SKULL PROJECTIONS AND METHODS Flashcards
Angle differences between:
1. OML and IOML
2. OML and GML
3. IOML and AML
- 7 degrees
- 8 degrees
- 15 degrees
-Average shape of Skull
-Oval in shape
-Wider in back than in front
-6 inches (15 cm) between parietal eminence or side to side
-7 inches (18 cm) from frontal eminence to inion or front to back
-9 inches (23 cm) from vertex to chin (submental region)
-Petrous Pyramid forms an angle of 45 to 47 degrees to the MSP
MESOCEPHALIC
-Wider in diameter (transversely) - CASSETTE CROSSWISE
-Short from front to back
-Broad from side to side
-Shallow from vertex to base
-Petrous pyramid forms an angle of 54 degrees to the MSP
-Width is 80% or greater than the length
BRACHYCEPHALIC
-Longer in vertical dimension - CASSETTE LENGTHWISE
-Head is long from front to back
-Narrow from side to side
-Deep from vertex to base
-Petrous Pyramid forms an angle of 40 degrees to the MSP
-The width is less than 75% of the length
DOLICHOCEPHALIC
Lateral Projection of the Cranium
CR?
Px Position?
Perpendicular 2 inches (5 cm) SUPERIOR to the EAM
IPL is
PERPENDICULAR to
the cassette
SEATED-UPRIGHT or SEMIPRONE or SUPINE
AFFECTED side is closer to the IR
Lateral Projection of the Cranium (Dorsal Decubitus)
Method?
ROBINSON, MEARES,
and GOREE
PA Projection of the Cranium
CR?
Px Position?
Perpendicular to EXIT
the NASION
OML is
PERPENDICULAR to
the cassette
Prone
PA Axial Projection of the Cranium
Method?
CR?
Px Position?
CALDWELL METHOD
CALDWELL - exit NASION at an angle of 15 degrees CAUDAD
For demonstration of superior orbital fissures: CR THROUGH ORBITS at 20 to 25 degrees CAUDAD
For demonstration of rotundum foramina, CR THROUGH NASION at 25 to 30 degrees CAUDAD
OML is PERPENDICULAR to the cassette
Prone
AP OR AP AXIAL PROJECTION of the Cranium (Not Method)
CR? (15 degrees)
Px Position?
PERPENDICULAR Perpendicular through the NASION or (AP)
at an angle of 15 degrees CEPHALAD (AP AXIAL)
OML is PERPENDICULAR to
the cassette
Supine
AP AXIAL PROJECTION of the Cranium (Method)
CR?
Px Position?
If cannot flex the neck?
TOWNE’S/ CHAMBERLAINE/ GRASHEY METHOD
Foramen magnum at a CAUDAL angle of 30 degrees to OML or 37 degrees to IOML.
Enters approx 2 ½ inches (6.3 cm) above the glabella and passes through the level of the EAM
OML is PERPENDICULAR to
the cassette.
If cannot flex the neck, IOML should be perpendicular and increase angulation of CR by 7 degrees
(difference of both)
Supine
PA AXIAL PROJECTION of the Cranium
Method? (Reverse of Water’s)
CR?
Px Position?
HAAS METHOD
CEPHALAD angle of 25 degrees to enter a point 1 ½ inches below external occipital protuberance (inion) and to exit approximately 1 ½ inches superior to the nasion
OML is PERPENDICULAR to the cassette
Prone
SUBMENTOVERTICAL PROJECTION of the Cranial Base
Method?
CR?
Px Position?
SCHULLER/ PFEIFFER METHOD
Directed through the sella turcica PERPENDICULAR to the IOML. CR enters the MSP of the throat between the angles of the mandible and passes through a point ¾ inch ANTERIOR to the level of the EAMs
IOML PARALLEL to the cassette.
Rest the head on the vertex
Supine
VERTICOSUBMENTAL
PROJECTION of the Cranial Base
Method?
CR?
Px Position?
SCHULLER METHOD
Directed through the sella turcica PERPENDICULAR to the IOML. CR passes through a point ¾ inch ANTERIOR to the level of the EAMs
Patient’s chin fully
extended
Prone
PA AXIAL PROJECTION of the CRANIAL, SELLA TURCICA, AND EAR
Method?
CR?
Px Position?
VALDINI METHOD
Perpendicular to the cassette at a level slightly above EAM
IOML forms 50 degrees with the cassette for demonstration of the labyrinths, internal acoustic canals and dorsum sella (I-LID)
OML forms 50 degrees with the cassette for bony part of auditory tubes, and external acoustic canals, tympanic cavities (O-BET)
Head rested on the frontal region (duko*)
PRONE or SEATED-UPRIGHT
LATERAL PROJECTION of the Sella Turcica
CR?
Px Position?
Perpendicular to a point ¾ inch ANTERIOR and ¾ inch SUPERIOR to the EAM
MSP PARALLEL and IP is PERPENDICULAR to the cassette
IOML PARALLEL with the transverse axis of the cassette
SEMI PRONE or SEATED-UPRIGHT
AP AXIAL PROJECTION of the SELLA TURCICA, DORSUM SELLAE, POSTERIOR CLINOID PROCESSES
Method?
CR?
Px Position?
TOWNE’s METHOD
Directed to MSP, entering the upper forehead and passing through the head at the level of the EAM
37 degree CAUDAL angulation to IOML - projects the dorsum sellae and posterior clinoid processes within the foramen magnum
30 degree CAUDAL angulation ray to IOML - projects the dorsum and tuberculum sellae and the anterior clinoid processes through occipital bone above the level of foramen magnum
IOML PERPENDICULAR to the cassette
SEATED UPRIGHT or SUPINE
PA AXIAL PROJECTION of the SELLA TURCICA, DORSUM SELLAE, POSTERIOR CLINOID PROCESSES
Directed 10 degrees CEPHALAD to the glabella
MSP and OML is PERPENDICULAR to the cassette
PRONE or SEATED
PARIETOORBITAL OBLIQUE PROJECTION of the OPTIC CANAL AND FORAMEN
Method?
CR?
Px Position?
RHESE METHOD
Perpendicular to 1 inch SUPERIOR AND POSTERIOR to the upside TEA. the CR exits through the affected orbit closest to the cassette
AML perpendicular to the cassette
MSP forms 53 degrees to the cassette
SEMI PRONE or SEATED-UPRIGHT
ORBITOPARIETAL OBLIQUE PROJECTION of the OPTIC CANAL AND FORAMEN
Method?
CR?
Px Position?
RHESE
Perpendicular to enter the uppermost orbit at its inferior and lateral quadrant
AML perpendicular to the cassette MSP forms 53 degrees to the cassette
SEATED-UPRIGHT or SUPINE
PARIETO ORBITAL OBLIQUE PROJECTION of the SPHENOID STRUT
Method?
CR?
Px Position?
HOUGH METHOD
Directed 7 degrees CAUDAD to exit affected orbit
IOML PERPENDICULAR to the cassette
MSP is rotated 20 degrees towards the side being examined
Prone
PA AXIAL PROJECTION of SUPERIOR ORBITAL FISSURES
Method?
CR?
Px Position?
CALDWELL METHOD
Directed to the MSP at an angle of 20 to 25 degrees CAUDAD and exiting at the level of the inferior margin of the orbit
MSP and OML is PERPENDICULAR
Prone
PA AXIAL PROJECTION of the INFERIOR ORBITAL FISSURES Method?
CR?
Px Position?
BERTEL METHOD
Directed at an angle of 20 to 25 degrees CEPHALAD and exiting the nasion. CR enters the midline approximately 3 inches below the external occipital protuberance
MSP and IOML is perpendicular to the cassette
Prone
LATERAL PROJECTION of the EYE
CR?
Px Position?
Perpendicular through the outer canthus
MSP of head is PARALLEL with the cassette
IP is PERPENDICULAR to the cassette
PA AXIAL PROJECTION of the EYE
CR?
Px Position?
Through the center of the orbits at a CAUDAL angulation of 30 degrees
OML PERPENDICULAR to the cassette
Prone
PARIETOACANTHIAL PROJECTION of the EYE
Method?
CR?
Px Position?
MODIFIED WATERS METHOD
Perpendicular through the midorbits
MSP PERPENDICULAR to the cassette
OML forms 50 degrees with the plane of the cassette
Prone
-Used to demonstrate the eyeball free from the superimposition of bones (2 TANGENTIAL PROJECTIONS involved)
-detect small or low density foreign body
-no device used (2 movements of the eye/s: Vertical and Horizontal
-made on standard periapical or occlusal size dental film
VOGT BONE FREE
-Uses mathematical computation to determine the exact location of the foreign body in the eye
-one of the most common
-same with Water’s
SWEET METHOD
-It makes use of the gilded or leaded contact lenses placed directly over the cornea (intraorbital and intraocular) where it has 4 holes spaced at 90 degrees intervals that
serves as a marker indicator to estimate the location of the foreign body
-most common
-same with Water’s
APPARATUS:
-Contact lens localization device
-Pedestal type of film holder
PFIEFFER-COMBERG METHOD
-Utilizes fluoroscopy to search for the foreign body found in the orbits
PARALLAX METHOD
LATERAL PROJECTION of the FACIAL BONES
CR?
Px Position?
Perpendicular & entering the lateral surface of the ZYGOMATIC BONE halfway between the OUTER CANTHUS and EXTERNAL AUDITORY MEATUS (EAM)
MSP of head is PARALLEL with the IR
IP is PERPENDICULAR to the IR
IOML is PARALLEL with the TRANSVERSE AXIS of IR
FACIAL PROFILE - LATERAL PROJECTION
Perpendicular to the LATERAL surface of the ZYGOMATIC bone and HALFWAY between the outer canthus and the EAM
MSP is PARALLEL
IP is PERPENDICULAR to
the IR
IOML is PARALLEL
with the TRANSVERSE
AXIS of IR
PARIETOACANTHIAL PROJECTION of the FACIAL BONES
Method?
CR?
Px Position?
WATERS/ MAHONY’S METHOD
Enters the vertex in the parietal region & PERPENDICULAR to EXIT the ACANTHION
OML forms 37 degrees with the plane of IR
MSP is PERPENDICULAR to the cassette
Prone
MODIFIED PARIETOACANTHIAL PROJECTION of the FACIAL BONES
Method?
CR?
Px Position?
MODIFIED WATERS METHOD
Enters the vertex in the parietal region & PERPENDICULAR to EXIT the ACANTHION
OML forms 55 degrees
Used to show blow out fractures
SHALLOW WATERS
MODIFIED WATERS METHOD
ACANTHIOPARIETAL PROJECTION of the FACIAL BONES
Method?
CR?
For Trauma?
Px Position?
REVERSE WATERS METHOD
Perpendicular to ENTER the ACANTHION and exits in PARIETAL region
For TRAUMA Px: CR adjusted so that it will be PARALLEL with the MML
OML forms 37 degrees
OML forms 30 degrees (for TRAUMA patients)
MML is approximately PERPENDICULAR to the cassette
MSP is PERPENDICULAR
Supine
LATERAL PROJECTION of the NASAL BONES
CR?
Px Position?
Perpendicular to the bridge of the nose at point ½ inch (1.3 cm) DISTAL to the NASION
MSP is PARALLEL
IP is PERPENDICULAR to
the IR
IOML is PARALLEL with the transverse axis of the IR