Trigger 2, RAD ANA: Positioning Terminology 1

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Ma'am Daph's Hand-Out

116 Terms

1

radiograph

an image of a patient’s anatomic parts, as produced by the action of x-rays on an Image receptor.

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2

radiography

the process and procedures of producing a radiograph.

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3

image receptor

the device that captures the radiographic image that exits the patient.

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4

central ray

refers to the centermost portion of the x-ray beam emitted from the x-ray tube.

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5

anatomical position

a reference position that defines specific surfaces and planes of the body.

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6
  • erect

  • forward

  • side

  • forward

  • together

  • straight

complete the context:
in an anatomical position, the body is BLANK with the face directed BLANK, the arms at the BLANK, and the palms of the hands facing BLANK, and the head and feet BLANK and directed BLANK ahead.

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7

sagittal plane

  • longitudinal plane

  • divides the body into right and left parts

  • any plane parallel to the midsagittal or median plane

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8

midsagittal plane

  • median plane

  • a midline sagittal plane that divides the body into equal right and left parts.

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9

coronal plane

  • divides the body into anterior & posterior parts

  • any plane parallel to the midcoronal or frontal plane

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10

midcoronal plane

divides the body into equaly anterior and posterior parts

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11

because it passes approximately through the coronal suture of the skull

why is coronal plane called coronal plane?

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12

horizontal (axial) plane

  • any transverse plane that passes through the body at right angles to a longitodinal plane

  • divides the body into superior and inferior portions

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13

oblique plane

a longitudinal or transverse plane that is not parallel to the sagittal, coronal, or horizontal plane.

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14

anterior

  • latin: before

  • towards the front of the body

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15

posterior

  • latin: after

  • towards the back of the body

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16

superior

  • latin: above

  • towards the top of the body

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17

inferior

  • latin: below

  • towards the bottom of the body

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18

medial

  • latin: middle

  • towards the midline

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19

median

in the midline rather than towrds the midline

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20

lateral

  • latin: side

  • away from the midline

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21

proximal

  • latin: near

  • towards the center of the body

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22

distal

  • latin: far

  • away from the center of the body

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23

superficial

towards the surface of the body

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24

deep

away from the surface of the body

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25

ippsilateral

same side of the body

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26

contralateral

opposite side of the body

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27

flexion

  • movement

  • decrease in the angle of the joint

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28

extension

  • movement

  • increase in the angle of the joint

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29

abduction

movement of limb away from midline

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30

adduction

movement of limb towards from midline

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31

pronation

movement of hand and forearm to bring the palm facing posterior

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32

supination

movement of hand and forearm to bring the palm facing anterior

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33

circumduction

circular movement of a joint using a combination of flexion, abduction, extension and adduction such that the distal limb describes a circle

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34

opposition

thumb brought to oppose another digit

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35

reposition

thumb repositioned back to the anatomic position

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36

elevation

movement of the scapular superioly

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37

depression

movement of the scapular inferiorly

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38

eversion

movement of the sole of the foot away from the median plane

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39

inversion

movement of the sole of the foot towards from the median plane

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40

protrusion

movement of the mandible, lips or tongue anteriorly

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41

retraction

movement of the mandible, lips or tongue posteriorly

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42

longitudinal sections (sagittal, coronal, and oblique)

these sections or images run lengthwise in the direction of the long axis of the body or any of its parts, regardless of the position of the body (erect or recumbent).

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43

sagittal, coronal, or oblique plane.

longitudinal sections or images may be taken in, what plane/s?

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44

sagittal, coronal, and transverse (axial)

CT, MRI, and Sonography images are obtained in these three common orientations or views.

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45
  • base plane of skull

  • occlusal plane

planes of the skull

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46

base plane of skull

plane of the skull

  • Frankfort Horizontal Plane

  • precise transverse plane is formed by connecting the lines from the infraorbital margins (inferior edge of bony orbits) to the superior margin of the external auditory meatus (EAM), the external opening

    of the ear.

  • used in orthodontics and cranial topography to measure and locate specific cranial points or structures.

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47

occlusal plane

plane of the skull

  • this horizontal plane is formed by the biting surfaces of the upper and lower teeth with jaws closed

  • used as a reference plane of the head for cervical spine and skull radiography

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48
  • plantar

  • dorsal (foot, hand)

  • palmar

terms for surfaces of the hands and feet:

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49

plantar

terms for surfaces of the hands and feet

  • refers to the sole or posterior surface of the foot.

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50

dorsal foot (dorsum pedis)

terms for surfaces of the hands and feet

  • refers to the top or anterior surface of the foot, opposite the sole.

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51

dorsal hand (dorsum manus)

terms for surfaces of the hands and feet

  • refers to the back or posterior surface of the hand; opposite the palm.

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52

palmar

terms for surfaces of the hands and feet

  • refers to the palm of the hand;

  • in the anatomic position, the same as the anterior or ventral surface of the hand.

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53

projection

  • a positioning term that describes the direction or path of the CR of the X-ray beam as it passes through the patient, projecting an image onto the IR.

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  • Posteroanterior Projection

  • Anteroposterior Projection

  • AP Oblique Projection

  • PA Oblique Projection

  • Mediolateral & Lateromedial Projections

common projection terms:

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posteroanterior (PA) projection

  • refers to a projection of the CR from posterior to anterior.

  • the CR enters at the posterior surface and exits at the anterior surface

  • Assumes a true PA without intentional rotation, which requires the CR to be perpendicular to the coronal body plane and parallel to the sagittal plane, unless some qualifying oblique or rotational term is used to indicate otherwise.

<ul><li><p>refers to a <em><u>projection of the CR</u></em> from<span style="color: red"><strong> posterior to anterior</strong></span>.</p></li><li><p>the CR <span style="color: purple"><strong>enters </strong></span>at the <span style="color: purple"><strong>posterior </strong></span>surface and <span style="color: blue"><strong>exits </strong></span>at the <span style="color: blue"><strong>anterior </strong></span>surface</p></li><li><p>Assumes a <strong>true PA</strong> <em>without intentional rotation</em>, which requires the CR to be <span style="color: green"><strong>perpendicular to the coronal body plane</strong></span> and <span style="color: rgb(248, 114, 0)"><strong>parallel to the sagittal plane</strong></span>, unless some qualifying oblique or rotational term is used to indicate otherwise.</p></li></ul><p></p>
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anteroposterior (AP) projection

  • refers to a projection of the CR from anterior to posterior.

  • opposite of PA

  • enters at an anterior surface and exits at a posterior surface

  • Assumes a true AP without rotation unless a qualifier term also

    is used, indicating it to be an oblique projection.

<ul><li><p>refers to a <em><u>projection of the CR</u></em> from<span><strong> anterior to posterior</strong></span>.</p></li><li><p>opposite of PA</p></li><li><p><span style="color: purple"><strong>enters </strong></span>at an <span style="color: purple"><strong>anterior </strong></span>surface and <span style="color: blue"><strong>exits </strong></span>at a <span style="color: blue"><strong>posterior </strong></span>surface</p></li><li><p>Assumes a <strong>true AP</strong><em> without rotation</em> unless a qualifier term also</p><p>is used, indicating it to be an oblique projection.</p></li></ul><p></p>
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57

AP oblique projection

  • This is not a true AP projection and must also include a qualifying term that indicates which way it is rotated, such as medial or lateral rotation

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58

oblique

a projection of the upper or lower limb that is rotated is called, what?

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59

AP oblique projection, medial rotation (from AP)

what is this?

<p>what is this?</p>
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60

PA oblique projection, lateral rotation (form PA)

what is this?

<p>what is this?</p>
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61

mediolateral projection (ankle)

what is this?

<p>what is this? </p>
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62

lateromedial projection (wrist)

what is this?

knowt flashcard image

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63
  • supine

  • prone

  • erect

  • recumbent

  • trendelenburg position

  • fowler’s position

  • sim’s position

  • lithotomy position

general body positions

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64

supine

general body position

  • lying on back, facing upward

<p><em>general body position</em></p><ul><li><p>lying on back, facing upward</p></li></ul><p></p>
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65

prone

general body position

  • lying on abdomen, facing downward

<p><em>general body position</em></p><ul><li><p>lying on abdomen, facing downward</p></li></ul><p></p>
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66

erect

general body position

  • an upright position, to stand or sit erect

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67

recumbent

general body position

  • reclining

  • lying down in any position (prone, supine, or on side)

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68

dorsal recumbent

general body position: recumbent

  • lying on back (supine)

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69

ventral recumbent

general body position: recumbent

  • lying face down (prone)

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70

lateral recumbent

general body position: recumbent

  • lying on side (right/left lateral)

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71

trendelenburg position

general body position

  • a recumbent position with the body tilted with the head lower than the feet.

<p><em>general body position</em></p><ul><li><p>a recumbent position with the body tilted with the <span style="color: red"><strong>head lower</strong></span> than the feet.</p></li></ul><p></p>
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72

fowler’s position

general body position

  • a recumbent position with the body tilted with the head higher than the feet.

<p><em>general body position</em></p><ul><li><p>a recumbent position with the body tilted with the <span style="color: red"><strong>head higher</strong></span><span><strong> </strong></span>than the feet.</p></li></ul><p></p>
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73

sim’s position

general body position

  • semiprone position

  • a recumbent oblique position with the patient lying on the left anterior side, with the right knee and thigh flexed and the left arm extended down behind the back.

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74

modified sim’s position

a position used for insertion of the rectal tube for barium enema

<p>a position used <em><u>for insertion of the rectal tube</u></em> for barium enema</p>
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75

lithotomy position

general body position

  • a recumbent (supine) position with knees and hip flexed and thighs abducted and rotated externally, supported by ankle supports.

  • seen frequently in surgical suite for certain urinary studies.

<p><em>general body position</em></p><ul><li><p>a <em><u>recumbent (supine) position</u></em> with <strong>knees and hip</strong> <span style="color: red"><strong>flexed </strong></span>and <strong>thighs </strong><span style="color: purple"><strong>abducted and rotated externally</strong></span>, supported by ankle supports.</p></li><li><p>seen frequently in surgical suite for certain <strong><em>urinary studies</em></strong>.</p></li></ul><p></p>
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76

position

  • the term is used for general body positions

  • the term used in radiology to refer to a specific body position described by the body part closest to the IR (oblique and lateral) or by the surface on which the patient is lying (decubitus)

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77

lateral position

specific body position

  • refers to the side or, or a side view

  • specific lateral positions described by the part closest to the IR or the body part from which the CR exits.

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78

90°, or perpendicular, or at a right angle

a true lateral position is always, what, to a true AP or PA projection

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79

oblique position

specific body position

  • refers to an angled position in which neither the sagittal nor the coronal body plane is perpendicular or at a right angle to the IR.

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80

Left and Right Posterior Oblique (LPO and RPO) Positions

specific body position

  • also can be referred to as AP oblique projections

  • describe the specific oblique positions in which the left or right posterior aspect of the body is closest to the IR.

  • the CR exits from the left or right posterior aspect of the body.

  • LPO Position: The left side of the back is closest to the IR.

  • RPO Position: The right side of the back is closest to the IR.

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81

because the CR enters an anterior surface and exits posteriorly.

why does LPO and RPO positions referred as AP oblique projection?

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82

Right and Left Anterior Oblique (RAO and LAO) Positions

specific body position

  • refer to oblique positions in which the right or left anterior aspect of the body is closest to the IR and can be erect or recumbent general body positions.

  • RAO Position - the front right side of the body is closest to the imaging device (IR).

  • LAO Position - the front left side of the body is closest to the imaging device (IR).

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83

decubitus

means to “lie down,” or the position assumed in “lying down.”

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84

decubitus (decub) position

this body position, meaning to lie on a horizontal surface, is designated according to the surface on which the body is resting.

  • it is always performed with the central ray horizontal.

  • are essential for detecting air-fluid levels or free air in a body cavity such as the chest or abdomen, where the air rises to the uppermost part of the body cavity.

  • often performed if the patient cannot assume erect position.

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85

Right or Left Lateral Decubitus Position

  • AP or PA Projection

  • In this position, the patient lies on the side, and the x-ray beam is directed horizontally from anterior to posterior (AP) or from posterior to anterior (PA)

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86

right lateral decubitus position (PA projection)

what is this?

<p>what is this?</p>
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87

left lateral decubitus position (AP projection)

what is this?

<p>what is this?</p>
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88

Dorsal Decubitus Position—Left or Right Lateral

  • In this position, the patient is lying on the dorsal (posterior) surface with the x-ray beam directed horizontally, exiting from the side closest to the IR

  • The position is named according to the surface on which the patient is lying (dorsal or ventral) and by the side closest to the IR (right or left).

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89

dorsal decubitus position (left lateral)

what projection is this?

<p>what projection is this?</p>
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90

ventral decubitus position (right lateral)

what is this?

<p>what is this?</p>
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91

erect right lateral position

what is this?

knowt flashcard image

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92

recumbent left lateral position

what projection is this?

knowt flashcard image

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93

erect left posterior oblique (LPO) postion

what is this?

<p>what is this?</p>
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94

recumbent left posterior oblique (LPO) position

what is this?

<p>what is this?</p>
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95

erect right anterior oblique position

what is this?

<p>what is this?</p>
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96

recumbent right anterior oblique (RAO) position

what is this?

<p>what is this?</p>
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97

axial projection

  • refers to the long axis of a structure or part (around which a rotating body turns or is arranged)

  • used to describe any angle of the CR of 10° or more along the long axis of the body or body part.

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98

semiaxial

accurately describes any angle along the axis that is not truly perpendicular or parallel to the long axis.

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99

AP axial (semiaxial) projection (CR 37° caudal)

what is this?

<p>what is this?</p>
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inferosuperior axial projections

frequently performed for the shoulder and hip, where the CR enters below or inferiorly and exits above or superiorly.

knowt flashcard image

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