Apicography

Question 1

Apicography

Answer 1

Special examination of the lung apices to confirm the existence of TB previously diagnosed in the conventional PA projection of the chest (CXR)

Question 2

APICOGRAPHY Conventional Projection

Answer 2

AP AXIAL (Lindblom method)

Question 3

AP AXIAL (Lindblom method) Apicography

Patient position

Answer 3

Standing in front of VGD/VCH-posterior thorax dependent

Question 4

AP AXIAL (Lindblom method) Apicography

Comfort and Part position

Answer 4

Both UE-flex-elbow-dorsum of hand-in contact-hips

Patient-make 1 step (1 foot-30.5cm) forward without bending the knees-lean backward-posterior thorax-in contact with VGD

Patient assume-lordotic position

MSP-coincide-MP-IR

RP- mid sternum

Question 5

AP AXIAL (Lindblom method) Apicography

IR size/placement

Answer 5

14X17-placed in VGD/VCH-longitudinal-MP-level-mid sternum

Top edge-3”from shoulder level

CRD: Perpendicular-72”SID-MSP-level-midsternum-exit-MP-IR

Question 6

Demo. Apices of lungs and interlobar effusions

Answer 6

AP AXIAL (Lindblom method)

Question 7

Means that you have to follow the basic protocol of exposure, x-ray beam limitation, use of ID marker, and gonadal shielding

Answer 7

“Conventional”

Question 8

AP AXIAL (Lindblom method) Apicography

For AP oblique lordotic position, rotate the body approximately (1) degrees with the (2) side dependent and centered to the MP of IR.

Answer 8

1. 30
2. affected

Question 9

PA Axial Projection Apicography

The same with the conventional PA projection of the chest except:

Answer 9

CRD: for inspiratory phase of exposure- 10-15 degrees cranial-72”SID-MSP-level-T3-exit MP-IR

For expiratory phase of exposure- Perpendicular-72”-SID-MSP-level-T3

10X12-cassette-VGD-crosswise-MP-level-T3

Question 10

Demo apices above the clavicles

Answer 10

PA Axial Projection

Question 11

AP Axial Projection Apicography

Patient position

Answer 11

Standing-in front-VGD-posterior thorax dependent

Question 12

AP Axial Projection Apicography

Comfort position

Answer 12

Both UE-flex-elbow-dorsum-hand-in contact-hips

Both LE-extended-wt. distributed equally

Question 13

AP Axial Projection Apicography

Part position

Answer 13

MSP-coincide-with MP of IR

RP-T2

Shoulder on same plane

Question 14

AP Axial Projection Apicography

IR size/placement

Answer 14

10X12-VGD-crosswise with MP-coincide-at T2

CRD: 15-20 degrees cranial-72”-MSP-level-T2-exit-MP-IR

Question 15

Preferred for hypersthenic patients to separate clavicles with apices

Answer 15

AP Axial Projection

Question 16

Demo the apices lying below the clavicles

Answer 16

AP Axial Projection

Question 17

PA Axial Projection (Fleichner Method) Apicography

Patient Position

Answer 17

Stand- in front-VGD/VCH-anterior thorax-dependent

Question 18

PA Axial Projection (Fleichner Method) Apicography

Comfort position

Answer 18

Both UE flex-elbow-dorsum of hand-in contact with hip

Question 19

PA Axial Projection (Fleichner Method) Apicography

Part position

Answer 19

Patient to lean backward assume lordotic pos’n

Anterior thorax 45 degrees from-VGD MSP-coincide-MP-IR

RP-T4

Question 20

PA Axial Projection (Fleichner Method) Apicography

IR size/placement

Answer 20

14X17-VGD-longitudinal-MP-level-T4

CRD: Perpendicular-72”SID-MSP-level-T4-exit MP-IR

Question 21

Demo apices and interlobar effusion

Answer 21

PA Axial Projection (Fleichner Method)

Question 22

PA Axial Projection (Fleichner Method) Apicography

To demo minimal mitral disease direct CR —

Answer 22

30 caudal-level-T4

Question 23

Carrera Method vs Felson Method (Apicography)

Answer 23

CARRERA Method (AP AXIAL)
same with CXR requirements in AP except
CRD-30 cranial-T4

FELSON Method (PA AXIAL)
same with CXR except CRD-45 caudal-T4