Rad Positioning Midterm

APLC SID

40

APLC Tilt

15 deg up

APCL Bucky/Grid

Yes

APLC Cassette

10×12 regular

APLC Central Ray

Lower margin of thyroid cartilage

APLC Collimation

Include soft tissue of the neck

APLC kVp

70

APOM SID

40

APOM TIlt

0

APOM Bucky/Grid

Yes

APOM Cassette

8×10 regular

APOM Central Ray

Midpoint of open mouth

APOM Collimation

Below the eyes and above thyroid. Laterally should include soft tissues

APOM kVp

70

Neutral Lateral Cervical SID

72

Neutral Lateral Cervical Tilt

0

Neutral Lateral Cervical Bucky/Grid

NB

Neutral Lateral Cervical Cassette

10×12 regular

Neutral Lateral Cervical Central Ray

C4

Neutral Lateral Cervical Collimation

Behind the eye and above the ear

Neutral Lateral Cervical kVp

70

Right/Left Ant Oblique Cervical SID

72

Right/Left Ant Oblique Cervical Tilt

15 deg down

Right/Left Ant Oblique Cervical Bucky/Grid

NB

Right/Left Ant Oblique Cervical Cassette

8×10 regular

Right/Left Ant Oblique Cervical Central Ray

C4

Right/Left Ant Oblique Cervical Collimation

Region of interest

Right/Left Ant Oblique Cervical kVp

70

Flexion/Extension Cervical SID

72

Flexion/Extension Cervical Tilt

0

Flexion/Extension Cervical Bucky/Grid

NB

Flexion/Extension Cervical Cassette

8×10 regular

Flexion/Extension Cervical Central Ray

C4

Flexion/Extension Cervical Collimation

Region of interest

Flexion/Extension Cervical kVp

70

kVp for ALL cervical

70

Cervical views with NB

all except APLC and APOM (AKA all lateral facing views)

Cervical SID 72

all except APLC and APOM (those are 40)

Cervical SID 40

APOM and APLC

Cervical Cassette 8×10 regular

APOM, Obliques, and Flexion/Extension

Cervical Cassette 10×12 regular

APLC and Neutral Lateral

Thoracic SID

40

Thoracic Tilt

0

Thoracic Bucky/Grid

Yes

Thoracic Cassette

14×17 regular

Thoracic Central Ray

In midline at T7, Cassette 1 inch above shoulder

Thoracic kVp

80

AP Thoracic Collimation

just under 10×17

Swimmer’s View Supertech Box

Spines T-LAT Breath

AP Thoracic Extra Note

State that a wedge filter is used

AP Lateral Arms

Genie Position

Thoracic Breathing

Breathe in, out, hold

Cervical Breathing

Just hold still

Lumbar SID

40 (except PA Angulated Spot which is 34)

Lumbar Tilt

0 (except PA Angulated Spot which is 30 deg down)

Lumbar Bucky/Grid

Yes

Lumbar Cassette 14×17

all except for both Spot views

Lumbar PA Angulated Spot Cassette

10×12 regular

Lumbar Lateral Spot Cassette

8×10 regular

Lumbar Frontal (AP/PA) Central Ray

Highest level of iliac crests

Lumbar Lateral Central Ray

Highest level of iliac crests

Lumbar PA Angulated Spot Central Ray

L5/S1 Disc

Lumbar Right/Left anterior Oblique Central Ray

1-2 inches lateral at L3

Lumbar L5/S1 Spot Central Ray

2 inches posterior to ASIS / 1.5 inches below iliac crest

Lumbar Flexion/Extension Central Ray

Highest level of iliac crest

Lumbar Angulated Spot Supertech Box

Spines L/S AP & OBL

Lumbar Right/Left Anterior Oblique Supertech Box

Spines L/S AP & OBL

Lumbar L5/S1 Spot Supertech Box

Spines L/S LAT

Lumbar Flexion/Extension Supertech Box

Spines L/S LAT

Sacrum/Coccyx Breathing

Hold your breath

Sacrum/Coccyx SID

40

Sacrum/Coccyx Bucky/Grid

Yes

AP Sacrum/Coccyx kVp

80

Lateral Sacrum/Coccyx kVp

90

Sacrum Cassette

10×12 regular

Coccyx Cassette

8×10 regular

Lateral Sacrum/Coccyx Tilt

0

AP Sacrum Tilt

15 deg up

AP Coccyx Tilt

10 deg down

AP Sacrum/Coccyx Central Ray

In midline 2 inches superior to pubic symphysis

Lateral Sacrum/Coccyx Central Ray

3-4 inches posterior and 2 inches inferior to ASIS

Sacrum/Coccyx Supertech Box

Use L/S corresponding boxes

Chest SID

72

Spot Rib SID

40

Chest/Rib Breathing

Breathe in and hold

Chest/Rib Tilt

0

Chest/Rib Bucky/Grid

Yes

Chest Cassette

14×17 Chest

Chest Central Ray

Midline at T7

Chest kVp

120

Rib Cassette

14×17 regular

Rib Central Ray

Area of Complaint

Tip for finding T7

Pinky at T1, Thumb at T7

PA Chest Notes

Patient places hands behind back on PSIS and roll shoulders forward

Apical Lordotic Chest Notes

Stand 1 foot away from Bucky, lean shoulders and head back to rest on Bucky, hands behind back at PSIS, roll shoulders forward

Spot Rib Breathing

Ribs 1-7 breathe in, Ribs 8-12 breathe out

Spot Rib Supertech

Ribs AD of BD (AD above diagram, BD below diagram)

AP Abdomen SID

40

AP Abdomen Tilt

0

AP Abdomen Bucky/Grid

Yes