolateral border of shoulder 40”. Body at 35-45 oblique |
| PA Oblique shoulder ; scapular Y lateral | Scapulohumeral joint 40”. Body 45-60 degrees |
| AP Neutral Shoulder | Midscapulohumeral joint, approximately 3/4” inferior and slightly lateral to coracoid 40” |
| Transthoracic lateral shoulder | Level of surgical neck 40” |
| AP and AP Axial Clavicle | Both Midclavicle ;with axial 15-30 degrees cephalad, 15 thick; 30 thin |
| AP Acromioclavicular joints ; with & without weights; Pearson Method | Midpoint of AC joints 1” (2.5cm) Above Jug notch. 72” |
| AP Scapula | 2” inferior coracoid & 2” in from lateral border of pt. 40” |
| Lateral Scapula | Midvertabral border of Scapula 40”. 45-60 |
| AP Toes | At the MTP joint of toe at 10-15 degrees; Metatarsal Phalangal joint |
| AP & Oblique Toe | Centered to MTP joint foot 30 degrees 40” |
| Lateral Toes | IP joint for 1st digit and PIP joint of 2nd-5th digits. 40” |
| AP Foot; Dorsoplantar | 10 degrees at the base of the 3rd Metatarsal 40” |
| Lateral and Oblique Foot | Base of 3rd Metatarsal; oblique 30 degrees medial |
| Plantodorsal axial : Calcaneus | 40 degrees cephalic to exit out at base if 3rd Metatarsal 40” |
| Lateral Calcaneus | At Midcalcaneus 1” inferior to medial malleolus |
| AP Ankle, Mortise and Oblique | Midway between Malleoli. 40” AP 3-5 rotation, Mortise 15-20 rotation, Oblique 45 rotation |
| Lateral Ankle | At medial malleolus |
| TiB/ Fib AP and Lateral | Mid lower leg 40-48” |
| AP Knee | 1/2” distal the Apex of the patella ; 3-5 degrees internal leg rotation 40”; Thigh thickness <19” 5 caudad; 19-24” no angle; >24” 5 cephalad |
| Oblique Knee | 1/2@ distal to Apex of patella at midpoint of knee |
| Mediolateral Knee | 1” distal the Epicondyle at 5-7 Cephalad angle ;; 5-7 Caudad for cross table |
| PA Axial wt. bearing ; Rosenberg method | 1/2” below Apex of patella at 10 degrees Caudad between both flexed 45 degree knees |
| PA Patella | Centered at midpopliteal crease or midpatella area |
| Lateral Patella | Midpatellofemoral joint 40” |
| AP Tunnel Béclere method | 1/2”below patella |
| Tangential Axial Patell; Merchant method | CR 30 degrees from horizontal midway between knees 48-72” |
| Hughston | 45 degrees cephalad at the patellofemorar joint |
| Settegast | 15-20 degrees cephalad at patellofemoral joint |
| Axial AP Patella Sunrise | 15 degrees upward at patellofemoral joint |
| Measurements to find Femoral Neck | 1”-2” medial from ASIS and 3”-4” inferior to ASIA |
| AP and Lateral Mid-Distal Femur | Mid Femur include knee joint. 40” |
| AP proximal Femur; Hip | 1”-2” Distsl the Femoral neck 40” |
| Lateral proximal Femur ; Frog Leg; modified cleaves method | At the Femoral Neck CR perpendicular to IR |
| Bi Lateral Frog Leg ; cleaves | MSP at 3” below ASIS OR at level of Femoral Heads. 40” |
| Axiolateral Inferosuperior Lateral Hip; Danelius miller method | Horizontal beam CR perpendicular to Femoral Neck, leg rotation 15 degrees if possible |
| AP Pelvis | Midway between ASIS and Pubis symphysis OR 2” below ASIS 40” rotate feet 15-20 degrees internally |
| AP Open Mouth C1- C2; Atlas and Axis | Center of open mouth 40” |
| AP Dens ; Fuchs Method | 1” Inferior to chin |
| AP Axial Cervical spine | 15-20 degree cephalad at C-4 |
| Oblique Cervical spine | 15-20 degree cephalad LPO/RPO 15-20 degree Caudad LAO/RAO BOTH at 40”-72” |
| Lateral Cervical spine | C-4 at 72” |
| Cervicothoracic ; Swimmers | T-1 at 72” might have to put a 3-5 degree Caudad angle on tube |
| AP and Lateral Thoracic spine | T-7 at 40” |
| Oblique T-Spine | T-7 at 40” with 70 degree oblique body |
| AP Lumbar Spine | Level of Iliac Crest L4-L5. 40” |
| Oblique Lumbar Spine | L-3 (lower costal margin) and 2” medial the upper ASIS |
| Lateral Lumbar Spine | Centered on Iliac Crest : 40” put cross hair line from Ear to Iliac crest |
| Lateral L5-S1 Lumbar Spine : Spot | 1 1/2” inferior to Iliac Crest and 2” posterior to ASIS. 40”. SPOT |
| AP Axial Sacrum | 15 degrees Cephalad at 2” above the Pubis symphysis |
| AP Axial Coccyx | 10 degrees Caudad at 2” above Pubis Symphysis. 40” |
| Lateral Sacrum and Coccyx | 3”-4” posterior of ASIS Level, put marker in front lower quadrant |
| AP Axial SI Joint | MSP at 2” below ASIS Level with 30 degree Male & 35 degree Female. 40” |
| Posterior Oblique SI Joint | 1” medial from upside ASIS. 40”. Pt. At 25-30 oblique |
| Sternum | Mid sternum between jug notch and xiphoid 40”. Pt. 15-20 RAO |
| Lateral Sternum | Mid Sternum. 72” |
| PA SC Joints | T2-T3 MSP |
| Oblique SC Joint | T2-T3 at 1”-2” from MSP to the up side. 40” |
| AP PA Ribs Above diaphragm | T7 MSP 3”-4” below Jug notch. 72” |
| AP Ribs Below diaphragm | MSP at midway between lower rib margin and xiphoid process 72” |
| Anterior Oblique upper ribs | Centered at ribs at T7 72” Erect/ 40” Recumbent |
| AP Axial cranium ; Townes | 30 degrees Caudad (OML) or 37 degrees Caudad (IOML) at 2 1/2” above Glabella. 40” |
| Lateral Cranium | 2” above the EAM |
| PA Cranium; Caldwell | CR enter back of skull and exit out at Glabella, no angle |
| PA Axial Cranium , Caldwell | 15 degree Caudad exit out at Nasion 40” |
| Submentovertical Cranium SMV | Centered 1 1/2” inferior to the mandible symphysis perpendicular to the IOML ; 3/4” anterior to level of EAM |
| Lateral Face Bones | Perpendicular to IR at midway between outer canthus and EAM on Zygoma |
| Parietoacanthial ; Waters | CR perpendicular to IR exit out of Acanthion |
| Lateral Paranasal Sinuses | Midway between outer canthus and EAM |
| PA Paranasal Sinuses ; Caldwell | Horizontal beam exit out at Nasion with head tilt 15 degrees |
| AP Supine Abdomen ; KUB | Iliac Crest 40” |
| AP Erect Abdomen | 2” Above Iliac Crest. 40” |
| Lateral Decubitus Abdomen | 2” above Iliac Crest |
| RAO Esophagogram | T6; 2”-3” below jug notch |
| Lateral Esophagogram ; right lateral | T 6; 2”-3” below jugular notch |
| AP Esophagogram | T 6 at 40” |
| RAO Upper GI ; ALL Stomach | Sthenic at L1 Hypersthenic 2” Above T1 Hyposthenic 2” Below T1 |
| AP Small Bowel | Early image at 2”Above Iliac Crest Later image at Iliac Crest |
| Clements-Nakayama Method | Plate is 15 degrees from vertical facing more upward, CR enters at that 15 degree angle plus rotate 15-20 degrees; CR and IR perpendicular |