Spine! Flashcards
Know all the proper specifications for setting up spine x-rays
Lateral Cervical
SID: 72 Film size: 8x10 Film Placement: blocker up Placement: seated, shoulder to bucky CR: C4 and mastoid Tube tilt: none Collimation: soft tissue Breathing: Exhale and hold
APOM Cervical
SID: 40 Film size: 8x10 Film Placement: blocker up Placement: seated, back to bucky, open mouth CR: Center of mouth (C1/C2) Tube tilt: none Collimation: below eyes, mastoid to mastoid Breathing: DBDM
AP Cervical
SID: 40 Film size: 8x10 Film Placement: Blocker up Placement: Seated, back to bucky CR: C4 Tube tilt: 15* Cephalic Collimation: Soft tissue Breathing: DBDM
Oblique Cervical
SID: 72 Film size: 8x10 Film Placement: Blocker up Placement: seated, 45* rotation, anterior shoulder touches bucky CR: C4 Tube tilt: 15* caudal Collimation: film size Breathing: DBDM
Flexion / Extension Cervical
SID: 72 Film size: 10x12 Film Placement: blocker up Placement: seated, shoulder to bucky CR: C4 Tube tilt: none Collimation: film size Breathing: dont breathe don't move
AP Thoracic
set film height to patient, then CR to center of film
SID: 40 Film size: 14x17 Film Placement: blocker up, top of film 1.5" above VP Placement: standing, back to buck CR: T6 Tube tilt: none Collimation: 7x17 Breathing: inhale and hold NOTE: step filter down to sternum, 3 filter to CR
Lateral Thoracic
set film height to patient, then CR to center of film
SID: 40
Film size: 14x17
Film Placement: blocker up, top of film 1.5” above VP
Placement: standing, arms in prayer, elbows together
CR: Behind humeral head
Tube tilt: none
Collimation: 10x17
Breathing: inhale and hold
NOTE: 2,3,4 filters up to bottom of humeral head
Swimmer’s
set film height to patient, then CR to center of film
SID: 40 Film size: 8x10 Film Placement: blocker up Placement: seated, shoulder to bucky with arm up CR: C7/T1 Tube tilt: none Collimation: film size Breathing: don't breathe don't move Measure: axilla to axilla
AP Lumbar
SID: 40 Film size: 14x17 Film Placement: blocker up Placement: standing CR: F- 1" below crest, M- 2" below crest (light 1" below xiphoid and below trochanters Tube tilt: none Collimation: film size Breathing: Exhale and hold NOTE: gonad shield; F- bottom of shield above Pubis Symphysis, M- Top of shield below PS
Lateral Lumbar
SID: 40 Film size: 14x17 Film Placement: blocker up Placement: standing, shoulder to bucky, genie arms CR: Mid axillary, 1" above crest Tube tilt: none Collimation: 10x17 Breathing: exhale and hold NOTE: Filter down to crest if large hips
L5-S1 Spot
SID: 40 Film size: 8x10 Film Placement: blocker up Placement: standing, shoulder to buck, Genie CR: 2" below crest, 1" posterior to midline Tube tilt: None Collimation: film size Breathing: DBDM NOTE: measure 2" below crest
Recumbent Lumbar Oblique
SID: 40
Film size: 10x12
Film Placement: blocker up, bucky under patient
Placement: prone on table, 45* rotation in Y axis, anterior side down
CR: 1” above crest, 1” posterior to spine
Tube tilt: vertical,
Collimation: Film size
Breathing: exhale and hold
NOTE: measure like APLP
Lateral PUC
neutral, remove rotation, adjust bucky
SID: 72 Film size: 10x12 Film Placement: blocker up Placement: seated, back to bucky CR: C1 Tube tilt: none Collimation: eyes out Breathing: exhale and hold
AP PUC
SID: 40 Film size: 8x10 Film Placement: blocker up Placement: seated CR: C4 Tube tilt: 15* cephalic Collimation: soft tissue Breathing: DBDM
APOM PUC
SID: 40 Film size: 8x10 Film Placement: blocker DOWN Placement: seated, neutral, bucky touches back of the head and shoulders CR: Corner of mouth through mastoid Tube tilt: 5-15* cephalic Collimation: film size Breathing: DBDM NOTE: 3 filter out eyes