L SPINE Radiographic Anatomy Positioning Template

Download as doc, pdf, or txt
Download as doc, pdf, or txt
You are on page 1of 5

Radiographic Anatomy & Procedures I

Part: L- Spine
Projection Patient/Part IR/Cassette Size, SID Structure(s) Technique
Position Central Ray Demonstrated
AP -supine IR:center IR AT ILIAC 40 KVP:90
Center midsagittal CREST (L4) MAS:
plane to grid CR:PERPENDICULA
-flex knees and hips R TO CENTER OF IR,
enough to placd ENTERING LEVEL
back in firm contact OF ILIAC CRESTS
with table

PA -prone IR: 40 KVP:


-center midsgittal CR: MAS:
plane to IR

LATERAL -LATERAL IR:center to iliac crest 40 KVP:


POSITION CR:perpendicular to MAS:
STANDING OR IR, entering midcoronal
SUPINE plane at level of iliac
-hips and knees crest
flexed
-extend arms
forward
-adjust spine parallel
with table
AP OBLIQUE -position patient IR: center IR to central 40 KVP:
posterior oblique ray MAS:
with side of interest CR: perpendicular
closer to IR entering 2 inches
-Adjust and support medial to elevated
body obliquity to 45 ASIS and 1.5 inches
degrees above iliac crest
Have patient place
arms in a
comfortable position
and center spine to
midline of grid
Radiographic Anatomy & Procedures I
PA OBLIQUE IR: 40 KVP:
CR: MAS:

Projection Patient/Part IR/Cassette Size, SID Structure(s) Technique


Position Central Ray Demonstrated

BENDING IR: 40 KVP:


CR: MAS:

FLEXION/EXTENSIO IR: 40 KVP:


N CR: MAS:

L5-S1 LATERAL -position patient IR:on coronal plane 2 40 KVP:


lateral with hips and inches posterior to MAS:
knees flexed ASIS abnd 1.5 inches
-extend arms inferior to iliac crest
forward CR:have CR parallel to
Place radiolucent interiliac line caudal or
support under lower cephalic angulation of
thorax 5-8 degrees may be
Adjust spine parallel required
to table
-adjust midcoronal
plane of the body so
that it is
perpendicular to the
IR

Part: SI JOINTS
Radiographic Anatomy & Procedures I
Projection Patient/Part Position IR/Cassette Size, SID Structure(s) Demonstrated Technique
Central Ray
AP OBLIQUE - Supine IR: at level of ASIS 40 KVP:
- Elevate and CR: MAS:
support side PERPENDICULA
of interest 25 R TO IR ,
to 30 degrees ENTERING 1
from table INCH MEDIAL
- -align sagittal TO ELEVATED
plane passing ASIS
1 inch medial
to elevated
ASIS an
center to grid

PA OBLIQUE IR: 40 KVP:


CR: MAS:

Part: SACRUM
Projection Patient/Part Position IR/Cassette SID Structure(s) Demonstrated Technique
Size, Central
Ray
AP - SUPINE IR: center IR TO 40 KVP:90
- Center CR MAS:
midsagittal -8X10
plane to CR:angle 15
center of grid degrees cephalic
and center on
point 2 inches
superior to pubic
symphysis
LATERAL -POSITION IR:10x12 inch 40 KVP:
PATEINT LATERAL -center IR TO MAS:
WITH HIPS AND CR
KNEES FLEXED CR:
-support body to. Place Perpendicular to
long axis of spine level of ASIS
horizontal and at a point
Radiographic Anatomy & Procedures I
Prepare for positioning 3.5 inches
of CR by centering posterior
sacrum to midline of
grid

Part: COCCYX
Projection Patient/Part Position IR/Cassette SID Structure(s) Demonstrated Technique
Size, Central
Ray
AP -supine IR: center IR to 40 KVP:
Center midsagittal CR MAS:
plane to center of grid CR: angle 10
degrees caudad
and 2 inches
superior to pubic
symphysis
LATERAL - POSITION IR: center IR to 40 KVP:
PATEINT LATERAL cr MAS:
WITH HIPS AND CR:
KNEES FLEXED perpendicular to
-support body to place a point 3.5
long axis of spine inches posterior
horizontal to ASIS ans 2
-prepare for inches inferior
positioning of cental
ray by centering
coccyx to midline of
grid

Part: SCOLIOSIS SERIES


Projection Patient/Part Position IR/Cassette SID Structure(s) Demonstrated Technique
Size, Central
Ray
AP -upright, seated, or IR: 40 KVP: 90
standing CR: MAS:
-position bottom of IR perpendicular to
to include approx.. 1 midpoint of IR
inch of iliac crests
Adjust midsagittal
plane perpendicular to
midline of grid
Radiographic Anatomy & Procedures I
Have patient relax
arms at sides
-obtain first image
with patient in normal
upright position
Elevate foot or hip of
convex side of curve
3-4 inches for second
image
-do not support the
patient in this position
LATERAL -upright, seated, or IR: 40 KVP:
standing CR: MAS:
- position bottom of IR
to include approx.. 1
inch of iliac crests

You might also like