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43 Cards in this Set

  • Front
  • Back

PA Erect Chest

kV: 120


mAs: 5


SID: 72"


CR: Center to MSP at T7 or subscapular margin


Breathing: Expose at 2nd inspiration peak


Collimation/IR: 14x17" portrait, unless broad chested requires landscape. Top of IR 2" above shoulders. Top of collimation to T7 and sides to lateral skin borders. Portrait unless broad PT


Positioning: Erect, facing wall bucky. Backs of hands on hips. Shoulders rolled forward.


Shield: 1/2 lead worn on posterior at iliac crest.

Lateral Chest

kV: 125


mAs: 10


SID: 72


CR: Center to MCP at T7 or subscapular margin


Breathing: Expose at 2nd inspiration peak


Collimation/IR: 14x17" portrait. Top of IR 2" above shoulders. Top of collimation to T7 and sides to lateral skin borders.


Positioning: Erect, left side against wall bucky. Arms raised, hands grasping chest bar.


Shield: 1/2 lead worn on right side at iliac crest.

AP Erect Abdomen

kV: 80


mAs: 40


SID: 40


CR: Center to MSP at level 2" above iliac crest


Breathing: Expose at end of 1st expiration


Positioning: Erect with back against wall bucky, arms slightly abducted out of collimation field


Collimation/IR: 14"x17" Collimate to 1" outside skin borders on side of smaller PT. Collimate upper border to include diaphragm


Shield: None

KUB - Supine Abdomen

kV: 80

mAs: 32


SID: 40


CR: Center to MSP at level of iliac crests


Breathing: Expose at end of 1st expiration


Collimation/IR: 14"x17" Collimate to 1" outside skin borders on sides of smaller PT. Ensure upper margin of pubic symphysis is included in lower collimation.


Position: Supine with arms at sides, abducted just out of collimation field.


Shield: 1/2 lead at lower collimation margin without blocking anatomy of interest.





AP Pelvis

kV: 80


mAs: 25


SID: 40


CR: Center to MSP at level 2" inferior to ASIS. Midway between ASIS and symphysis pubis.


Breathing: At end of 1st expiration


Collimation/IR: 14x17" IR landscape with upper border 1" above iliac crests.


Position: Supine with equal ASIS-Table distance on each side. Medially rotate feet and lower limbs 15-20 degrees placing femoral necks parallel to IR.


Shield: Gonadal shielding if does not obscure essential anatomy. 1/2 lead over legs at inferior collimation margin.

AP Frogleg Pelvis

kV: 80


mAs: 25


SID: 40


CR: Center to MSP at level 2" inferior to ASIS. Midway between ASIS and symphysis pubis.


Breathing: At end of 1st expiration


Collimation/IR: 14x17: IR landscape with upper border 1" above iliac crests.


Position: Supine with equal ASIS-Table distance on each side. Draw feet towards body abducting knees/thighs to 45 degrees from vertical placing sold of feet together.


Shield: Gonadal shielding if does not obscure essential anatomy.

PA Digits (2-5)

kV: 55


mAs: 2


SID: 40"


CR: Perpendicular to IR. Centered to PIP


Colimation/IR: 10x12" IR collimated 1" distal to distal phalanx, 1" proximal affected MCP joint. Include 1 digit on each side.


Position: Extended with palmar surface down in center of IR. Long axis aligned parallel with long axis of IR.


Shield: Full lead

PA Oblique Digits (2-5)

kV: 55

mAs: 2


SID: 40"


CR: Perpendicular to IR. Centered to PIP


Colimation/IR: 10x12" IR collimated 1" distal to distal phalanx, 1" proximal affected MCP joint.


Position: Extended with palmar surface resting on 45 degree sponge. Long axis aligned parallel with long axis of IR. Digit separated from others to prevent soft tissue overlap.


Shield: Full lead

Lateral Digits (2-5)

kV: 55

mAs: 2


SID: 40"


CR: Perpendicular to IR. Centered to PIP


Colimation/IR: 10x12" IR collimated 1" distal to distal phalanx, 1" proximal affected MCP.


Position: 2nd-3rd Digit extended with lateral surface in contact with IR (mediolateral projection)


3rd-5th digit extended with medial surface in contact with IR (lateromedial projection)


Note: 3rd position based on mobility of PT


Shield: Full lead

AP Thumb

kV: 55

mAs: 2


SID: 40"


CR: Perpendicular to IR. Centered to MCP


Colimation/IR: 10x12" IR. All other digits pulled out of collimation. Collimate 1" on all sides including 1" proximal to CMC joint.


Position: Hand in extreme internal rotation. Posterior thumb surface in contact with IR.


Shield: Full lead

PA Oblique Thumb

kV: 55

mAs: 2


SID: 40"


CR: Perpendicular to IR. Centered to MCP


Colimation/IR: 10x12" IR collimated 1" on all sides including 1" proximal to CMC joint.


Position: Palmar surface on IR. Slight ulnar deviation. Thumb parallel with IR long axis and at 45 degree rotation (natural position when palm down.)


Shield: Full lead

Lateral Thumb

kV: 55

mAs: 2


SID: 40"


CR: Perpendicular to IR. Centered to MCP


Colimation/IR: 10x12" IR collimated 1" on all sides including 1" proximal to CMC joint.


Position: Palmar surface on IR. Slight flexion of 2-5 causing thumb to rotate until lateral surface is on IR (mediolateral projection).


Shield: Full lead

PA Hand

kV: 60

mAs: 2


SID: 40"


CR: Perpendicular to IR. Centered to 3rd MCP


Colimation/IR: 10x12" IR collimated. 1" on all sides including 1" proximal to ulnar syloid.


Position: Palmar surface down on IR with 3rd MCP centered to middle of IR. Digits extended and slightly separated to prevent soft tissue overlap. No rotation in digits.


Shield: Full lead

PA Oblique Hand

kV: 60

mAs: 2.5


SID: 40"


CR: Perpendicular to IR. Centered to 3rd MCP


Colimation/IR: 10x12" IR collimated 1" on all sides including 1" proximal to ulnar syloid.


Position: Palmar surface down on IR with 3rd MCP centered to middle of IR. Palm rotated away 45 degrees from IR with thumb side up. Spread and support digts on sponge with as little overlap as possible.


Shield: Full lead

Extension Lateral Hand

kV: 60

mAs: 3.2


SID: 40"


CR: Perpendicular to IR. Centered to 2nd MCP joint.


Colimation/IR: 10x12" IR collimated 1" on all sides including 1" proximal to ulnar syloid.


Position: Forearm on table. Medial hand surface on center of IR. Radial and ulnar styloids superimposed and perpendicular to IR. MCP joints centered to IR


Shield: Full lead

Fan Lateral Hand

kV: 60

mAs: 3.2


SID: 40"


CR: Perpendicular to IR. Centered to 2nd MCP joint.


Colimation/IR: 10x12" IR collimated 1" on all sides including 1" proximal to ulnar syloid.


Position: Forearm on table. Medial hand surface on center of IR. Digits positioned out of superimposition supported by stair sponge.


Shield: Full lead

PA Wrist

kV: 60

mAs: 2


SID: 40"


CR: Perpendicular to IR. Centered to midcarpal.


Colimation/IR: 10x12" IR collimated to wrist on all 4 sides to include distal radius/ulna and midmetacarpals.


Position: Entire upper limb on table in same plane. Elbow flexed 90 degrees. Flex digits slightly to decrease wrist OID. Styloids equidistant from IR.


Shield: Full lead

PA Oblique Wrist

kV: 60

mAs: 2


SID: 40"


CR: Perpendicular to IR. Centered to midcarpal.


Colimation/IR: 10x12" IR collimated to wrist on all 4 sides to include distal radius/ulna and midmetacarpals.


Position: Entire upper limb on table in same plane. Elbow flexed 90 degrees. Styloids and palmar surface at 45 degrees from IR.


Shield: Full lead

Lateral Wrist

kV: 60

mAs: 2.5


SID: 40"


CR: Perpendicular to IR. Centered to midcarpal


Colimation/IR: 10x12" IR collimated to wrist on all 4 sides to include distal radius/ulna and midmetacarpals.


Position: Entire upper limb on table in same plane. Elbow flexed 90 degrees. Forearm/wrist resting on medial surface (lateromedial projection). Radial/ulnar styloids superimposed and perpendicular to IR


Shield: Full lead

PA Axial - Ulnar Deviation (Scaphoid)

kV: 60


mAs: 2


SID: 40"


CR: Perpendicular to IR. Centered to scaphoid.


Colimation/IR: 10X12" IR collimated to wrist on all 4 sides to include distal radius/ulna and midmetacarpals.


Position: Upper limb in same plane on table, elbow 90 degrees. Wrist in center of IR. Deviate hand toward ulna and if necessary, flex digits slightly to decrease wrist OID.


Shield: Full lead

PA Axial - Modified Stecher (Scaphoid)

kV: 60

mAs: 2


SID: 40"


CR: Perpendicular to IR. Centered to scaphoid.


Colimation/IR: 10x12" collimated closely to all four sides of carpal region including proximal metacarpal and distal radius/ulna.


Position: Upper limb on table in same plane. Wrist in center of IR. Place 20 degree sponge under palmar surface elevating distal hand whild leaving wrist in contact with IR.


Shield: Full lead

Tangenital Carpal Tunnel - Gaynor-Hart Method

kV: 60


mAs: 2.5


SID: 40"


CR: Perpendicular to IR. Centered to midcarpal


Colimation/IR: 10x12" collimated to carpals on all 4 sides to include distal radius/ulna and proximal metacarpals.


Position:


Shield: Full lead

AP Forearm

kV: 60

mAs: 3.2


SID: 40"


CR: Perpendicular to IR. Centered to mid-forearm


Colimation/IR: 14x17" IR collimated to skin borders and carpals to distal humerus included.


Position: Entire upper limb same plane. Elbow extended w/ hand supinated. Humeral epicondyles parallel with IR


Shield: Full lead

Lateral Forearm

kV: 60

mAs: 4


SID: 40"


CR: Perpendicular to IR. Centered to mid-forearm


Colimation/IR: 14x17" IR collimated to skin borders and carpals to distal humerus included.


Position: Entire upper limb same plane. Elbow flexed 90 degrees. Ulnar/radial styloid superimposed.


Shield: Full lead

AP Elbow

kV: 60

mAs: 3.2


SID: 40"


CR: Perpendicular to IR. Centered to mid-elbow joint.


Colimation/IR: 10x12" IR collimated all 4 borders to include soft tissue margins.


Position: Entire upper limb in same plane and extended with posterior in contact with IR and hand supinated. Humeral epicondyles parallel with IR.


Shield: Full lead

AP Elbow - Partial Flexion

kV: 60

mAs: 3.2


SID: 40"


CR: Perpendicular to IR. Centered to mid-elbow joint.


Colimation/IR: 10x12" collimated entire elbow including skin margins


Position: Take two AP projections. One with forearm parallel to IR and one with humerus parallel to IR


Shield: Full lead

Lateral Elbow

kV: 60

mAs: 4


SID: 40"


CR: Perpendicular to IR. Centered to mid-elbow


Colimation/IR: 10x12" IR collimated to skin borders and carpals to distal humerus included.


Position: Entire limb in same plane. Elbow flexed 90 degrees and placed in center of IR. Forearm resting on ulnar surface. Wrist in true lateral.


hield: Full lead

AP Oblique Elbow - Medial Rotation

kV: 60

mAs: 3.2


SID: 40"


CR: Perpendicular to IR. Centered to mid-forearm


Colimation/IR: 10x12" IR collimated all four sides to area of interest.


Position: Entire limb in same plane with elbow extended. Elbow centered in middle of IR. Pronate hand medially (internally), rotating elbow to place anterior side 45 degrees from IR


Shield: Full lead

AP Oblique Elbow - Lateral Rotation

kV: 60

mAs: 3.2


SID: 40"


CR: Perpendicular to IR. Centered to mid-forearm


Colimation/IR: 10x12" IR collimated all four sides to area of interest.


Position: Entire limb in same plane with elbow extended. Elbow centered in middle of IR. Supinate hand laterally (externally), rotating elbow to place anterior side 45 degrees from IR. 1st and 2nd digits will touch table with sufficient rotation.


Shield: Full lead

AP Humerus

kV: 70

mAs: 10


SID: 40"


CR: Perpendicular to IR. Centered to mid-humerus


Breathing: Expose on expiration


Colimation/IR: 14x17" IR with collimation angled to match long axis of humerus. Collimate to skin margins on side and include entire humeral head and elbow joint.


Position: Place top of IR 1 1/2" above humeral head. Slightly abduct humerus from body and supinate hand. Humeral head and humeral epicondyles should be in same plane (use sponge behind elbow if needed). Epicondyles should be parallel to IR


Shield: Full lead

Lateral Humerus

SID: 40"

CR: Perpendicular to IR. Centered to mid-humerus


Breathing: Expose on expiration


Colimation/IR: 14x17" IR collimation angled to match long axis of humerus. Collimate to skin margins on side and include entire humeral head and elbow joint.


Position: Place top of IR 1 1/2" above humeral head. Internally roate humerus w/ elbow flexed 90 degrees if possible and back of hand rested on hip. Humeral head and humeral epicondyles should be in same plane (use sponge behind elbow if needed). Epicondyles should be parallel to IR.


Shield: Full lead

Transthoracic Humerus

*Note: Use breathing technique

kV: 80

mA: 10


Sec: 2.5


SID: 40


CR: Perpendicular to IR centered to mid humerus.


Colimation/IR: Collimate to soft tissues at sides and include entire humerus w/ both joints.


Breathing: Breathing technique


Position: PT erect or supine with affected limb centered on IR. Align IR to PT and then marry tube to IR. Raise unaffected arm overhead.


Shield: Half Lead

AP Shoulder - Internal, External, Neutral

kV: 70


mAs: 12


SID: 40


CR: Perpendicular to IR. Centered 2" distal to mid-clavicle.


Breathing: Expose on expiration


Colimation/IR: Landscape. Collimate to soft tissue margins. Include proximal humerus, lateral 2/3 of clavicle and upper.


Position: Erect or supine placing affected shoulder against IR.


Internal: Arm slightly abducted and palm supinated to place humeral epicondyles parallel to IR. Greater tubercle placed in profile.


External: Arm rotated medially with back of hand placed on hip and humeral epicondyles perpendicular to IR. Lesser tubercle in profile.


Neutral: Arm placed at side naturally. Greater/lesser tubercles superimposed over humeral head.


Shield: Half lead

AP Oblique Shoulder - Grashey Method

kV: 70

mAs: 12


SID: 40


CR: Perpendicular to glenoid cavity. Enters 2" medial and inferior to superolateral border of shoulder


Breathing: Expose on expiration


Colimation/IR: 8"x10" Landscape


Position: Posterior oblique with affected side against IR. Rotate unaffected side 35-45 degrees away from IR until scapula of affected side is parallel to IR. Center midscapulohumeral joint to IR. Place palm, of affected side, on abdomen.


Shield: Half lead

Scapular Y Lateral

kV: 80


mAs: 20


SID: 40


CR: Perpendicular to scapulohumeral joint. 2-2 1/2" distal top of shoulder. Center CR to mid-medial border.


Breathing: Expose on expiration


Colimation/IR: Portrait 10x12" IR w/ top of IR about 2" above shoulder.


Position: Anterior oblique with affected shoulder against IR. Rotate unaffected side 45-60 degrees away from IR until line between superior angle of scapula and AC joint is perpendicular to IR.


Shield: Half lead

Transthoracic Lateral Shoulder

kV: 80


mA:10


Sec: 2.5


SID: 40


CR: CR perpendicular to IR centered to surgical neck.


Breathing: Breathing technique


Colimation/IR: Portrait 10x12. Center IR to surgical neck on affected side, then marry tube to IR. Collimate to area of interest.


Position: Erect or supine with affected side towards IR, body true lateral with CR passing through MCP. Unaffected arm raised to prevent superimposition


Shield: Half lead

Inferosuperior Axial - Lawrence

kV: 75


mAs: 12


SID: 40-42"


CR: Directed medially 30°, centered horizontally to axilla and humeral head.


Breathing: Expose on expiration


Colimation/IR: 10x12 gridded IR. Part position will not be centered on IR. Ensure IR and collimation box are parallel.


Position: Supine with shoulder raised approx 2". Arm 90° from body, supported by decub sponge and IR tray. Rotate head towards unaffected side. IR placed perpendicular to body as close to neck as possible.


Shield: Half lead

AP AC Joint - w/ and w/o weights

kV: 80


mAs: 20


SID: 72" to reduce magnification


CR: Perpendicular to IR, centered to midpoint between AC joints, approx 1" above jugular notch. Note: Height will change based on PT clavicular angle.


Breathing: Expose on expiration


Colimation/IR: 14x17 landscape, collimated to sides of IR. Collimation height narrowed to anatomy of interest.


Position: Erect with posterior against IR. 2 images taken, w/ and w/o weights on wrists.


Shield: Half lead

AP Clavicle

kV: 70


mAs: 12


SID: 40


CR: CR perpendictular to IR, centered to midclavicle.


Breathing: Expose on expiration.


Colimation/IR: 10x12" landscape. Collimate to entire clavicle, including AC and SC joints.


Position: Erect or supine with arms at sides, and chin raised. Posterior in contact with IR or tabletop. Mid-clavicle centered to IR and CR.


Shield: Half-lead

AP Axial Clavicle

kV: 70


mAs: 12


SID: 40


CR: CR angle 15-30° cephalad (thin PT require greater angle than larger), centered to midclavicle. NOTE: Palpate clavicle at peak of inspiration for CR centering.


Breathing: Expose at peak of inspiration.


Colimation/IR: 10x12" landscape. Collimate to entire clavicle, including AC and SC joints.


Position: Erect or supine, with arms at sides, and chin raised. IR center will be higher than clavicle depending on angulation used.


Shield: Half lead

AP Scapula

kV: 75


mA: 10


Sec: 2


SID: 40


CR: 10x12" portrait, CR perpendicular to IR, 2" inferior to coracoid process and 2" medial from lateral border of patient


Breathing: Breathing technique


Colimation/IR: 10x12" portrait. Top of IR should be about 2" above shoulder and lateral IR border about 2" from lateral rib margin.


Position: Erect or supine with midscapular body centered to CR and IR. Affected arm abducted 90°, hand supinated. (Abduction moves scapula laterally and clear of most thoracic structures.)


Shield: Half lead

Lateral Scapula for Scapular Body

kV:80


mAs: 20


SID: 40


CR: CR centered to midvertebral border of scapula.


Breathing: Expose on Expiration


Colimation/IR: 10x12" portrait, collimated to include entire scapula from AC joint to inferior angle.


Position:Erect with PT positioned affected side anterior oblique as with scapular Y for shoulder. Affected arm reaching across front of body and grasping opposite shoulder so humerus is not superimposed over body of scapula.


Shield: Half lead

Lateral Scapula for Acromion and Corocoid Process

kV: 80

mAs: 20


SID: 40


CR: CR centered to midvertebral border of scapula.


Colimation/IR: 10x12" portrait, collimated to include entire scapula from AC joint to inferior angle.


Position: Erect with PT positioned affected side anterior oblique as with scapular Y for shoulder. Abduct arm slightly and place dorsal surface of hand on back to move the humeral head inferiorly away from acromion and corocoid process.


Shield: Half Lead