Radiographic Techniques - Lumbar Vertebrae
16 Questions
0 Views

Choose a study mode

Play Quiz
Study Flashcards
Spaced Repetition
Chat to Lesson

Podcast

Play an AI-generated podcast conversation about this lesson

Questions and Answers

What is the correct location for centering the vertical X-ray beam?

  • Parallel to the lumbar spine
  • At the level of the upper costal margin
  • Anteroposterior to the 3rd lumbar spinous process
  • Anterior to the 3rd lumbar spinous process at the lower costal margin (correct)
  • What must be demonstrated clearly for proper diagnosis from T12 to L5/S1?

  • Clear intervertebral disc space (correct)
  • Alignment of the patient's head
  • Elasticity of the lumbar vertebrae
  • Presence of scoliosis
  • What can cause high-contrast images in X-ray imaging?

  • Improper patient positioning
  • Inadequate exposure time
  • Failure to use a grid
  • Insufficient or excessive image density (correct)
  • What might poor superimposition of vertebral bodies indicate?

    <p>Patient was rolled too far forward or backward (C)</p> Signup and view all the answers

    In which position is the patient most commonly situated for lateral projection?

    <p>Seated on a stool against the vertical Bucky (D)</p> Signup and view all the answers

    What is the purpose of lateral projections in flexion and extension?

    <p>To demonstrate mobility and stability of the lumbar vertebrae (C)</p> Signup and view all the answers

    What does the Bucky need to be centered at during X-ray exposure?

    <p>Level of the lower costal margin (D)</p> Signup and view all the answers

    What is a consequence of the spine not being perfectly parallel with the receptor?

    <p>Poor visibility of anatomical structures (D)</p> Signup and view all the answers

    What position should the patient be in while lying supine on the Bucky table?

    <p>Supine with hips and knees flexed (D)</p> Signup and view all the answers

    Where should the central ray (CR) cassette be centered for lumbar vertebra imaging?

    <p>At the level of the lower costal margin (B)</p> Signup and view all the answers

    Why should the exposure be made on arrested expiration?

    <p>To prevent diaphragm movement and maintain image contrast (D)</p> Signup and view all the answers

    What should the essential image characteristics include when imaging the lumbar vertebrae?

    <p>T12 down and sacro-iliac joints (A)</p> Signup and view all the answers

    How can you assess rotation in the lumbar vertebrae images?

    <p>Check that the sacro-iliac joints are equidistant from the spine (B)</p> Signup and view all the answers

    What common fault might occur in lumbar vertebrae imaging?

    <p>Missing some or all of the sacroiliac joint (A)</p> Signup and view all the answers

    In addition to lying supine, what other position can be used for lumbar vertebrae imaging?

    <p>Erect with the patient standing or sitting (B)</p> Signup and view all the answers

    What is an appropriate method to stabilize the patient while lying on their side?

    <p>Flexing the knees and hips (C)</p> Signup and view all the answers

    Flashcards

    X-ray beam direction for lumbar spine

    The X-ray beam should be vertical and centered anterior to the 3rd lumbar spinous process at the level of the lower costal margin.

    Lumbar spine image inclusion

    The X-ray should include T12 downwards to the lumbar sacral junction.

    Vertebral body superimposition

    The anterior and posterior margins of the vertebral bodies should be superimposed on the image.

    Image density for diagnosis

    The X-ray factors should ensure sufficient image density for diagnosis from T12 to L5/S1, including spinous processes.

    Signup and view all the flashcards

    Patient position for lumbar flexion/extension

    For flexion, the patient leans forward; for extension, the patient leans backward. Both positions are held while the x-ray is taken.

    Signup and view all the flashcards

    X-ray beam direction (Lateral)

    The horizontal X-ray beam should be perpendicular to the image receptor and centered to the 3rd lumbar spinous process at the level of the lower costal margin

    Signup and view all the flashcards

    Faults in X-ray image

    High contrast leads to insufficient image density. Poor superimposition indicates patient rolling during positioning. Lack of clear disc space suggests imperfect spine alignment or pathology.

    Signup and view all the flashcards

    Erect or seated posture

    The patient should be seated or upright during X-ray imaging, with one side positioned against the vertical Bucky.

    Signup and view all the flashcards

    Lumbar Vertebrae Radiograph Position

    Patient supine, median sagittal plane aligned with table midline, anterior superior iliac spines equidistant from table, hips and knees flexed, feet on table, and CR cassette centered at lower costal margin, including T12 and sacro-iliac joints.

    Signup and view all the flashcards

    Lumbar Radiograph Exposure

    Arrested expiration is crucial to avoid diaphragm movement and maintain consistent vertebral column density.

    Signup and view all the flashcards

    Lumbar Radiograph Image Characteristics

    Should include T12 down to sacro-iliac joints, with equal distance from spine for rotation assessment. Density allows for clear bony detail.

    Signup and view all the flashcards

    Sacroiliac Joint Issue

    Missing or incomplete visualization of the sacroiliac joints necessitates additional projections.

    Signup and view all the flashcards

    Lateral Lumbar Radiograph Position

    Patient lies on their side with arms raised, knees and hips flexed. Coronal plane aligned with table, and the vertebral column needs to be parallel with the image receptor. Image receptor is centered at lower costal margin.

    Signup and view all the flashcards

    Lateral Lumbar Exposure

    Arrested expiration is used in both anterior and posterior positions.

    Signup and view all the flashcards

    Lateral Lumbar Patient Positioning

    Patient positioning on their side with the spine perpendicular to the image receptor.

    Signup and view all the flashcards

    Patient support in lateral lumbar radiograph

    Use of non-opaque pads under the patient's waist and knees is optional to align the vertebral column with the image receptor.

    Signup and view all the flashcards

    Study Notes

    Radiographic Techniques - Lumbar Vertebrae

    • Antero-posterior (AP) Projection (Basic):
      • Patient positioning: Supine on Bucky table, median sagittal plane aligned with the table's midline and perpendicular to the Bucky. Anterior superior iliac spines equidistant from the tabletop. HIPS and knees flexed, feet on tabletop to flatten the lumbar arch.
      • Image receptor: Large CR cassette including the lower thoracic vertebrae and sacro-iliac joints centered at the lower costal margin.
      • Exposure: Made during arrested expiration to prevent diaphragm movement, which would cause density differences between upper and lower lumbar vertebrae.

    Lateral Projection (Basic):

    • Patient Positioning: Patient lies on either side of the Bucky table. Raise and rest patient's arms on the pillow in front of head; knees and hips are flexed for stability.
    • Image Receptor Alignment: The coronal plane of the spine should coincide and be perpendicular to the Bucky's midline, non-opaque pads may be necessary to align the vertebral column parallel to the image receptor.
    • Image Receptor Centering: The image receptor is centered at the level of the lower costal margin.
    • Exposure: Exposure should be made during arrested expiration.
    • Additional Projection: This projection can be performed with the patient standing or sitting.

    Lateral - Flexion and Extension Projections

    • Patient positioning:
      • Patient positions: Erect, seated on a stool with either side against the vertical Bucky.
      • First exposure: patient leans forward, flexing the lumbar region as much as possible grip front of seat for stability.
      • Second exposure: patient leans backward, extending the lumbar region as far as possible and grips the back of the seat or a support. The Bucky is positioned at the lower costal margin.
    • Note: Exposure is during arrested expiration in both flexion and extension.

    Sacroiliac Joints (AP Axial):

    • Patient Positioning: Supine on Bucky table, median sagittal plane aligned with table's midline and perpendicular to the Bucky.
    • Pelvic Rotation: No rotation of the pelvis. ASIS (Anterior Superior Iliac Spine) should be the same distance from the tabletop.
    • X-ray Beam: Collimated vertical beam directed cephalad. 5 cm below the ASIS.

    Essential Image Characteristics (General):

    • Image Inclusion: Include entire area of interest (e.g., T12 downward to sacral junction) in both projections.

    • Exposure Time: Short exposure for patient stability is desirable.

    • Density: Ensure sufficient density for diagnosis (e.g., bone detail throughout the region), including all bony structures

    • Rotation: Sacroiliac joints equidistant from spine.

    • Common Image Faults and Solutions:

      • Missing sacroiliac joint: Additional projection of the sacroiliac joint is needed.
      • High-contrast image/poor density: Software application to correct image density of overexposed areas is needed.
      • Poor superimposition of anterior/posterior margins : This could mean the patient was positioned improperly (rolled too far in either direction).
      • Spinous processes missing from image: Check collimation and ensure enough exposure.
      • Failure to demonstrate intervertebral disc space: Ensure adequate space for visibility

    Studying That Suits You

    Use AI to generate personalized quizzes and flashcards to suit your learning preferences.

    Quiz Team

    Related Documents

    Description

    This quiz covers essential radiographic techniques for imaging the lumbar vertebrae, including the antero-posterior (AP) and lateral projections. It focuses on patient positioning, image receptor alignment, and exposure settings to ensure accurate imaging results. Test your knowledge on the basics of lumbar spine radiography!

    More Like This

    Lumbar Vertebrae
    27 questions

    Lumbar Vertebrae

    JawDroppingWalrus1974 avatar
    JawDroppingWalrus1974
    Anatomy of Lumbar Vertebrae
    27 questions
    Lumbar Vertebrae and Sacrum Anatomy
    24 questions
    Lumbar Vertebrae Imaging Techniques
    34 questions
    Use Quizgecko on...
    Browser
    Browser