Cervical Spine Positioning (Unit 4)

- Remove everything from the waist down including glasses, dentures, hearing aids, facial piercings, teeth bridges, and bras

- Erect

- Supine

- Yes

- Yes

- Radiation to the thyroid

- Small focal spot and 70-85 kVp

- 72"

- 40"

- How is the patient dressed?

- How is the patient positioned when checking for the natural curvature of the spine on a lateral and oblique cervical spine?

- How is the patient positioned for an AP and odontoid cervical spine?

- Do you collimate for the cervical spine?

- Is the patient shielded?

- When doing a patient prone for a cervical spine what is reduced?

- What is the focal spot size and kVp for cervical spines?

- What is the SID for an upright cervical spine?

- What is the SID for a supine cervical spine?

- AP Open Mouth Odontoid

- Pathology involving C1 and C2

- 40"

- Supine or erect with arms by the side

- Base of the skull

- Through center of open mouth

- Suspend respiration

- Odontoid process

- What is the exam?

- What is the view used to demonstrate?

- What is the SID?

- What is the patient's position?

- What should the chewing surface of the upper incisors be in line with?

- Where is the CR directed?

- What are the breathing instructions?

- What anatomy should be in the center?

- AP Axial Cervical Spine

- C3 to C7

- 40"

- Supine without a pillow, arms at side, and chin up (Can be done erect)

- 15°-20° cephalic

- C4 at the level of the thyroid cartilage

- Suspend respiration

- Intervertebral disk space

- What is the exam?

- What is this view used to demonstrate?

- What is the SID?

- What is the patient's position?

- What is the angle of the CR?

- Where is the CR directed?

- What are the breathing instructions?

- What space is open?

- Cervical Spine

- AP Axial Oblique

- RPO/LPO

- RAO/LAO

- Intervertebral foramen farthest from the IR

- 72"

- Erect or sitting

- 45°

- 15°-20° cephalic

- C4 at the level of the thyroid cartilage

- 15°-20° caudal

- What is the exam?

- What is the projection?

- What is the position used?

- What positions are used to reduce radiation dose to thyroid?

- What anatomy is visualized in this view?

- What is the SID?

- What is the patient's position?

- How many degrees are the head and body rotated?

- What is the angle of the CR?

- Where is the CR directed?

- If this exam was done with an RAO/LAO position, how is the CR angled?

- Lateral Cervical Spine

- Lateral

- C1 to C7 and Zygapophyseal joint space open

- 72"

- Erect or sitting with shoulder against IR

- Relax their shoulders

- Give them weights or tell them to put their hands behind their back

- 1-2 inches above the external auditory meatus (EAM)

- C4 at the level of the thyroid cartilage

- Suspend respiration on full expiration

- What is the exam?

- What is the position?

- What is demonstrated in this view?

- What is the SID?

- What is the patient's position?

- What do you ask the patient to do with their shoulders?

- What can you give or have the patient do if they can't relax their shoulders?

- The top of the IR should be about how many inches above what anatomy?

- Where is the CR directed?

- What are the breathing instructions?

- Cervical Spine

- Lateral and horizontal beam

- Trauma

- No

- Supine on stretcher or radiographic table with shoulders relaxed

- C4 at the level of the thyroid cartilage

- Suspend respiration on full expiration

- What is the exam?

- What is the position and beam?

- Is this a trauma or non-trauma view?

- Is the C-collar ever removed unless told to do so?

- How is the patient positioned?

- Where is the CR directed?

- What are the breathing instructions?

- Cervical Spine

- Cervicothoracic (Swimmer's) Lateral

- 72"

- 40"

- When C7 to T1 is not visualized on a lateral cervical spine

- Erect with arm closest to IR up and over the head

- 3°-5° caudal

- T1 about 1" above the jugular notch

- Orthostatic breathing with a 3-4 sec exposure

- What is the exam?

- What is the position?

- What is the SID?

- What is the SID supine?

- What is this position good for?

- How is the patient positioned?

- What is the angle of the CR?

- Where is the CR directed?

- What are the breathing instructions and how long is the exposure time?

- Cervical Spine

- Lateral hyperflexion and hyperextension

- 72"

- Functional study to show anteroposterior vertebral mobility

- Erect lateral position, arms pulled down or holding weights

- Flexed down as far as possible or extended as far as possible

- Spinous processes

- Cervical bodies

- Down External Acoustic Meatus and C4 at the level of the thyroid cartilage

- Suspend respiration on full expiration

- What is the exam?

- What is the position?

- What is the SID?

- What is this view used for?

- What is the patient's position?

- What is done to the patient's head?

- What is opened when the head is hyperflexed?

- What is opened when the head is hyperextended?

- Where is the CR directed?

- What are the breathing instructions?

- Odontoid Cervical Spine

- Fuch Method

- Superior portion of the dens when not well seen on AP open mouth

- 40"

- Supine

- Mentometal Line (MML)

- Parallel to MML line

- 5 X 5

- Suspend respiration

- What is the exam?

- What is the method?

- What is this view used to see?

- What is the SID?

- What is the patient's position?

- Elevate the chin to bring what near perpendicular to the tabletop?

- Where is the CR directed?

- What is the field size?

- What are the breathing instructions?

- Odontoid Cervical Spine

- Judd Method

- Superior portion of the dens when not well seen on AP open mouth

- 40"

- Prone

- Mentomental Line (MML)

- Parallel to MML line

- 5 x 5

- Suspend respiration

- What is the exam?

- What is the method?

- What is this view used to see?

- What is the SID?

- What is the patient's position?

- With chin resting on table, bring what near perpendicular to the tabletop?

- Where is the CR directed?

- What is the field size?

- What are the breathing instructions?