Fluoro Procedures Flashcards
What is the patient positioning for the AP/PA Esophagus?
-pt lying on back/stomach
-MSP aligned with midline of IR
-hips & shoulders in the same plane
What is the longitudinal centering for the AP/PA Esophagus?
MSP
What is the marker placement for the AP/PA, & PA Oblique (RAO) Esophagus?
R marker R side
What is the patient positioning for the PA Oblique (RAO) Esophagus?
-pt rotated 35-40 to the right from prone
-hips & shoulders in the same plane
What is the longitudinal centering for the PA Oblique (RAO) Esophagus?
2” lateral to MSP on the elevated side
What is the patient positioning for the Left/Right lateral recumbent esophagus?
-pt. lying on L/R side
-hips, shoulders, knees, & ankles on top of each other
-knees bent & arms @ R angle to body
What is longitudinal centering for the Left/Right lateral recumbent esophagus?
MCP
What is the marking instructions for the Left/Right lateral recumbent esophagus?
mark the side closest anteriorly
What is the transverse centering for all projections of the esophagus?
T5/T6
What is the collimation for all projections of the esophagus?
12x17
What are the shielding instructions for all projections of the esophagus?
gonadal
What are the breathing instructions for all projections of the esophagus?
drink, drink, drink
How can you tell the patient is recumbent for all projections of the esophagus?
esophagus is barium-filled
How can you tell there is no tilt for the AP/PA Esophagus?
vertebral column is parallel to the length of the collimation
How can you tell there is no rotation for the AP/PA esophagus?
-spinous processes in the center of the vertebrae
-sternoclavicular joints equidistant from vertebral column
-esophagus centered & shown over superimposed thoracic vertebrae
How can you tell collimation is correct for all projections of the Esophagus?
-vertebral column in longitudinal center
-equidistance between edges of collimation & spine
-T5/T6 centered
What are the structures shown for all projections of the esophagus?
area from lower part of the neck (C6/C7, start of esophagus) to esophageal junction as well as surrounding soft tissue
How can you tell the patient is correctly positioned for the PA & PA Axial Stomach?
-pt. lying on stomach
-MSP aligned with midline of IR
-hips & shoulders in the same plane
-arms to side/under head, upper body not lifted
What is the longitudinal centering for the PA, PA Axial, PA Oblique (RAO) Recumbent, & AP Oblique (LPO) Recumbent stomach?
midway between MSP & left lateral margin
What is the collimation for the PA, Right Lateral Recumbent, PA Oblique (RAO) Recumbent, & AP Oblique (LPO) Recumbent stomach?
10x12 (11x14 for hypersthenic)
What are the marking instructions for the PA, AP, PA Axial, & PA Oblique (RAO) Recumbent stomach.
R marker R side
How is the patient positioned for the AP Stomach?
-pt. lying on back
-MSP aligned w: midline of IR
-hips & shoulders in same plane
What is the longitudinal centering for the AP Stomach?
-10x12- midway b/w MSP & left lateral margin
-14x17- MSP
What is the collimation for the AP Stomach?
10x12 or 14x17
What is the central ray degree & direction for the PA Axial Stomach?
35-45 cephalic
What is the SID for the PA Axial Stomach?
40” (drop to 33”-31”)
What is the collimation for the PA Axial Stomach?
14x17
What is the pt. positioning for the Right Lateral Recumbent Stomach?
-pt. lying on L/R side
-hips, shoulders, knees, & ankles on top of each other, knees bent
-arms @ right angle to body
What is the longitudinal centering for the Right Lateral Recumbent Stomach?
midway b/w MCP & R anterior margin
What is the pt. positioning for the PA Oblique (RAO) Recumbent stomach?
-pt rotated 40-70 to R from prone
-R arm down, L leg & arm holding position
-hips & shoulders in same plane
What is the pt. position for the AP Oblique (LPO) Recumbent stomach?
-pt. rotated 30-60 to L from supine
-angle sponge holding position
-hips & shoulders in same plane
What are the marking instructions for the AP Oblique (LPO) Recumbent stomach?
L marker L side
What is the transverse centering for all projections of the stomach?
1-2” above lower rib margin/midway b/w diploid process & lower rib margin
What are the breathing instructions for all projections of the stomach?
suspend after expiration
How can you tell the pt is prone on posterior surface for the PA & PA Axial Stomach?
air-filled fundus & barium-filled body/pyloris
How can you tell there is no tilt for the PA & PA Axial Stomach?
vertebral column parallel to length of collimation
How can you tell there is no rotation for the PA & PA Axial Stomach?
spinous processes in center of vertebrae
How can you tell the CR & SID are correct for the PA Axial Stomach?
-stomach shown w: less foreshortening than in AP
-lesser & greater curvatures demonstrated in profile
How can you tell the pt. is lying on the anterior surface for the PA Oblique (RAO) Recumbent Stomach?
air-filled fundus & barium-filled body/pyloris