Fluoro Procedures Flashcards

1
Q

What is the patient positioning for the AP/PA Esophagus?

A

-pt lying on back/stomach
-MSP aligned with midline of IR
-hips & shoulders in the same plane

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2
Q

What is the longitudinal centering for the AP/PA Esophagus?

A

MSP

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3
Q

What is the marker placement for the AP/PA, & PA Oblique (RAO) Esophagus?

A

R marker R side

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4
Q

What is the patient positioning for the PA Oblique (RAO) Esophagus?

A

-pt rotated 35-40 to the right from prone
-hips & shoulders in the same plane

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5
Q

What is the longitudinal centering for the PA Oblique (RAO) Esophagus?

A

2” lateral to MSP on the elevated side

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6
Q

What is the patient positioning for the Left/Right lateral recumbent esophagus?

A

-pt. lying on L/R side
-hips, shoulders, knees, & ankles on top of each other
-knees bent & arms @ R angle to body

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7
Q

What is longitudinal centering for the Left/Right lateral recumbent esophagus?

A

MCP

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8
Q

What is the marking instructions for the Left/Right lateral recumbent esophagus?

A

mark the side closest anteriorly

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9
Q

What is the transverse centering for all projections of the esophagus?

A

T5/T6

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10
Q

What is the collimation for all projections of the esophagus?

A

12x17

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11
Q

What are the shielding instructions for all projections of the esophagus?

A

gonadal

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12
Q

What are the breathing instructions for all projections of the esophagus?

A

drink, drink, drink

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13
Q

How can you tell the patient is recumbent for all projections of the esophagus?

A

esophagus is barium-filled

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14
Q

How can you tell there is no tilt for the AP/PA Esophagus?

A

vertebral column is parallel to the length of the collimation

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15
Q

How can you tell there is no rotation for the AP/PA esophagus?

A

-spinous processes in the center of the vertebrae
-sternoclavicular joints equidistant from vertebral column
-esophagus centered & shown over superimposed thoracic vertebrae

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16
Q

How can you tell collimation is correct for all projections of the Esophagus?

A

-vertebral column in longitudinal center
-equidistance between edges of collimation & spine
-T5/T6 centered

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17
Q

What are the structures shown for all projections of the esophagus?

A

area from lower part of the neck (C6/C7, start of esophagus) to esophageal junction as well as surrounding soft tissue

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18
Q

How can you tell the patient is correctly positioned for the PA & PA Axial Stomach?

A

-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

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19
Q

What is the longitudinal centering for the PA, PA Axial, PA Oblique (RAO) Recumbent, & AP Oblique (LPO) Recumbent stomach?

A

midway between MSP & left lateral margin

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20
Q

What is the collimation for the PA, Right Lateral Recumbent, PA Oblique (RAO) Recumbent, & AP Oblique (LPO) Recumbent stomach?

A

10x12 (11x14 for hypersthenic)

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21
Q

What are the marking instructions for the PA, AP, PA Axial, & PA Oblique (RAO) Recumbent stomach.

A

R marker R side

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22
Q

How is the patient positioned for the AP Stomach?

A

-pt. lying on back
-MSP aligned w: midline of IR
-hips & shoulders in same plane

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23
Q

What is the longitudinal centering for the AP Stomach?

A

-10x12- midway b/w MSP & left lateral margin
-14x17- MSP

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24
Q

What is the collimation for the AP Stomach?

A

10x12 or 14x17

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25
Q

What is the central ray degree & direction for the PA Axial Stomach?

A

35-45 cephalic

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26
Q

What is the SID for the PA Axial Stomach?

A

40” (drop to 33”-31”)

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27
Q

What is the collimation for the PA Axial Stomach?

A

14x17

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28
Q

What is the pt. positioning for the Right Lateral Recumbent Stomach?

A

-pt. lying on L/R side
-hips, shoulders, knees, & ankles on top of each other, knees bent
-arms @ right angle to body

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29
Q

What is the longitudinal centering for the Right Lateral Recumbent Stomach?

A

midway b/w MCP & R anterior margin

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30
Q

What is the pt. positioning for the PA Oblique (RAO) Recumbent stomach?

A

-pt rotated 40-70 to R from prone
-R arm down, L leg & arm holding position
-hips & shoulders in same plane

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31
Q

What is the pt. position for the AP Oblique (LPO) Recumbent stomach?

A

-pt. rotated 30-60 to L from supine
-angle sponge holding position
-hips & shoulders in same plane

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32
Q

What are the marking instructions for the AP Oblique (LPO) Recumbent stomach?

A

L marker L side

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33
Q

What is the transverse centering for all projections of the stomach?

A

1-2” above lower rib margin/midway b/w diploid process & lower rib margin

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34
Q

What are the breathing instructions for all projections of the stomach?

A

suspend after expiration

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35
Q

How can you tell the pt is prone on posterior surface for the PA & PA Axial Stomach?

A

air-filled fundus & barium-filled body/pyloris

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36
Q

How can you tell there is no tilt for the PA & PA Axial Stomach?

A

vertebral column parallel to length of collimation

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37
Q

How can you tell there is no rotation for the PA & PA Axial Stomach?

A

spinous processes in center of vertebrae

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38
Q

How can you tell the CR & SID are correct for the PA Axial Stomach?

A

-stomach shown w: less foreshortening than in AP
-lesser & greater curvatures demonstrated in profile

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39
Q

How can you tell the pt. is lying on the anterior surface for the PA Oblique (RAO) Recumbent Stomach?

A

air-filled fundus & barium-filled body/pyloris

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40
Q

How can you tell the pt. is correctly rotated 40-70 for the PA Oblique (RAO) Recumbent Stomach?

A

pyloris & duodenal bulb in profile

41
Q

How can you tell the pt. is lying on the posterior surface for the AP & AP Oblique (LPO) Recumbent Stomach?

A

barium-filled fundus & air-filled body/pylorus

42
Q

How can you tell the pt. is correctly rotated 30-60 for the AP Oblique (LPO) Recumbent Stomach?

A

pylorus & duodenal bulb in profile

43
Q

How can you tell the pt. is lying on their R side for the R. lateral Recumbent Stomach?

A

-air-filled fundus & barium-filled body/pylorus
-pyloric canal & duodenal bulb shown w/o superimposition & barium-filled
anterior & posterior structures of area shown

44
Q

How can you tell there is no rotation for the R. lateral Recumbent Stomach?

A

-intervertebral foramina open
-posterior ribs superimposed

45
Q

How can you tell the centering is correct for all projections of the stomach?

A

stomach centered @ the level of the pylorus

46
Q

What are the structures shown for all projections of the stomach?

A

stomach including gastroesophageal & gastropyloric junctions, & duodenal loop

47
Q

What is the pt position for the AP/PA Small Intestines?

A

-pt. lying on back/stomach
-MSP aligned w: midline of IR
-hips & shoulders in the same plane

48
Q

What is the longitudinal centering for the AP/PA Small Intestines?

A

MSP

49
Q

What is the transverse centering for the initial AP/PA Small Intestines?

A

2” above iliac crest

50
Q

What is the transverse centering for the scout AP/PA Small Intestines?

A

level of the iliac crest

51
Q

What is the collimation for the AP/PA Small Intestines?

A

14x17

52
Q

What are the marking instructions for the AP/PA Small Intestines?

A

R marker R side

53
Q

What are the breathing instructions for the AP/PA Small Intestines?

A

suspend after expiration

54
Q

What can be seen more in the PA Small intestines than in the AP Small Intestines?

A

more compression of the intestines

55
Q

How can you tell there is no tilt for the AP/PA Small Intestines?

A

vertebral column parallel to length of collimation

56
Q

How can you tell there is no rotation for the AP/PA Small Intestines?

A

-spinous processes in center of vertebrae
-pelvic alae symmetric

57
Q

How can you tell the centering is correct for the AP/PA Small Intestines?

A

-vertebral column centered
-initial- stomach shown in entirety
-scout- level of iliac crest centered

58
Q

What are the structures shown for the AP/PA Small Intestines?

A

all small intestines w: contrast medium in its interior shown & stomach if needed

59
Q

What is the pt. position for the AP/PA & AP/PA Axial Large Intestine?

A

-pt. lying on back/stomach
-MSP aligned w: midline of IR
-hips & shoulders in same plane

60
Q

What is the longitudinal centering for the AP/PA & AP/PA Axial, & AP/PA L/R Lateral Decubitus Large Intestine?

A

MSP

61
Q

What is the transverse centering for the AP/PA, PA Axial, PA Oblique (RAO/LAO), AP Oblique (RPO/LPO), AP/PA L/R Lateral Decubitus, & Lateral Ventral Decubitus Large Intestine?

A

Iliac crest

62
Q

What are the marking instructions for the AP/PA & AP/PA Axial Large Intestine?

A

R marker R side

63
Q

What is the CR degree & direction for the PA Axial Large Intestine?

A

30-40 caudal

64
Q

What is the CR degree & direction for the AP Axial Large Intestine?

A

30-40 cephalic

65
Q

What is the pt. positioning for the PA Oblique (RAO/LAO) Large Intestine?

A

-pt. rotated 35-45 L/R
-torso straight w: length of table
-arm & leg of side further holding position
-hips & shoulders in same plane

66
Q

What is the longitudinal centering for the for the PA Oblique (RAO/LAO)& PA Oblique (RPO/LPO) Large Intestine?

A

2” lateral to MSP on elevated side

67
Q

What are the marking instructions for the PA Oblique (RAO/LAO) Large Intestine?

A

mark side closest anteriorly

68
Q

What is the pt. positioning for the AP Oblique (RPO/LPO) Large Intestine?

A

-pt. rotated 35-45 L/R
-torso straight w: length of table
-angle sponge under hips & shoulders

69
Q

What are the marking instructions for the AP Oblique (RPO/LPO) Large Intestine?

A

mark side closest inferiorly

70
Q

What is the pt. position for the AP/PA L/R Lateral Decubitus Large Intestines?

A

-pt. lying on L/R side on 2”-3” sponge
-hips, shoulders, knees, & ankles on top of each other, knees bent
-stomach/back touching grid

71
Q

What are the marking instructions for the AP/PA L/R Lateral Decubitus Large Intestines?

A

mark side up inferiorly

72
Q

What is the pt. position for the Lateral Ventral Decubitus Large Intestine?

A

-pt. lying on stomach on 2”-3” sponge
-hips & shoulders on sponge & in same plane
-lateral side touching grid

73
Q

What is the longitudinal centering for the Lateral Ventral Decubitus Large Intestine?

A

MCP

74
Q

What are the marking instructions for the Lateral Ventral Decubitus Large Intestine?

A

side closest anteriorly

75
Q

What is the collimation for all projections of the Large Intestines?

A

14x17

76
Q

What are the breathing instructions for all projections of the Large Intestines?

A

suspend after expiration

77
Q

What is there more of in the PA & PA Axial than in AP & AP Axial Large Intestines?

A

more compression of intestines in prone

78
Q

How can you tell there is no tilt for the AP/PA & AP/PA Axial Large Intestines?

A

vertebral column parallel to length of collimation

79
Q

How can you tell there is no rotation for the AP/PA & AP/PA Axial Large Intestines?

A

-spinous processes in center of vertebrae
-pelvic alae symmetric

80
Q

How can you tell the CR & SID are correct for the AP/PA Axial Large Intestine?

A

rectosigmoid area w/o superimposition

81
Q

What are the structures shown for the AP/PA Axial Large Intestine?

A

-Large intestine from L. Colic Flexure to rectum & anterior to posterior structures
-rectosigmoid only when using 10x12

82
Q

How can you tell there is correct 35-45 rotation for the PA Oblique (RAO/LAO) Large Intestine?

A

-R. colic flexure more open in RAO
-L. colic flexure more open in LAO
-ascending & sigmoid colon, cecum, & rectum shown w/o superimposition

83
Q

How can you tell there is correct 35-45 rotation for the AP Oblique (RPO/LPO) Large Intestine?

A

-L. colic flexure more open in RPO
-R. colic flexure more open in LPO
-ascending & sigmoid colon, & cecum shown w/o superimposition

84
Q

How can you tell there is no rotation for the AP/PA L/R Lateral Decubitus Large Intestine?

A

-spinous processes in center of vertebral column
-pelvic alae symmetric

85
Q

What does the AP/PA Left Lateral Decubitus Large Intestine best demonstrate?

A

lateral ascending & medial descending colon

86
Q

AP/PA Right Lateral Decubitus Large Intestine best demonstrate?

A

medial ascending & lateral descending colon

87
Q

What does the correct CR & SID for the AP/PA L/R Lateral Decubitus & Lateral Ventral Decubitus demonstrate?

A

fluid levels

88
Q

How can you tell there is no rotation for the Lateral Ventral Decubitus?

A

-intervertebral foramina open
-posterior ribs superimposed
-pelvic alae are/nearly superimposed

89
Q

How can you tell the centering is correct for all projections of the Large Intestine?

A

intestines & level of the iliac crest centered

90
Q

What are the structures shown for all projections of the Large Intestine?

A

large intestines from L. colic flexure to rectum, & anterior & posterior structures

91
Q

What is the pt. position for the L/R Lateral Recumbent Rectum?

A

-pt lying on L/R side
-hips, shoulders, knees, & ankles on top of each other, knees bent

92
Q

What is the longitudinal centering for the L/R Lateral Recumbent Rectum?

A

MCP

93
Q

What is the transverse centering for the L/R Lateral Recumbent Rectum?

A

iliac crest

94
Q

What is the collimation for the L/R Lateral Recumbent Rectum?

A

10x12

95
Q

What are the marking instructions for the L/R Lateral Recumbent Rectum?

A

side closest anteriorly

96
Q

What are the breathing instructions for the L/R Lateral Recumbent Rectum?

A

suspend after expiration

97
Q

How can you tell there is no rotation for the L/R Lateral Recumbent Rectum?

A

rectum & sacrum/coccyx shown in profile

98
Q

How can you tell the centering is correct for the L/R Lateral Recumbent Rectum?

A

rectum centered

99
Q

What are the structures shown for the L/R Lateral Recumbent Rectum?

A

rectum & sigmoid colon, as well as surrounding structures