Radiology Techniques
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Questions and Answers

What is the purpose of the AP Open Mouth view in radiography of the cervical spine?

  • To visualise the entire cervical spine
  • To demonstrate the atlas and axis through the open mouth (correct)
  • To visualise the lumbar spine
  • To visualise the thoracic spine
  • What is the focal film distance used in the AP Open Mouth view?

  • 120cm
  • 100cm
  • 150cm (correct)
  • 180cm
  • What is the tube tilt used in the AP Lower Cervical view?

  • 0 degrees
  • 15 degrees cephalad (correct)
  • 10 degrees cephalad
  • 5 degrees cephalad
  • What is the purpose of extending the neck slightly in the AP Lower Cervical view?

    <p>To make the body of the mandible horizontal</p> Signup and view all the answers

    What is the direction of the central ray in the AP Lower Cervical view?

    <p>Between the sterno-clavicular joints and the chin, in the midline</p> Signup and view all the answers

    What is the optimum kVp used in the AP Lower Cervical view?

    <p>70 kVp</p> Signup and view all the answers

    What is the purpose of instructing the patient to stop breathing and remain still in radiography?

    <p>To reduce movement during the exposure</p> Signup and view all the answers

    What is the purpose of collimating to just below the nose vertically and to the mastoids horizontally in the AP Open Mouth view?

    <p>To exclude the eyes from the primary beam</p> Signup and view all the answers

    What information must be displayed on radiographs?

    <p>Patient's identity, date of examination, and name of clinic</p> Signup and view all the answers

    Why should a pregnancy test be indicated?

    <p>If the patient is unsure about their pregnancy status</p> Signup and view all the answers

    What is the purpose of the side marker on radiographs?

    <p>To indicate the side of the body (R, L, RPO, LPO, RAO, LAO)</p> Signup and view all the answers

    What is the minimum information required on the wriCen consent form?

    <p>Patient's statement that they are not pregnant to the best of their knowledge</p> Signup and view all the answers

    What is the purpose of collimation in radiography?

    <p>To improve image quality by reducing scattered radiation</p> Signup and view all the answers

    Which of the following is NOT a requirement for radiographic imaging?

    <p>Patient's medical history review</p> Signup and view all the answers

    What is the purpose of the filter used in thoracic spine radiography?

    <p>To reduce the effect of beam hardening</p> Signup and view all the answers

    What is the correct positioning of the image storage device for the AP thoracic spine view?

    <p>5 cm above the C7 spinous process</p> Signup and view all the answers

    What is the primary purpose of using an 8mm stepped filter in the lateral thoracic spine view?

    <p>To reduce scatter radiation</p> Signup and view all the answers

    In the AP lumbo-pelvic view, what is the direction of the central ray?

    <p>Directed 5cm below the height of the most lateral aspect of the iliac crests</p> Signup and view all the answers

    What is the ideal patient position for the lateral thoracic spine view?

    <p>Patient stands erect with their back against the grid device</p> Signup and view all the answers

    What is the main purpose of the grid device in the lateral thoracic spine view?

    <p>To reduce scatter radiation</p> Signup and view all the answers

    In the lateral thoracic spine view, what is the verticle collimation?

    <p>Within the vertical borders of the image storage device</p> Signup and view all the answers

    What is the importance of suspended inspiration in the lateral thoracic spine view?

    <p>To reduce movement artifacts</p> Signup and view all the answers

    In the AP lumbo-pelvic view, what is the purpose of collimation?

    <p>To limit the x-ray beam to the area of interest</p> Signup and view all the answers

    What is the ideal foot positioning for the AP lumbo-pelvic view?

    <p>Feet 10-15cm apart</p> Signup and view all the answers

    Study Notes

    Radiography of the Cervical Spine

    • Standard cervical series:
      • AP Open Mouth View (APOM)
      • AP Lower Cervical View (APLC)
      • Lateral Cervical View

    AP Open Mouth View (APOM)

    • Focal film distance: 150cm
    • Tube tilt: 0°
    • Optimum kVp: 80 kVp
    • Patient position:
      • Stand with back against the erect bucky
      • Mid-sagittal plane of the body centered to the midline of the bucky
      • Head position: mid-sagittal plane perpendicular to the grid
      • Mouth open as far as possible
      • Lower edges of the upper incisors aligned with the base of the skull
    • Central Ray: in the midline, at the level of the atlas transverse process (C1 T.P)
    • Collimation: to just below the nose vertically and to the mastoids horizontally
    • Patient instructions: stop breathing and remain still
    • Structures shown: atlas and axis through the open mouth

    AP Lower Cervical View (APLC)

    • Focal film distance: 150cm
    • Tube tilt: 15° cephalad
    • Optimum kVp: 70 kVp
    • Patient position:
      • Stand with back against the erect bucky
      • Head immobilized with mid-sagittal plane perpendicular to the grid
      • Neck extended slightly so body of mandible is horizontal
    • Central Ray: vertically, between sterno-clavicular joints and the chin, in the midline

    Thoracic Spine

    • AP Thoracic View (AP-T)
      • Focal film distance: 150cm
      • Tube tilt: 0°
      • Optimum kVp: 80 kVp
      • Patient position: stand erect with back against the grid device
      • Central Ray: T6/T7 vertebral body
      • Collimation: vertically within vertical borders of image storage device, and 2cm either side of sternal edge
      • Patient instructions: suspend inspiration and remain still
      • Structures shown: vertebrae C7 to L1 in their AP orientation, proximal ends of the anterior rib, and medial borders of both lung fields

    Lateral Thoracic View

    • Focal film distance: 150cm
    • Tube tilt: 0°
    • Optimum kVp: 90 kVp
    • Patient position: stand erect with side of interest against the grid device in the true lateral position
    • Central Ray: vertically, as per AP Thoracic spine, and horizontally, posterior aspect of the kyphosis remains within collimation
    • Collimation: vertically within vertical borders of image storage device, and to include apex of curve posteriorly to the axillary fold anteriorly
    • Filter: 8mm stepped filter over the lower half of the collimation
    • Patient instructions: suspend inspiration and remain very still
    • Structures shown: all thoracic vertebrae in their lateral orientation

    Lumbar Spine

    • Standard chiropractic series:
      • A-P Lumbo-Pelvic View - erect
      • Lateral Lumbo Sacral View - erect
    • Additional views if indicated:
      • Oblique views
      • Spot views of SIJs, sacrum, L5/S1, Coccyx
      • Functional views

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    Description

    Quiz about radiology techniques, including optimal kVp, patient positioning, central ray, and identifying structures shown in radiology images.

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