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CentralazRAD
เข้าร่วมเมื่อ 14 ม.ค. 2014
Rib X-ray Positioning
Rib X-ray Positioning Only
40" SID
AP
AP/PA Oblique
AP Lower Ribs
AP Obliques Show the Ribs Closest to the Board
PA Oblique Show the Ribs Farther from the board (PA "Away")
40" SID
AP
AP/PA Oblique
AP Lower Ribs
AP Obliques Show the Ribs Closest to the Board
PA Oblique Show the Ribs Farther from the board (PA "Away")
มุมมอง: 45 078
วีดีโอ
LSpine
มุมมอง 7K8 ปีที่แล้ว
This video is intended for positioning purposes only. Please remove all obscuring objects such as jeans, metal,bras, piercings, etc. AS Always please adhere to proper radiation protection, and practice ALARA.
C spine x-ray Positioning
มุมมอง 58K8 ปีที่แล้ว
This is positioning ONLY! Please remember to remove all obstructing items and, as always, practice proper radiation protection
Femur
มุมมอง 15K8 ปีที่แล้ว
This is general positioning technique only. As always you would change your patient out of obstructing items as well as provide proper radiation protection.
Tib Fib Knee Patella
มุมมอง 1.5K8 ปีที่แล้ว
This video demonstrates basic positioning only. As always you would need to have your patient change into a gown, if necessary. Following proper radiation protection methods is pertinent.
Foot, Ankle, Calcaneus
มุมมอง 6K8 ปีที่แล้ว
This is basic positioning only. You will need to remove patients shoe and sock from the affected limb and also practice proper radiation protection at all times.
Shoulder Clavicle
มุมมอง 11K8 ปีที่แล้ว
This is positioning only. Please remove all obscuring objects and, as always, practice proper radiation protection.
Humerus
มุมมอง 1.8K8 ปีที่แล้ว
This is patient positioning only. Remove all obscuring objects (such as bra) and, as always, practice proper radiation protection!
Elbow
มุมมอง 1.4K8 ปีที่แล้ว
This is positioning only! Remove any obscuring objects before exposure and, as always, use proper radiation protection
Forearm
มุมมอง 1.9K8 ปีที่แล้ว
This is positioning criteria only! remove obscuring objects from area of interest. And, as always, practice proper radiation protection.
Wrist
มุมมอง 1.7K8 ปีที่แล้ว
This is positioning criteria only! Remove any objects that would obstruct the image. And, as always, practice radiation protection.
Digit
มุมมอง 7218 ปีที่แล้ว
This video shows positioning criteria only! To prepare you patient, you should remove all jewelry from the patients hands. You must ALWAYS practice radiation protection.
Hand
มุมมอง 1.4K8 ปีที่แล้ว
This video is for positioning criteria ONLY! Remove and rings, watches, or bracelets that would obstruct the image. Radiation Protection should always be followed- use a shield and ask about pregnancy before making any exposures.
Abdomen
มุมมอง 6K8 ปีที่แล้ว
This is positioning criteria only. Patient Prep includes: Change into gown with opening in back, remove all metal that would obstruct image (ie. piercings, bra, etc.)
American Idol: Senior. Shoulder and forearm
มุมมอง 46710 ปีที่แล้ว
American Idol: Senior. Shoulder and forearm
Lateral elbow means lateral humerus and that is best done PA, particularly when the arm is in a sling because of a broken humerus
At 3.00 we can see that light and therefore, primary beam will miss the bucky and the collector and hit the wall, so that is dose for no reason. This happens again at 6.02. Always begin with a normal PA chest but with 65kV. The portable lead screen is useless. Just use accurate collimation. The gonads of women are naturally protected from scatter from the collimator due to ovaries being surrounded by a lot of flesh and bone.
I would reduce the dose by at least a half by being more accurate with the collimation. I would never ever use a centring point, just knowledge of anatomy
Please make a video on the Y view AP.
AWESOME!! You are the Ribmaster!
If its pain on the PA side isnt it away from the IR and if its on the AP side its towards the IR
Thats what I thought
Side of pain always faces the IR
'Anterior Away' is what I use to remember. With posterior (AP projection), the affected side is down, with anterior (PA projection) the affected side is away.
@@probation2propagation420 Let's say the pain is anterior left, is the patient positioned: PA LAO or PA RAO? I learned that it would be PA RAO (LEFT INJURED ANTERIOR SIDE AWAY FROM the IR, am I correct?
@@NSS9749 anterior means the patient would be PA LAO obliqued 45
Why use T7 as a centring point when it is of no value when assessing the film. Guessing the collimation top and bottom will usually mean giving the thyroid an unnecessary dose. I would use an aluminium filter to equalise the exposure and reduce sternum and thyroid dose. Never assume your patient will be in perfect postural position. Introduce a side bend in the back by lowering the hip and raising the shoulder, then angle the tube to be perpendicular to that arc. Notice in my low dose video how I always try to collimate within the skin edge. th-cam.com/video/KWf6rFOFlI4/w-d-xo.html
For an accurately collimated series, look at my video. th-cam.com/video/ZcvH11MfgUo/w-d-xo.html
Excluding the thyroid and the sternum from the projections is the most important radiation protection you can give. Remember that centring points are not important. It makes no difference if you centre 2 inches higher or lower as that amount of angle is lost in the variations in posture. Also remember that the shoulders can be shrugged up or down, shrugged forwards or backwards. A large or obese patient scapula will be closer to the chest wall than a skinny person. Don't use a grid for small patients
Weird rules of thumb have been used for a century and though they work, they also limit the learning possible from each projection. Even saying 'centre on L3' is illogical because the position of L3 can't be known until after the radiograph, and even then, it is not used to determine the success or failure of the xray. It is better to collimate accurately and use the Light beam diaphragm to ensure the anatomy is include and the exposed region reduced to a minimum. With an AP lumber spine, ensure the sacrum will be on the bottom of the image by determining the position of the symphysis pubis and ensuring it is not included in the beam. Most laterals will need tube angulation as the pelvis is wider than the waist. Posturally position by raising the shoulder and lowering the hip the patient lies on, then from palpating the spine, make the beam perpendicular to the sway. My technique produces perfection 9/10 whereas the standard is usually 3 out of 10 for conventional radiographers. Watch this video to ensure you are not part of the majority who don't understand the geometry of each projection th-cam.com/video/mZPD_gLs5Dw/w-d-xo.html
Never guess the collimation. Open up the collimator to define how large the area, then limit to within the size of the collector. That didn't happen in the video. Radiation would have missed the top of the collector and the bottom. The sternum was included. The thyroid was exposed. The obliques continued to expose the body of the sternum and all of the thyroid which was appropriate in 1920 when the projections were devised, but not after 1970 when the Light Beam Diaphragm caused its revolution. We don't judge the success of the images by seeing if we got C4 in the middle. A better technique is to use the collimate to show you where the anatomy is. Remember that tube angulation will not change the position of the focus, so the geometry will not change
She’s a great teacher.
👏👏👏👏
Xrays are cool and they sure helped me.🥳
This is partly wrong. If you have no rotation of the chest on a lateral chest x-ray, the ribs will not superimpose. The right rib will be thrown posterior to the left rib.You need to angle forward slightly so there’s a little bit of light on the left ribs and then you have a superimpose nicely. If there’s no light at all on the left ribs in the back, then you need to go forward.
*SCP - 106 Has Been Recontained*
No marker
I still don't get it.
Lol the lateral is 40’’ also the ap is an axial!!! Wrong wrong wrong wrong!!!
According to Merrills Positioning Atlas and Bontrager the Lateral C-spine is at a 72" SID. I think you missed while watching the video that the AP axial was done correctly at 15 degree cephalic angle. So this positioning is not wrong, thank you for your comment
Merrils list 72" to decrease OID to help see c7... why are you so hostile.
Everyone of these videos is using a person who is skinny and easy to do. Almost every shoulder xray I do anymore is either a fat slob and you can't feel the landmarks, or they're whiners and wherever you touch them they whine and say stop. I wish I could find a way to do a scapular Y without palpating.
😭😂
For a Left Lateral of the C-Spine the SID is @72". Also the positioning provided in the video for the LAT C-Spine is incorrect. The pt. always faces the wall on their left side.
In Merrills Positioning Atlas the SID for a Lateral C-spine is an SID of 60-72", Also, it is a left lateral C-spine meaning the patient's left side is close to board, which is what the patient is doing in this demonstration. If the patients right side was against the board then he would be facing the wall, but we always do the left lateral.
Is that a true lateral or an oblique view!??
In Order to obtain a "lateral" scapula, the body is obliqued 30-60 degrees. The body is being obliqued, but it is putting the Scapula perpendicular to the board making is a lateral scapula projection. Hope that helps!
that’ll be cool if you posted an xray sample of how it looks. but thanks for video
Very helpful! Thank you!
Very good
very nice
Humm. Humm humm
Good job, thank you :)
on obliques lpo we do markings farthest away.
As long as anatomy on the IR is marked for an oblique it's fine
should be patient oblique
She's gorgeous!!!!
Hugo Hernandez She's a magnificent beauty, no doubt about it! I think she's one of the most beautiful girls I've ever seen.
please upload more video. your videos are more detailed. thank you so much for this.