Fluoro Procedures Flashcards by Adi Miller

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

How well did you know this?

Not at all

Perfectly

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

MSP

How well did you know this?

Not at all

Perfectly

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

R marker R side

How well did you know this?

Not at all

Perfectly

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

How well did you know this?

Not at all

Perfectly

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

2” lateral to MSP on the elevated side

How well did you know this?

Not at all

Perfectly

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

How well did you know this?

Not at all

Perfectly

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

MCP

How well did you know this?

Not at all

Perfectly

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

mark the side closest anteriorly

How well did you know this?

Not at all

Perfectly

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

T5/T6

How well did you know this?

Not at all

Perfectly

What is the collimation for all projections of the esophagus?

12x17

How well did you know this?

Not at all

Perfectly

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

gonadal

How well did you know this?

Not at all

Perfectly

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

drink, drink, drink

How well did you know this?

Not at all

Perfectly

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

esophagus is barium-filled

How well did you know this?

Not at all

Perfectly

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

vertebral column is parallel to the length of the collimation

How well did you know this?

Not at all

Perfectly

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 well did you know this?

Not at all

Perfectly

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

How well did you know this?

Not at all

Perfectly

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 well did you know this?

Not at all

Perfectly

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

How well did you know this?

Not at all

Perfectly

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

How well did you know this?

Not at all

Perfectly

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

10x12 (11x14 for hypersthenic)

How well did you know this?

Not at all

Perfectly

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

R marker R side

How well did you know this?

Not at all

Perfectly

How is the patient positioned for the AP Stomach?

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

How well did you know this?

Not at all

Perfectly

What is the longitudinal centering for the AP Stomach?

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

How well did you know this?

Not at all

Perfectly

What is the collimation for the AP Stomach?

10x12 or 14x17

How well did you know this?

Not at all

Perfectly

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

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

pyloris & duodenal bulb in profile

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

barium-filled fundus & air-filled body/pylorus

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

pylorus & duodenal bulb in profile

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

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

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

-intervertebral foramina open -posterior ribs superimposed

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

stomach centered @ the level of the pylorus

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

stomach including gastroesophageal & gastropyloric junctions, & duodenal loop

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

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

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

MSP

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

2" above iliac crest

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

level of the iliac crest

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

14x17

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

R marker R side

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

suspend after expiration

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

more compression of the intestines

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

vertebral column parallel to length of collimation

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

-spinous processes in center of vertebrae -pelvic alae symmetric

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

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

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

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

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

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

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

MSP

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?

Iliac crest

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

R marker R side

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

30*-40* caudal

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

30*-40* cephalic

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

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

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

2" lateral to MSP on elevated side

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

mark side closest anteriorly

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

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

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

mark side closest inferiorly

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

-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

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

mark side up inferiorly

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

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

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

MCP

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

side closest anteriorly

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

14x17

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

suspend after expiration

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

more compression of intestines in prone

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

vertebral column parallel to length of collimation

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

-spinous processes in center of vertebrae -pelvic alae symmetric

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

rectosigmoid area w/o superimposition

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

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

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

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

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

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

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

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

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

lateral ascending & medial descending colon

AP/PA Right Lateral Decubitus Large Intestine best demonstrate?

medial ascending & lateral descending colon

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

fluid levels

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

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

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

intestines & level of the iliac crest centered

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

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

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

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

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

MCP

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

iliac crest

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

10x12

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

side closest anteriorly

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

suspend after expiration

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

rectum & sacrum/coccyx shown in profile

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

rectum centered

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

rectum & sigmoid colon, as well as surrounding structures