SKULL RADIOGRAPHY Flashcards
Which cranial projection helps in seeing the Sella Turcica, Anterior and Posterior Clinoid Processes, and the Dorsum Sellae ?
Lateral Projection
Cranium Lateral
CR = Perpendicular
RP = ________
RP = 2 Inches Above EAM
What position is recommended for Cranium Lateral Projection to demonstrate traumatic sphenoid sinus effusion ?
Bonus QS: Who recommended this position ?
Dorsal Decubitus Position
BONUS: Robinson, Meares, Goree
What method involves angling the tube from 20-25 Degrees Caudad or 25-30 Degrees Caudad to visualize the superior orbital fissures and rotundum foramina respectively ?
Caldwell Method
Cranium PA Axial Projection (Caldwell Method) CR Angulation
________ = Superior Orbital Fissures
________ = Rotundum Foramina
20 - 25 Degrees Caudad = Superior Orbital Fissures
25 - 30 Degrees Caudad = Rotundum Foramina
If the patient cannot be turned to the prone for PA Caldwell and if cervical spinal injury has been ruled out, it is best to direct the horizontal central ray perpendicular or __________, exiting the Nasion
15 Degrees Caudad
What projection of the cranium is similar to the PA Projection but shows a somewhat considerably magnified image because of increased OID ?
AP/AP Axial Projection
CR and RP for AP / AP Axial Projection of Cranium
CR = Perpendicular (AP) / 15 Degrees Caudad (AP Axial)
RP = Nasion
AP/AP Axial Projection of the Cranium shows the entire cranial perimeter showing ______ distinct areas of squamous bone.
Three (3)
AP Axial Projection for Cranium was first described by ________ in 1912
Grashey
Complete the ff statement:
________ recommended an angulation of 40 Degrees Caudad for AP Axial Projection of Cranium, whereas _______ recommended to have the chin depressed in the said projection.
- Altschul
- Towne
When the patient cannot flex the neck in the AP Axial Projection for Cranium, the CR Angulation must be increased by ________
7 Degrees
What are the CR conditions for AP Axial Projection for Cranium (2):
Foramen Magnum = ____
IOML = ______
Foramen Magnum = 30 Degrees Caudad
IOML = 37 Degrees Caudad
For demonstration of the entire foramen magnum in cases of pathologic condition or trauma, the caudal CR angulation must be increased from ______ to _____ to the OML
40-60 Degrees
What method is used to obtain an image of the sellar structures projected within the foramen magnum on hypersthenic patients who cannot be adjusted for AP Axial Projection ?
Haas Method
CR and RP for Haas Method
CR = 25 Degrees Cephalad
RP = 1 1/2 Inches Below the External Occipital Protuberance
Which position of patient allows greater freedom in positioning the patient for SMV (Schuller Method) ?
Upright
TRUE OR FALSE
The Upright Position increases intracranial pressure in the SMV projection (Schuller Method).
FALSE
The Upright Position ALLEVIATES intracranial pressure.
CR and RP for SMV projection (Schuller Method)
CR = Perpendicular
RP = Sella Turcica (MSP of the Throat)
Which projection is used to demonstrate the base of the cranium when the SMV projection is contraindicated and is useful studies of the anterior cranial base and sphenoidal sinuses ?
Verticosubmental Projection
What structures may be seen for the ff. angulations of the AP Axial Projection of the Sella Turcica etc.:
37 Degrees Caudad =
30 Degrees Caudad =
37 Degrees Caudad = Dorsum Sellae and Posterior Clinoid Processes Within the Foramen Magnum
30 Degrees Caudad = Dorsum and Tuberculum Sellae & Anterior Clinoid Processes
For PA Axial Projection of the Sella Turcica etc., the CR exits the ______ at an angle of _____
- Glabella
- 10 Degrees Cephalad
Which of the following structures is seen after performing PA Axial Projection of the Sella Turcica etc.:
- Dorsum Sellae
- Tuberculum Sellae
- Anterior Clinoid Process
- Posterior Clinoid Process
A. 1 Only
B. 1 & 2 Only
C. 3 & 4 Only
D. 1,2,3, & 4
D. 1,2,3, & 4
In Rhese Method, the head must be rotated to allow the MSP of the body form an angle of ______ to the plane of the IR
53 Degrees
Which optic canal and foramen projection should be used for patients who cannot be turned in the prone position for the Parietoorbitaal Oblique Projection ?
Orbitoparietal Oblique Projection
In PA Axial Projection for the Superior Orbital Fissures, the said part of interest are seen as __________
Elongated Dark Areas
Which projection and method places each orbital fissure and inferior orbital fissure between the shadows of the lateral pterygoid lamina of the sphenoid bone and the condylar processes of the mandible ?
PA Axial Projection (Bertel Method)
Which projection demonstrates a lateral image of the bones of the face, with the right and left sides superimposed ?
Lateral Projection (R/L Position)
RP for Lateral Projection of Facial Bones
Lateral Surface of the Zygomatic Bone Halfway Between the Outer Canthus and EAM
Which projection and method for facial bones require neck hyperextension to enable the OML to form a 37-degree angle with the plane of the IR ?
Parietoacanthial Projection - Waters Method
In waters method, which line must be approximately perpendicular to the plane of the IR
Mentomeatal Line (MML)
Which of the following structures is NOT SEEN on the Waters Method ?
A. Orbits
B. Dens
C. Maxillae
D. Zygomatic Arches
B. Dens
Which method requires less extension of the neck for demonstration of blow-out fractures by placing the orbital floor perpendicular to the IR and parallel to the CR ?
Modified Waters Method
Which projection and method demonstrates considerably magnified superior facial bones / structures ?
Acanthioparietal Projection - Reverse Waters Method
In PA Axial Projection (Caldwell Method) for the Facial Profile, the CR is directed to exit the Nasion at an angle of ______
15 Degrees Caudad
For demonstration of the orbital rims, the orbital floors in particular, a ________ angle may be used
30 Degree Caudal
A 30 Degree Caudal angle for demonstration of the orbital rims is also referred to as
A. Exaggerated Caldwell
B. Extreme Caldwell
C. Exemplified Caldwell
D. Modified Caldwell
A. Exaggerated Caldwell
TRUE OR FALSE
The Lateral Projection for the Nasal Bones allows for visualization of the soft structures of the nose
TRUE
Which nasal bone projection allows for demonstration of medial or lateral displacement of fragments in fractures ?
Tangential Projection
TRUE OR FALSE
The Tangential Projection for Nasal Bones may not be used for children or adults with long nasal bones, a convex face, or protruding incisors.
FALSE
The Tangential Projection for Nasal Bones may not be used for children or adults with SHORT nasal bones, a CONCAVE face, or protruding UPPER TEETH.