Colonne Vertébrale: Radiologie

Flashcards for review of lecture notes on spine imaging.

Colonne cervicale de face (AP)

Fundamental incidence using an 18 x 24 cm cassette with a grid, cone localizer, and lead protection. Patient in dorsal decubitus or vertical position, with the midsagittal plane centered. The X-ray beam is inclined 15-20 degrees caudocranial, entering at C5.

Colonne cervicale de profil

Fundamental incidence using an 18 x 24 cm cassette with a grid, cone localizer, and lead protection. Patient is preferably vertical, with the cervical spine aligned and centered. The X-ray beam is horizontal, centered at C4.

Colonne cervicale en incidence oblique

Complémentaire incidence with the patient positioned vertically, oblique posterior, with the torse and head turned 45 degrees. The X-ray beam is ascending, inclined 15-20 degrees, centered on the lateral face of the neck at C4.

Colonne cervicale en incidence dynamique

Complémentaire incidence performed in hyperflexion and hyperextension. Vertical patient position from the side, horizontal X-ray beam centered on C4.

C1-C2 (atlas-axis) de face « bouche ouverte »

Complémentaire incidence with the patient in dorsal decubitus, centered. The X-ray beam is vertical, centered at the upper incisors through the open mouth at C1-C2.

Incidence de face pour la dent de l'axis (odontoïde) (AP)

Spécifique incidence using the Fuchs method. Patient in dorsal decubitus or standing, X-ray beam parallel to the mento-meatal line, directed toward the tip of the mandible (AP).

Colonne cervicothoracique en incidence de profil

Spécifique incidence, Twining method: 'swimmer's view,' region C4-T3. Patient is preferably standing, aligning the cervical spine. Horizontal X-ray beam.

Colonne thoracique de face (AP)

Fundamental incidence: patient can be standing or in dorsal decubitus, use a 36 x 43 cm cassette with a grid and automatic exposure. The vertical X-ray beam is centered midway between the jugular notch and the xiphoid process (T6), taken in expiration.

Colonne thoracique de profil

Fundamental incidence: patient is standing or in lateral decubitus, use a 36 x 43 cm cassette with a grid, automatic exposure is desactivated. The vertical X-ray beam is centered on T6.

Colonne lombaire, incidence selon de Sèze (PA)

Fundamental incidence: the patient is standing, the horizontal X-ray beam, centered one to two finger widths above the iliac crests. Taken during free breathing.

Colonne lombaire de face (AP)

Fundamental incidence: can be taken in PA to better clear intervertebral spaces. Patient is standing or in dorsal decubitus, the vertical X-ray beam can be horizontal or vertical.

Colonne lombaire de profil

Fundamental incidence: patient can be standing or in lateral decubitus, use a 35 x 43 cm cassette with a grid, the vertical X-ray beam is centered 2.5 cm above the iliac crest (L3).

Colonne lombaire en incidence oblique (AP)

Complémentaire incidence: patient is standing or laying down, in posterior or anterior obliques. 100 to 110 cm, collimation is strict to the area of interest.

Colonne lombosacrée (L5/S1) de profil

Complémentaire incidence 18x24 cassette, lateral decubitus position . X-ray beam RD vertical, centré à 4 cm au-dessous de la crête iliaque et 5 cm en arrière de l'EIAS.

Colonne lombosacrée (L5/S1) de face (AP)

Complémentaire incidence 18 x 24 cm cassette, patient must be in dorsal decubitus, X-ray beam at 20-30° in podocrânial.

Sacrum de face (AP)

Rare incidence with a 24 x 30 cm cassette, the patient must be in dorsal decubitus, X-ray beam is 15° in cranial.

Coccyx de face (AP)

Rare incidence, a 18 x 24 cm cassette is used, the patient must be in dorsal decubitus, X-ray beam is 10° in caudal.

Sacrum (et coccyx) de profil

Rare incidence,A 24 x 30 cm cassette is used, the patient is lateral decubitus, X-ray beam is vertical.

Coccyx de profil

rare incidence, a 18 x 24 cm cassette is used, lateral decubitus position, vertical X-ray beam.

Articulations sacro-iliaques de face (AP), incidence bilatérale

Rare incidence with a 24 x 30 cm cassette, the patient is in dorsal decubitus, X-ray beam inclined of 15° (hommes) à 20° (femmes) in podocrânial.