Specialty Radiography Review

Question 1

What is the name of the procedure that examines the CNS structures situated within the vertebral canal?

Answer 1

Myelogram

Question 2

Most pathology and trauma occur:

Answer 2

in the cervical & lumbar areas of the spine.

Question 3

What are some of the indications for a myelogram?

Answer 3

• Extrinsic spinal cord compression caused by a herniated disk, bone fragment, cyst or tumor
• Spinal cord swelling resulting from traumatic injury
• Identifies narrowing of subarachnoid space

Question 4

What are some of the contraindications for a myelogram?

Answer 4

• Blood within CSF
• Arachnoiditis
• Increased intracranial pressure
• Recent lumbar puncture

Question 5

What type of injection is used for a myelogram?

Answer 5

Intrathecal injection

Question 6

Where is the contrast for a myelogram commonly injected?

Answer 6

• L2-L3 or L3-L4 interspace

- Also @ cisterna magna between C1 & occipital bone

Question 7

What are some common complications of a myelogram?

Answer 7

• Headache
• Nausea/vomiting
• Seizure
• Allergic reaction
• Bleeding
• infection

Question 8

What is the name of the procedure for radiography of a joint or joints?

Answer 8

Arthrogram

Question 9

What are the most frequent sites for an arthrogram to be performed?

Answer 9

• Knee & shoulder

- Hip, wrist & TMJ

Question 10

What are some common indications for a knee arthrogram?

Answer 10

• Tears of the joint capsule, menisci or ligatments (trauma)

- Baker’s cyst (nontrauma)

Question 11

What are indications for a shoulder arthrogram?

Answer 11

• Evaluation of partial or complete tear in rotator cuff or glenoidal labrum
• Persistent pain or weakness
• Frozen shoulder

Question 12

Where is the injection site for a shoulder arthrogram?

Answer 12

• ½ inch inferior and lateral to the coracoid process

- Spinal needle is used due to deep location of capsule

Question 13

What is the name of the radiologic procedure that examines the nonpregnant uterus, accessory organs and vagina?

Answer 13

HSG

Question 14

What are some indications for an HSG?

Answer 14

• Size, shape and position of uterus & uterine tubes
• Delinate lesions (polyps, tumor masses or fistulous tracts)
• Patency of uterine tubes

Question 15

What are some contraindications for an HSG?

Answer 15

• Pregnancy
• Acute pelvic inflammatory disease
• Active uterine bleeding

Question 16

The HSG examination should be scheduled approximately : __________

Answer 16

7 to 10 days after the onset of menstruation.

Question 17

What position will be the patient be placed in to facilitate the flow of contrast during an HSG?

Answer 17

Trendenlenburg

Question 18

Where should the contrast spill out into when performing an HSG?

Answer 18

Peritoneal cavity

Question 19

How much contrast is used to fill the uterine cavity and how much is needed to fill the uterine tubes?

Answer 19

• 4 to 5 ml

- Additional 4 to 5 ml for uterine tube patency