Radiographic Positioning and Radiologic Procedure
Radiographic Positioning and Radiologic Procedure
ANATOMICAL POSITION
• Standing upright/erect
• Face and eyes directed forward
• Arms extended by the sides
• Palms turned forward
• Heels together
• Toes pointing anteriorly
SAGITTAL
• Right and left
• Midsagittal: equal right and left
• Parasagittal: unequal right and left
CORONAL
• Anterior and posterior
• Midcoronal/Midaxillary plane: equal anterior and posterior
SPECIAL PLANES
OCCLUSAL PLANE
• Formed by biting surfaces of the upper and lower teeth with jaws closed
• Used In positioning: Odontoid process
• Some head projections
Interiliac Plane
• transects the pelvis at the top of the iliac crests at the level of the fourth lumbar spinous process
• Used In positioning: lumbar, sacrum, and coccyx
BODY STRUCTURES
External Landmarks
ANATOMIC RELATIONSHIP TERMS
ANTERIOR/VENTRAL
Forward or front part of the body or organ
POSTERIOR/DORSAL NOTAL
Back part of the body or organ
SUPERIOR
Nearer to the head or situated above
INFERIOR
Nearer to the feet or situated below
CENTRAL
Mid Area or main part of an organ
PERIPHERAL
Parts at or near the surface, edge or outside of the body part
SUPERIOR
Nearer to the head or situated above
INFERIOR
Nearer to the feet or situated below
MEDIAL
Parts toward to median plane or toward the middle of the body
LATERAL
Parts away from the median plane or away from the middle part of the body
EXTERNAL
Parts outside of an organ/body
INTERNAL
Parts inside of an organ/body
SUPERFICIAL
Parts near the skin or surface
DEEP
Parts far from the surface
PARIETAL
Wall or lining of a body cavity
VISCERAL
Covering of an organ
IPSILATERAL
Parts on the same side of the body
CONTRALATERAL
Parts on the opposite side of the body
PALMAR
Palm of the hand
PLANTAR
Sole of the foot
DORSUM
Top or anterior surface of the foot
RADIOGRAPHIC POSITIONING TERMINOLOGY
● PROJECTION
● POSITION
● VIEW
● METHOD
PROJECTION
The path of the central ray as it goes through the patient to the IR. e.g., AP or PA projection
The entrance and exit points in the body
Based on anatomical position
Relationship formed between the central ray and the body e.g., Axial & Tangential Projection
AXIAL PROJECTION
There Is a longitudinal angulation of CR which is the long axis of the body.
10 degrees or more
TANGENTIAL PROJECTION
CR Is directed toward the outer margin of a curved body surface
CR skims the surface of the body
To project the part free of superimposition
LATERAL PROJECTION
CR enters one side of the body and exits the opposite side
OBLIQUE PROJECTION
CR enters the body from a side angle following an oblique
Plane. e.g., AP or PA Oblique Projections
AP OBLIQUE PROJECTION
CR enters the anterior surface and exits posteriorly
PA OBLIQUE PROJECTION
CR enters the posterior surface and exits anteriorly
POSITION
Identifies the overall posture general or the body position
The specific placement of the body part in relation to the radiographic table/image receptor
e.g., upright, supine, seated
UPRIGHT POSITION
Erect or marked by a vertical position
SEATED-UPRIGHT POSITION
Sitting on a chair or stool
RECUMBENT POSITION
General term referring to lying down in any position
SUPINE POSITION
Lying on the back
PRONE POSITION
Lying face down
TRENDELENBURG POSITION
Supine position with head lower than feet
FOWLER'S POSITION
Supine position with head higher than feet
SIMS POSITION
A recumbent position with the patient lying on the left anterior side (semi prone) and the right knee and thigh partially
flexed
LITHOTOMY POSITION
A spine position with knees and hip flexed and thighs abducted and rotated externally
LATERAL POSITION
Always named according to the side closest to the IR
OBLIQUE POSITION
Achieved when the entire body is rotated so that the coronal plane is not parallel with the radiographic table or IR.
LORDOTIC POSITION
Achieved by having the patient lean backward while in upright position so that shoulders are in contact with the IR
Used for visualization of pulmonary apices
VIEW
Used to describe the body part as seen by the IR
Exact opposite of projection
METHOD
Named after individuals in recognition of their development of a method to demonstrate a specific anatomic part
e.g., Water, Caldwell, Townes
ABDUCT/ ABDUCTION
Movement of part away from the central axis of the body
ADDUCT/ ADDUCTION
Movement of a part toward the central axis of the body
HYPEREXTENSION
Forced or excessive extension of a limb or joints
HYPERFLEXION
Forced over flexion of a limb or joints
EVERT/EVERSION
Outward turning of the foot at the ankle
INVERT/INVERSION
Inward turning of the foot at the ankle
SUPINATE/SUPINATION
Rotation of the forearm so that the palm is up
PRONATE/PRONATION
Rotation of the forearm so that the palm is down
ROTATE/ROTATION
turning or rotating of the body around its axis
e.g., medial or lateral rotation
CIRCUMDUCTION
A turning away from the regular standard or course
TILT
Tipping or slanting a body part slightly
Related to the long axis of the body
DEVIATION
A turning away from the regular standard or course
PROTRACTION
A movement of part of the body anteriorly in a transverse plane
RETRACTION
A movement of part of the body posteriorly in a transverse plane
ELEVATION
Upward movement of a part of the body
DEPRESSION
Downward movement of a part of the body