Practical possibilities

Question 1

How do you position a patient for T-spine

Answer 1

Feet first, supine, sponge under the knees, arms over head

Question 2

What is the internal laser for T-Spine

Answer 2

2” above jugular notch (T1)

Question 3

What is the start and end location for T-Spine

Answer 3

Just above T1 to just below T12 (UNLESS specific levels specified)

Question 4

What should be included in the DFOV for T-Spine

Answer 4

Transverse and spinous processes

Question 5

What is the patient position for L-Spine

Answer 5

Feet first, supine, sponge under knees for comfort, arms over head

Question 6

What is the internal laser for L-Spine

Answer 6

Xiphoid (T9/T10)

Question 7

What is the start and end location for L-spine

Answer 7

Just above L1 to mid sacrum just below the sacroiliac joint (UNLESS level is specified)

Question 8

What is the patient position for C-Spine

Answer 8

Head first, supine, sponge under knees, using a head scoop.
Ask the patient to lower their shoulders as much as possible

Question 9

What is the internal laser for C-spine

Answer 9

glabella

Question 10

What is the coronal laser for C-spine

Answer 10

EAM

Question 11

What is the start and end location for C-spine

Answer 11

Just above skull base to mid T1 (unless specified)

Question 12

What is the patient position for Neck C+

Answer 12

Head first, supine, sponge under knees, lowered shoulders, extend the neck so that hard palate is perpendicular to table

Question 13

What is the internal laser for neck C+

Answer 13

Glabella

Question 14

What are the breathing instructions for neck C+

Answer 14

Hold breath and do not swallow

Question 15

What are the start and end locations for neck C+

Answer 15

Mid orbit to clavicular heads (include soft tissue of neck)

Question 16

What is the contrast media required for neck C+

Answer 16

SPLIT BOLUS
1: 50ml @ 2.0ml/s
2 min delay
2: 75ml @ 2.0ml/s

in total: 125ml @ 2.0ml

Question 17

What gauge needle is required for 125ml @ 2.0ml/s

Answer 17

24 gauge or larger

Question 18

What is the patient position for Head C+

Answer 18

Head first in scoop, supine, sponge under knees

Question 19

What must you check regarding patient position before advancing into gantry for Head C+

Answer 19

The IPL is aligned

Question 20

Where is the internal laser for head C+

Answer 20

Chin/Mentum

Question 21

Where is the coronal laser for head C+

Answer 21

EAM

Question 22

What must you angle parallel to the gantry for Head C+

Answer 22

SOML

Question 23

What are the start and end locations for Head C+

Answer 23

Just below base of skull to just above vertex. Angle the box to avoid the lens of the eyes as much as possible

Question 24

What is the contrast media for Head C+

Answer 24

100ml @ 1.0ml/s
scan delay 5 min

Question 25

What is the patient position for Facial Bones

Answer 25

Head first in scoop, supine, sponge under knees, tuck patient chin down as much as possible

Question 26

What must you check positioning wise before advancing the patient into the gantry for facial bones

Answer 26

IPL is aligned

Question 27

What is the internal laser for facial bones

Answer 27

Just inferior to the chin

Question 28

What is the coronal plane for Facial bones

Answer 28

EAM or midway between EAM and outer canthus

Question 29

What are the start and end locations for the facial bones scan

Answer 29

Just below mandible to just above frontal sinus

Question 30

What is the patient position for Sinuses

Answer 30

Head first, supine, sponge under knees

Question 31

What must you check before advancing the patient into the gantry for sinuses

Answer 31

IPL aligned

Question 32

What is the internal laser for Sinuses

Answer 32

Chin/Mentum (with OML parallel)

Question 33

What is the coronal laser for sinuses

Answer 33

EAM

Question 34

What is the start and end location for a facial bone helical scan (transverse plane)

Answer 34

Above the frontal sinus to below the hard palate

Question 35

What is the start and end location for facial bone Axial scan (coronal plane) and how does the patient position differ

Answer 35

The patient will be head first prone Mid sella turcica to through the frontal sinus