X-Ray Procedures Flashcards
AP Open Mouth - Central Ray
Through Uvula, at Level of C2 SP
AP Lower Cervical - Central Ray
C4 - Approximately Adam’s apple
Neutral Lateral Cervical - Central Ray
C4
Neutral Lateral Csp w/ Flexion - Central Ray
C4
Neutral Lateral Csp w/ Extension - Central Ray
C4
Cervical Obliques - Central Ray
C4
AP Thoracic Spine - Central Ray
3’’ Inferior to Sternal Angle
Lateral Thoracic Spine - Central Ray
3’’ Inferior to Sternal Angle at Mid-axillary line
PA Chest - Central Ray
To the film
Lateral Chest - Central Ray
To the Film, T6 at Midaxillary line
AP Lumbar - Central Ray
1.5’’ Below Iliac Crest, L3 level at approximately the umbilicus
Lateral Lumbar - Central Ray
1’’ Above Iliac Crest, between ASIS and PSIS
Lumbar Anterior Oblique - Central Ray
1’’ Lateral to L3 SP
AP Lumbosacral Spot - Central Ray
Inferior Aspect of ASIS, between umbilicus and pubic symphysis
PA Lumbosacral Spot - Central Ray
L5 SP
Lateral Lumbosacral Spot - Central Ray
1’’ below Iliac Crest, between ASIS and PSIS
AP Pelvis - Central Ray
Between pubic symphysis and iliac crest, 1’’ - 2’’ above pubic symphysis
AP Sacrum - Central Ray
Between pubic symphysis and umbilicus OR ASIS and pubic symphysis
Lateral Sacrum - Central Ray
3’’ below the iliac crest and 2’’ anterior to the posterior sacrum.
AP Coccyx - Central Ray
2.5’’ above pubic sympysis
AP Lateral - Central Ray
Sacrococcygeal junction, 4’‘-5’’ below iliac crest, 2’’ anterior to posterior sacrum.
AP Hip - Central Ray
Midpoint between ASIS and pubic symphysis and 1’’ lateral
AP Frog Leg Hip - Central Ray
Midpoint between ASIS and pubic symphysis and 1’’ lateral
AP Knee - Central Ray
1 cm inferior to the inferior pole of the patella
Lateral Knee - Central Ray
1 cm inferior to the medial (?) epicondyle of the femur, (through the tibiofemoral joint space)
Intercondylar Knee - Central Ray
Popliteal fossa
Tangential (aka Trigenital, “Kaylee’s view of the knee”) Knee - Central Ray
Between patella and femoral condyles.
AP Ankle - Central Ray
Between medial and lateral malleoli
Lateral Ankle - Central Ray
Medial Malleolus
Medial Oblique Ankle - Central Ray
Between medial and lateral malleoli
AP Foot - Central Ray
Base of 3rd metatarsal
Lateral Foot - Central Ray
Navicular
Medial Oblique Foot - Central Ray
Base of 3rd metatarsal
Axial Calcaneus - Central Ray
2’’ superior of back of heel
Lateral Calcaneus - Central Ray
Mid-calcaneus OR 1.5’’ up from plantar surface of Heel and 2’’ from posterior surface of Heel.
Internal Rotation Shoulder - Central Ray
Coracoid Process
External Rotation Shoulder - Central Ray
Coracoid Process
Abduction or Baby Arm Shoulder - Central Ray
Mid-clavicular line at Coracoid level
AC Joint - Central Ray
AC Joint
AP Elbow - Central Ray
Between humeral epicondyles, 1’’ below humeral epicondyles. Mid-cubital fossa.
Lateral Elbow - Central Ray
Mid-elbow, just anterior to lateral epicondyle
Medial Oblique Elbow - Central Ray
1’’ below humeral epicondyles
Tangential Elbow (Jones’ view) - Central Ray
2’’ above olecranon tip
PA Wrist - Central Ray
Midcarpals at the scaphoid, at level of anatomic snuffbox (Brock’s fossa)
Lateral Wrist - Central Ray
Midcarpals at the scaphoid, at level of anatomic snuffbox (Brock’s fossa)
Medial Oblique Wrist - Central Ray
Midcarpal at the scaphoid, at level of anatomic snuffbox (Brock’s fossa)
Ulnar Deviation Wrist - Central Ray
Midcarpal at the scaphoid, at level of anatmoic snuffbox (Brock’s fossa)
PA Hand - Central Ray
3rd Metacarpal
Lateral Hand - Central Ray
Proximal Interphalangeal Joint
Medial Oblique Hand - Central Ray
Between 2nd and 3rd Metacarpals
Medial Oblique Hand - Film Size/Orientation
8x10, Portrait
Lateral Hand - Film Size/Orientation
8x10, Portrait
PA Hand - Film Size/Orientation
8x10, Portrait
Ulnar Deviation Wrist - Film Size/Orientation
1/4 split 10x12, Portrait
Ulnar Deviation Wrist - SID/Angle
40’’
Medial Oblique Hand - SID/Angle
40’’
Lateral Hand - SID/Angle
40’’
PA Hand - SID/Angle
40’’
Medial Oblique Wrist - Film Size/Orientation
1/4 split 10x12, Portrait
Medial Oblique Wrist - SID/Angle
40’’
Medial Oblique Wrist - Collimation
6x6 Field
Medial Oblique Hand - Collimation
Hand Size
Lateral Hand - Collimation
Hand Size
PA Hand - Collimation
Hand Size
Ulnar Deviation Wrist - Collimation
6x6 Field
Lateral Wrist - Collimation
6x6 Field
Lateral Wrist - SID/Angle
40’’
Lateral Wrist - Film Size/Orientation
1/4 split 10x12, Portrait
PA Wrist - Collimation
6x6 Field
PA Wrist - SID/Angle
40’’
PA Wrist - Film Size/Orientation
1/4 split 10x12, Portrait
AP Ankle - Collimation
6x10 Field (Edge of Crosshairs)
AP Ankle - SID/Angle
40’’
AP Ankle - Film Size/Orientation
1/2 split 10x12, Landscape
Lateral Ankle - Collimation
Film Size
Lateral Ankle - SID/Angle
40’’
Lateral Ankle - Film Size/Orientation
8x10, Portrait
Medial Oblique Ankle - Collimation
6x10 Field (Edge of Crosshairs)
Medial Oblique Ankle - SID/Angle
40’’
Medial Oblique Ankle - Film Size/Orientation
1/2 split 10x12, Landscape
AP Foot - Collimation
5x12 field, Edge of tissue
AP Foot - SID/Angle
38’’, 10 degrees cephalad
AP Foot - Film Size/Orientation
1/2 split 10x12, Portrait
Lateral Foot - Collimation
Film size, edge of tissue
Lateral Foot - SID/Angle
40’’
Lateral Foot - Film Size/Orientation
8x10, Landscape
Medial Oblique Foot - Collimation
5x12 field, edge of tissue
Medial Oblique Foot - SID/Angle
38’’, 10 degrees cephalad
Axial Calcaneus - Collimation
Calcaneus, 5x5 field
Axial Calcaneus - SID/Angle
32’‘/33’’, 35’-40’ cephalad
Axial Calcaneus - Film Size/Orientation
1/2 split 8x10, Landscape
Lateral Calcaneus - Collimation
Calcaneus, 5x5 field
Lateral Calcaneus - SID/Angle
40’’
Lateral Calcaneus - Film Size/Orientation
1/2 split 8x10, Landscape.
Internal Rotation Shoulder - Collimation
Film Size
Internal Rotation Shoulder - SID/Angle
40’’
Internal Rotation Shoulder - Film Size/Orientation
10x12, Portrait
External Rotation Shoulder - Collimation
Film Size
External Rotation Shoulder - SID/Angle
40’’
External Rotation Shoulder - Film Size/Orientation
10x12, Portrait
Abduction/Baby Arm Shoulder - Collimation
Film Size
Abduction/Baby Arm Shoulder - SID/Angle
40’’
Abduction/Baby Arm Shoulder - Film Size/Orientation
10x12, Landscape
AC Joint - Collimation
Film Size
AC Joint - SID/Angle
39’’, 5 degrees cephalad
AC Joint - Film Size/Orientation
8x10, Landscape
AP Elbow - Collimation
Arm Size/Edge of Soft tissue
AP Elbow - SID/Angle
40’’
AP Elbow - Film Size/Orientation
1/2 split 10x12, Landscape
Lateral Elbow - Collimation
6x10 field, edge of soft tissue
Lateral Elbow - SID/Angle
40’’
Lateral Elbow - Film Size/Orientation
1/2 split 10x12, Landscape
Medial Oblique Elbow - Collimation
Arm size/edge of soft tissue
Medial Oblique Elbow - SID/Angle
40’’
Medial Oblique Elbow - Film Size/Orientation
1/2 split 10x12, Landscape
Tangential (Jones’) Elbow - Collimation
6x6 field
Tangential (Jones’) Elbow - SID/Angle
40’’
Tangential (Jones’) Elbow - Film Size/Orientation
1/2 split 10x12, Landscape
AP Full Spine - Collimation
Under nose and just below pubis
AP Full Spine - SID/Angle
72’’ OR 84’’ if patient is taller than 6 ft.
AP Full Spine - Film Size/Orientation
14x36, Portrait
AP Pelvis - Collimation
Film Size
AP Pelvis - SID/Angle
40’’
AP Pelvis - Film Size/Orientation
14x17, Landscape
AP Sacrum - Collimation
Film Size
AP Sacrum - SID/Angle
37’’, 15 degrees cephalad
AP Sacrum - Film Size/Orientation
10x12, Portrait
Lateral Sacrum - Collimation
Film Size
Lateral Sacrum - SID/Angle
40’’
Lateral Sacrum - Film Size/Orientation
10x12, Portrait
AP Coccyx - Collimation
5x5 field
AP Coccyx - SID/Angle
38’’, 10 degree caudal
AP Coccyx - Film Size/Orientation
8x10, Portrait
Lateral Coccyx - Collimation
8x8 field
Lateral Coccyx - SID/Angle
40’’
Lateral Coccyx - Film Size/Orientation
8x10, Portrait
AP Hip - Collimation
Film Size
AP Hip - SID/Angle
40’’
AP Hip - Film Size/Orientation
10x12, Portrait
Frog Leg Hip - Collimation
Film Size
Frog Leg Hip - SID/Angle
40’’
Frog Leg Hip - Film Size/Orientation
10x12, Portrait
AP Knee - Collimation
To soft tissue (?)
AP Knee - SID/Angle
39’’, 5 degree cephalad
AP Knee - Film Size/Orientation
8x10, Portrait
Lateral Knee - Collimation
Film Size
Lateral Knee - SID/Angle
40’’, OR 39’’, 5 degree cephalad
Lateral Knee - Film Size/Orientation
8x10, Portrait
Intercondylar Knee - Collimation
To Soft Tissue
Intercondylar Knee - SID/Angle
31’’, 45 degree caudal
Intercondylar Knee - Film Size/Orientation
8x10, Portrait
Tangential Knee - Collimation
4x4 field, (Edges of Crosshairs)
Tangential Knee - SID/Angle
38’’, 10 degree cephalad
Tangential Knee - Film Size/Orientation
8x10, Portrait
AP Open Mouth - Collimation
Below eyes, include mastoids, exclude mental process.
AP Open Mouth - SID/Angle
40’’
AP Open Mouth - Film Size/Orientation
8x10, Landscape
AP Lower Cervical - Collimation
Film size; Up to “Mid-mentum, down to mid clavicle
AP Lower Cervical - SID/Angle
37’’, 15 degrees cephalad
Neutral Lateral Cervical - Collimation
Top of the ear to tip of the shoulder, just behind the eyes.
Neutral Lateral Cervical - SID/Angle
72’’
Neutral Lateral Cervical - Film Size/Orientation
8x10, Portrait
Lateral Cervical w/ Flexion - Collimation
Film Size
Lateral Cervical W/ Flexion - SID/Angle
72’
Lateral Cervical w/ Flexion - Film Size/Orientation
10x12, Landscape (?)
Lateral Cervical w/ Extension - Collimation
Film Size
Lateral Cervical w/ Extension - SID/Angle
72’’
Lateral Cervical w/ Etension - Film Size/Orientation
8x10, Portrait
Posterior Cervical Oblique - Collimation
Top and bottom to film size, tight lateral collimation
Posterior Cervical Oblique - SID/Angle
69’’, 15 degrees cephalad
Posterior Cervical Oblique - Film Size/Orientation
8x10, Portrait
AP Thoracic - Collimation
Top of shoulders to outer ribs at mid-clavicular line
AP Thoracic - SID/Angle
40’’
AP Thoracic - Film Size/Orientation
14x17, Portrait
Lateral Thoracic - Collimation
Top of shoulder, sternum-to-spine
Lateral Thoracic - SID/Angle
40’’
Lateral Thoracic - Film Size/Orientation
14x17, Portrait
PA Chest - Collimation
Film Size, make sure 2’’ above shoulder
PA Chest - SID/Angle
72’’
PA Chest - Film Size/Orientation
14x17, Portrait
Lateral Chest - Collimation
To patient size, cassette is 2’’ above shoulder
Lateral Chest - SID/Angle
72’’
Lateral Chest - Film Size/Orientation
14x17, Portait
AP Lumbar - Collimation
Film Size
AP Lumbar - SID/Angle
40’’
AP Lumbar - Film Size/Orientation
14x17, Portrait
Lateral Lumbar - Collimation
FIlm Size
Lateral Lumbar - SID/Angle
40’’
Lateral Lumbar - Film Size/Orientation
14x17, Portrait
Lumbar Oblique - Collimation
Film Size
Lumbar Oblique - SID/Angle
40’’
Lumbar Oblique - Film Size/Orientation
10x12, Portrait
AP Lumbosacral Spot - Collimation
Film Size
AP Lumbosacral Spot - SID/Angle
36’’, 20 degrees cephalad
AP Lumbosacral Spot - Film Size/Orientation
8x10, Portrait
PA Lumbosacral Spot - Collimation
Film Size
PA Lumbosacral Spot - SID/Angle
36’’, 20 degrees caudal
PA Lumbosacral Spot - Film Size/Orientation
10x12, Portrait
Lateral Lumbosacral Spot - Collimation
Film Size
Lateral Lumbosacral Spot - SID/Angle
40’’
Lateral Lumbosacral Spot - Film Size/Orientation
8x10, Portrait