X-Ray Positioning (Part II) (Irene Gold) Flashcards
What structure is being Evaluated on a Lateral Skull?
Sella Turcica
What Film Size is used for a Lateral Skull?
10x12
What is the Focal Film Distance (FFD) for a Lateral Skull?
40 inches
What is the Tube Tilt used on a Lateral Skull?
None
What structure is being Evaluated on a P-A Caldwell Projection?
Frontal Sinus
What Film Size is used for a P-A Caldwell Projection?
10x12
What is the Focal Film Distance (FFD) for a P-A Caldwell Projection?
40 inches
What is the Tube Tilt for a P-A Caldwell Projection?
15 degrees Caudal
What structure is being Evaluated on an A-P Towne’s x-ray?
Foramen Magnum
What is the Film Size for an A-P Towne’s x-ray?
10x12
What is the Focal Film Distance (FFD) for an A-P Towne’s x-ray?
40 inches
What is the Tube Tilt on an A-P Towne’s x-ray?
35 degrees caudal
What structure is being Evaluated on a Water’s x-ray?
Maxillary Sinuses
What is the Film Size for a Water’s X-ray?
8x10
What is the Focal Film Distance (FFD) for a Water’s x-ray?
40 inches
What is the Tube Tilt for a Water’s x-ray?
None
What is the Film Size for the Neutral Lateral Cervical Film? (Two choices)
8x10 or 10x12
What is the Focal Film Distance (FFD) of a Neutral Lateral Cervical Film?
72 inches
What is the Tube Tilt of a Neutral Lateral Cervical Film?
None
What is the film size for an A-P Lateral Cervical Film?
8x10
What is the Focal Film Distance of an A-P Lateral Cervical Film?
40 inches
What is the Tube Tilt of a an A-P Lateral Cervical Film?
15 degrees cephalic
What two structures are being Evaluated on an A-P Open Mouth Film?
Dens
Atlas
(Best for Jefferson Fracture)
What is the film size for an A-P Open Mouth Film?
8x10
What is the Focal Film Distance of an A-P Open Mouth Film?
40 inches
What is the Tube Tilt on an A-P Open Mouth Film?
None
What structure is being Evaluated on a Cervical Oblique Film?
Intervertebral Foramen (IVF)
What is the Film Size of a Cervical Oblique Film?
8x10
What is the Focal Film Distance (FFD) or a Cervical Oblique Film?
72 inches
What is the Tube Tilt of a Cervical Oblique Film?
15 degrees
Anterior Oblique= Caudal
Posterior Oblique= Cephalic
What is the Patient Position of an Anterior Cervical Oblique?
Patient is facing the Bucky
Body is rotated 45 degrees away from the Bucky
Head is rotated to be parallel with the plane of the Bucky
What is the Patient Position of a Posterior Cervical Oblique?
Patient is facing the Tube
Body is rotated 45 degrees away from the Bucky
Head is rotated to be parallel with the plane of the Bucky chin is slightly jutted out
What structure is being Evaluated on a Cervical Flexion Film?
Atlantodental Interspace (ADI), transverse ligament instability
What is the Focal Film Distance (FFD) for a Cervical Flexion Film?
72 inches
What is the Tube Tilt for a Cervical Flexion Film?
None
What is important when performing a Cervical Flexion or Extension Film?
If part of trauma; for fractures or signs of instability before proceeding, the other view
What is the Focal Film Distance (FFD) of a Cervical Extension Film?
72 inches
What is the Tube Tilt of a Cervical Extension Film?
None
What two structures are being Evaluated on a Cervical Pillar Film?
Articular Processes
Apophyseal Joints
What is the Film Size for a Cervical Pillar Film?
8x10
What is the Focal Film Distance (FFD) on a Cervical Pillar Film?
40 inches
What is the Tube Tilt on a Cervical Pillar Film?
35 degrees Cephalic
What is the Patient Position for a Cervical Pillar Film?
Posterior- Anterior (P-A)
What is the Film Size of an A-P Thoracic Film?
7x17
What is the Focal Film Distance (FFD) for an A-P Thoracic Film?
40 inches
What is The Film Size for a Lateral Thoracic Film?
14x17
What is the Tube Tilt on a Lateral Thoracic Film?
None
What is the Focal Film Distance (FFD) on Lateral Thoracic Film?
40 inches
Where is the Filter placed on a Lateral Thoracic Film?
Lower half of the thoracic spine
What area is being Evaluated on a Swimmer’s View?
Cervico-Thoracic Junction
What is the Film Size of the Swimmer’s View?
8x10
What is the Focal Film Distance (FFD) of the Swimmer’s View?
40 inches
What is the Tube Tilt of the Swimmer’s View?
5 degrees caudal
What is the Patient Position of the Swimmer’s View?
Standing
Lateral position
Arm closest to the Bucky raised overhead
Other arm hangs by their side
What is the Film Size of a P-A Chest Film?
14x17
What is the Focal Film Distance (FFD) of the P-A Chest Film?
72 inches
What are the Patient’s Breathing Instructions for a P-A Chest Film?
Deep breath in and Hold
What is the Film Size for a Lateral Chest Film?
14x17
What is the Focal Film Distance (FFD) for a Lateral Chest Film?
72 inches
What are the Patient’s Breathing Instructions for a Lateral Chest Film?
Deep breath in and hold
What structure is being Evaluated on a Apical Lordotic Film?
Lung Apices, (Pancoast Tumor)
What is the Film Size for an Apical Lordotic Film?
14x17
What is the Focal Film Distance for an Apical Lordotic Film?
72 inches
What are the Patient’s Breathing Instructions for an Apical Lordotic Film?
Deep breath in and hold
What is the Film Size for an A-P Lumbar Film?
14x17
What is the Focal Film Distance (FFD) for an A-P Lumbar Film?
40 inches
What is the Tube Tilt for an A-P Lumbar Film?
None
Where is the Central Ray placed on the patient in an A-P Lumbar Film?
1 inch below the top of the iliac crest
What are the Patient’s Breathing Instructions for an A-P Lumbar Film?
Breath in and then let it all the way out
What structure is being Evaluated on a Lateral Lumbar Film?
Intervertebral Foramen (IVF)
What is the Film Size of a Lateral Lumbar Film?
14x17
What is the Focal Film Distance (FFD) of a Lateral Lumbar Film?
40 inches
What is the Tube Tilt of a Lateral Lumbar Film?
None
Where is the Central Ray placed on the patient in a Lateral Lumbar Film?
Top of the iliac crest, at the mid axillary line
What are the Patient’s Breathing Instructions for a Lateral Lumbar Film?
Breath in and let it all the way out
What is another name for the L5/S1 Spot Shot?
Sacral Base Tilt
What is the Film Size for the L5/S1 Spot Shot?
8x10
What is the Focal Film Distance (FFD) of the L5/S1 Spot Shot?
40 inches
What is the Patient Position for the L5/S1 Spot Shot?
Patient Supine
What is the Tube Tilt for the L5/S1 Spot Shot?
25 degrees Cephalic
What is the location of the Central Ray for the L5/S1 Spot Shot?
At the level of the Anterior Superior Iliac Spines (ASIS)
What are the Patient’s Breathing Instructions for the L5/S1 Spot Shot?
Don’t Breath Don’t Move
What structure is being Evaluated on a Lateral Lumbar Oblique Film?
Pars
What is the Film Size of a Lateral Lumbar Oblique Film?
10x12
What is the Focal Film Distance (FFD) of a Lateral Lumbar Oblique Film?
40 inches
What is the Tube Tilt on a Lateral Lumbar Oblique Film?
None
What is the Film Size for a Lateral L5/S1 Spot Shot?
8x10
What is the Focal Film Distance (FFD) for a Lateral L5/S1 Spot Shot?
40 inches
What is the Tube Tilt for a Lateral L5/S1 Spot Shot?
None
Where is the Central Ray placed on the patient for the Lateral L5/S1 Spot Shot?
2 inches inferior to the iliac crest and 1 inch posterior to the mid-axillary line
What is the Film Size for an A-P Sacrum Film?
8x10
What is the Focal Film Distance (FFD) of an A-P Sacrum Film?
40 inches
What is the Tube Tilt of an A-P Sacrum Film?
15 degrees cephalic
Where is the Central Ray placed on the Patient for an A-P Sacrum Film?
2 inches superior to the pubic symphysis
What is the Film Size for a Lateral Sacrum Film?
8x10
What is the Focal Film Distance (FFD) of a Lateral Sacrum Film?
40 inches
What is the Tube Tilt of a Lateral Sacrum Film?
None
What is the Patient Position for a Lateral Sacrum Film?
Lateral Recumbent Position
Where is the placement of the Central Ray on the patient for the Lateral Sacrum Film?
Level of the Anterior Superior Iliac Spines (ASIS)
3 inches posterior to the mid-axillary line
What is the Film Size for and A-P Coccyx Film?
8x10
What is the Focal Film Distance (FFD) for an A-P Coccyx Film?
40 inches
What is the Tube Tilt for an A-P Coccyx Film?
10 degrees Caudal
What is the placement of the Central Ray on the patient for an A-P Coccyx Film?
2 inches superior to the pubic symphysis
What is the Film Size for a Lateral Coccyx Film?
8x10
What is the Focal Film Distance (FFD) for a Lateral Coccyx Film?
40 inches
What is the Tube Tilt for a Lateral Coccyx Film?
None
What is the Film Size for an A-P Angulated Sacroiliac (SI) Joint Film?
10x12
What is the Focal Film Distance (FFD) for an A-P Angulated Sacroiliac (SI) Joint Film?
40 inches
What is the Tube Tilt for an A-P Angulated Sacroiliac (SI) Joint Film?
30 degrees Cephalic
What is the placement of the Central Ray on a patient for an A-P Angulated Sacroiliac (SI) Joint Film?
Midline
1 inch below the Anterior Superior Iliac Spine (ASIS)
What is the Film Size for both a Weighted and Non-Weighted Acromion-Clavicular (AC) Joint Film?
8x10
What is the Focal Film Distance (FFD) for both a Weighted and Non-Weighted Acromion-Clavicular (AC) Joint Film?
40 inches
What is the Tube Tilt for both a Weighted and Non-Weighted Acromion-Clavicular (AC) Joint Film?
5 degrees Cephalic (If Patient is standing, Anterior-Posterior)
What structure is being Evaluated on an A-P Shoulder with External Rotation?
Greater Tuberosity
What is the Film Size for an A-P Shoulder with External Rotation?
10x12
What is the Focal Film Distance (FFD) for an A-P Shoulder with External Rotation?
40 inches
What structure is being Evaluated on an A-P Shoulder with Internal Rotation?
Lesser Tuberosity
What is the Film Size for an A-P Shoulder with Internal Rotation?
10x12
What is the Focal Film Distance (FFD) for an A-P Shoulder with Internal Rotation?
40 inches
What is the Film Size for an Axial Clavicle?
10x12
What is the Focal Film Distance (FFD) for an Axial Clavicle Film?
40 inches
What is the Tube Tilt on an Axial Clavicle Film?
15 degrees Caudal= Posterior-Anterior Position
15 degrees Cephalic=Anterior-Posterior Position
What is the Focal Film Distance (FFD) for an A-P Elbow Film?
40 inches
What is the Tube Tilt for an A-P Elbow Film?
None
What is the Patient Position for an A-P Elbow Film?
Seated at the end of the table
Shoulder, Elbow and Wrist against the table, Hand Supinated
What is the Focal Film Distance (FFD) for a Medial (Internal) Oblique Elbow Film?
40 inches
What is the Tube Tilt for a Medial (Internal) Oblique Elbow Film?
None
What is the Patient Position for a Medical (Internal) Oblique Elbow Film?
Seated at the end of the table
Shoulder, Elbow and Wrist against the table, Hand Pronated
What is the Focal Film Distance (FFD) for the Lateral Elbow Film?
40 inches
What is the Tube Tilt for the Lateral Elbow Film?
None
What is the Patient Position for the Lateral Elbow Film?
Seated at the end of the table
Elbow flexed to 90 degrees
Shoulder, Elbow and Wrist against the table
Thumb pointing towards the tube
What structures are being evaluated in the P-A Wrist Film?
Carpal Bones
What is the Focal Film Distance (FFD) for the P-A Wrist Film?
40 inches
What is the Tube Tilt for the P-A Wrist Film?
None
What is the Patient Position for the P-A Wrist Film?
Seated at the end of the table
Elbow and Wrist against the table
Hand pronated with fingers in a loose fist
What is the Focal Film Distance (FFD) for the Medial Oblique Wrist Film?
40 inches
What is the Tube Tilt for the Medial Oblique Wrist Film?
None
What is the Patient Position for the Medial Oblique Wrist Film?
Seated at the end of the table
Elbow and Wrist against the table
Hand held at a oblique angle of 45 degrees
What is the Focal Film Distance (FFD) for the Lateral Wrist Film?
40 inches
What is the Tube Tilt for the Lateral Wrist Film?
None
What is the Patient Position for the Lateral Wrist Film?
Patient seated at the end of the table
Elbow and Wrist against the table
Wrist in 0 degrees of flexion, metacarpals stacked on top of each other
What is the Focal Film Distance (FFD) for the P-A Ulnar Deviation Film?
40 inches
What is the Tube Tilt for the P-A Ulnar Deviation Film?
None
What is the Patient Position for the P-A Ulnar Deviation Film?
Seated at the end of the table
Elbow and Wrist against the table
Hand pronated with fingers in a loose fist
Wrist is Ulnar deviated as far as possible (Maximally)
What structures are being evaluated in the P-A Hand Film?
Articulations of the hand
What is the Focal Film Distance (FFD) of the P-A Hand Film?
40 inches
What is the Tube Tilt of the P-A Hand Film?
None
What is the Patient Position for the P-A Hand Film?
Seated at the end of the table
Palm flat against the table, fingers slightly spread
What is the Focal Film Distance (FFD) of the Medial Oblique Hand Film?
40 inches
What is the Tube Tilt of the Medial Oblique Hand Film?
None
What is the Patient Position for the Medial Oblique Hand Film?
Seated at the end of the table
Hand is held at a 45 oblique angle
What is the Focal Film Distance (FFD) of the Lateral Hand Film?
40 inches
What is the Tube Tilt of the Lateral Hand Film?
None
What is the Patient Position for the Lateral Hand Film?
Seated at the end of the table
Metacarpals stacked on top of one another
Ulnar aspect of the hand against the cassette while fingers are spread maximally
What is the Film Size for an A-P Pelvis Film?
14x17
What is the Focal Film Distance (FFD) for an A-P Pelvis Film?
40 inches
What is the Tube Tilt for an A-P Pelvis Film?
None
What is the Patient Position for an A-P Pelvis Film?
Supine (or Standing) with feet turned in 15 degrees
What is the placement of the Central Ray on a patient for the A-P Pelvis Film?
Place the top of the Film 2 inches above the iliac crest
What is the Film Size for the Frog Leg Lateral Hip Film?
10x12
What is the Focal Film Distance (FFD) for the Frog Leg Lateral Hip Film?
40 inches
What is the Tube Tilt for the Frog Leg Lateral Hip Film?
None
What is the Patient Position for the Frog Leg Lateral Hip Film?
Supine
Leg on the involved side in a “Figure Four” position
What is the Film Size of an A-P Knee Film?
8x10
What is the Focal Film Distance (FFD) of an A-P Knee Film?
40 inches
What is the Tube Tilt for an A-P Knee Film?
5 degrees Cephalic
What is the placement of the Central Ray for an A-P Knee Film?
Half inch inferior to the apex of the patella
What is the Patient Position for an A-P Knee Film?
Supine (or Sitting)
Knee of interested leg extended with the foot turned inward 5 degrees
What is the Film Size for a Lateral Knee Film?
8x10
What is the Focal Film Distance (FFD) for a Lateral Knee Film?
40 inches
What is the Tube Tilt for a Lateral Knee Film?
5 degrees Cephalic
What is the Patient Position for a Lateral Knee Film?
Lateral Recumbent Position
Knee of interest closest to the table and flexed 30 to 45 degrees
Opposite leg is out of the way
What structures are being Evaluated in a Tunnel Projection of the Knee Film?
Intercondylar Fossa
What is the Film Size for a Tunnel Projection of the Knee Film?
8x10
What is the Focal Film Distance (FFD) for a Tunnel Projection of the Knee Film?
40 inches
What is the Tube Tilt for the Tunnel Projection of the Knee Film?
45 degrees Caudal
What is the Patient Position for the Tunnel Projection of the Knee Film?
Prone
Knee flexed to 45 degrees
What is the Tube Tilt used for a Tangential (Sunrise) Patella Film?
None
What two Structures are being Evaluated on the Tangential (Sunrise) Patella Film?
Patella
Patellofemoral Joint space
What is the Patient Position for the Tangential (Sunrise) Patella Film?
Prone
Knee of interest is flexed maximally
What four Structures are being Evaluated on an A-P Ankle Film?
Distal Tibia
Distal Fibula
Ankle joint
Talus
What is the Tube Tilt on an A-P Ankle Film?
None
What is the Patient Position on an A-P Ankle Film?
Supine (or sitting)
Leg extended
Ankle in 90 degrees of dorsiflexion
Foot turned inward 5 degrees
What is the Tube Tilt of a Medial Oblique Ankle Film?
None
What is the Patient Position of a Medial Oblique Ankle Film?
Supine (or Sitting)
Leg extended
Ankle in 90 degrees of dorsiflexion
Foot turned inward 20-30 degrees
What is the Tube Tilt for a Lateral Ankle Film?
None
What is the Patient Position for a Lateral Ankle Film?
Lateral Recumbent Position
Lateral aspect of the ankle of interest closest to the table
Ankle in 90 degrees of Dorsiflexion
Opposite leg is out of the way
What three Structures are being Evaluated on the A-P Dorsoplantar Foot Film?
Tarsals distal to the Talus
Metatarsals
Phalanges
What is the Tube Tilt on the A-P Dorsoplantar Foot Film?
10 degrees Cephalic
What is the Patient Position for the A-P Dorsoplantar Foot Film?
Sitting on the table
Plantar surface of the foot on the cassette
What is the Tube Tilt of the Medial Oblique Foot Film?
None
What is the Patient Position for the Medial Oblique Foot Film?
Sitting on the table
Plantar surface of the foot against the cassette
Foot obliqued medially 30 degrees
What is the Tube Tilt of the Lateral Foot Film?
None
What is the Patient Position of the Lateral Foot Film?
Lateral Recumbent (or sitting) on the table Lateral aspect of the foot of interest against the cassette Ankle is dorsiflexed to 90 degrees Opposite leg Is out of the way
All radiographs have a Focal Film Distance (FFD) or 40 inches, except for what two areas (7 views)?
Areas: Cervicals and Chest
Views: 1. Neutral Lateral Cervical Film 2. Cervical Oblique Films 3. Cervical Flexion Film 4. Cervical Extension Film Chest Films: 5. P-A Chest 6. Lateral Chest 7. Apical Lordotic
Focal Film Distance of the above is 72 inches
