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General X-Ray Projections

This document outlines examination projections for various body parts, listing each part and the required projections. For each projection, it specifies the direction of the central ray (CR), such as being perpendicular to the image receptor (IR) and directed at a specific anatomical point. It also provides the minimum source-image distance (SID) required for each projection, usually 102 cm or 183 cm.

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0% found this document useful (0 votes)
93 views19 pages

General X-Ray Projections

This document outlines examination projections for various body parts, listing each part and the required projections. For each projection, it specifies the direction of the central ray (CR), such as being perpendicular to the image receptor (IR) and directed at a specific anatomical point. It also provides the minimum source-image distance (SID) required for each projection, usually 102 cm or 183 cm.

Uploaded by

attoo
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as XLSX, PDF, TXT or read online on Scribd
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# Examination Projection

PA

1 Hand PA Obl.

Lateral

PA
2 Finger
Lateral

AP
3 Thumb
Lateral

PA
4 Wrist
Lateral

AP
5 Forearm
Lateral

AP
6 Elbow
Lateral

AP
7 Humerus
Lateral

AP

8 Shoulder Y View

Axial

9 Clavicle AP

10 AC Joints AP

AP
11 Scapula
Lateral

AP
12 Toe
Lateral

AP

13 Foot AP Obl.
13 Foot

Lateral

AP Axial
14 Calcaneous
Lateral

AP

15 Ankle AP Mortise

Lateral

AP
16 Leg
Lateral

AP Standing

AP Supine

17 Knee Lateral

Skyline

Rosenberg

AP
18 Femur
Lateral

AP
19 Hip
Lateral

AP
20 Pelvis
AP Frog leg

PA

21 Chest AP

Lateral

AP Supine

22 Abdomen AP Erect

KUB

AP

23 Ribs PA

Obl

RAO
24 Sternum
24 Sternum
Lateral

AP Open Mouth

AP Axial
25 C Spine
Obl

Lateral

AP
26 T Spine
Lateral

AP

27 L Spine Lateral

Obl

AP
28 SI Joints
Obl

AP
29 Sacrum
Lateral

AP
30 Coccyx
Lateral

Cadwell
31 Skull
Lateral

Waters
32 Facial Bones
Lateral

33 Nasal Bones Lateral

Waters
34 Sinuses
Lateral
SID

Minimum SID = 102 cm (40 inches)

Minimum SID = 102 cm (40 inches)

Minimum SID = 102 cm (40 inches)

Minimum SID = 102 cm (40 inches)

Minimum SID = 102 cm (40 inches)

Minimum SID = 102 cm (40 inches)

Minimum SID = 102 cm (40 inches)

Minimum SID = 102 cm (40 inches)

Minimum SID = 102 cm (40 inches)

Minimum SID = 102 cm (40 inches)

Minimum SID = 102 cm (40 inches)

Minimum SID = 102 cm (40 inches)

Minimum SID = 102 cm (40 inches)

Minimum SID = 102 cm (40 inches)

Minimum SID = 102 cm (40 inches)

Minimum SID = 102 cm (40 inches)

Minimum SID = 102 cm (40 inches)

Minimum SID = 102 cm (40 inches)

Minimum SID = 102 cm (40 inches)

Minimum SID =183 cm (72 inches)

Minimum SID = 102 cm (40 inches)

Minimum SID = 102 cm (40 inches)

Minimum SID = 102 cm (40 inches)

Minimum SID = 102 cm (40 inches)

Minimum SID = 102 cm (40 inches)

Minimum SID = 102 cm (40 inches)


Minimum SID = 102 cm (40 inches)

Minimum SID = 102 cm (40 inches)

Minimum SID = 102 cm (40 inches)

Minimum SID = 102 cm (40 inches)

Minimum SID = 102 cm (40 inches)

Minimum SID = 102 cm (40 inches)

Minimum SID = 40 inches (102 cm); may increase to 44 to 48 inches (112 to 123 cm) to reduce divergence of x-ray beam and to

Minimum SID = 102 cm (40 inches)

Minimum SID = 102 cm (40 inches)

Minimum SID = 102 cm (40 inches

Minimum SID = 102 cm (40 inches)

SID = 123 to 183 cm (48 to 72 inches), increased SID reduces magnification

Minimum SID = 102 cm (40 inches)

Minimum SID = 102 cm (40 inches)

Minimum SID = 102 cm (40 inches)

Minimum SID = 102 cm (40 inches)

Minimum SID = 102 cm (40 inches)

Minimum SID = 102 cm (40 inches)

Minimum SID = 102 cm (40 inches)

Minimum SID is 183 cm (72inches)

Minimum SID is 183 cm (72inches

Minimum SID is 183 cm (72inches

Minimum SID = 102 cm (40 inches)

Minimum SID = 102 cm (40 inches)

Minimum SID = 102 cm (40 inches)

102 cm (40 inches) / 183cm (72inches)

102 cm (40 inches) / 183cm (72inches)

102 cm (40 inches) / 183cm (72inches)

Minimum SID = 102 cm (40 inches)


SID = 102 cm (40 inches) / 152 to 183 cm (60 to 70 inches)

Minimum SID = 102 cm (40 inches)

Minimum SID = 102 cm (40 inches)

SID = 152 to 183 cm (60 to 72 inches)

SID = 152 to 183 cm (60 to 72 inches)

Minimum SID = 102 cm (40 inches)

Minimum SID = 102 cm (40 inches)

Minimum SID = 102 cm (40 inches)

Minimum SID = 102 cm (40 inches)

Minimum SID = 102 cm (40 inches)

Minimum SID = 102 cm (40 inches)

Minimum SID = 102 cm (40 inches)

Minimum SID = 102 cm (40 inches)

Minimum SID = 102 cm (40 inches)

Minimum SID = 102 cm (40 inches)

Minimum SID = 102 cm (40 inches)

Minimum SID = 102 cm (40 inches)

Minimum SID = 102 cm (40 inches)

Minimum SID = 102 cm (40 inches)

Minimum SID = 102 cm (40 inches)

Minimum SID = 102 cm (40 inches)

Minimum SID = 102 cm (40 inches)

Minimum SID = 102 cm (40 inches)


CR perpendicular to IR, directed to third MCP joint

CR perpendicular to IR, directed to third MCP joint

CR perpendicular to IR, directed to second MCP joint

CR perpendicular to IR, directed to PIP joint

CR perpendicular to IR, directed to PIP joint

CR perpendicular to IR, to first MCP joint

CR perpendicular to IR, directed to first MCP joint

CR perpendicular to IR, directed to midcarpal area

CR perpendicular to IR, directed to midcarpal area

CR perpendicular to IR, directed to mid-forearm

CR perpendicular to IR, directed to mid-forearm

CR perpendicular to IR, directed to mid-elbow joint, which is approximately 2 cm (3/4 inch) distal to midpoint of a line between

CR perpendicular to IR, directed to mid-elbow joint (a point approximately 4 cm [1 1/2 inches] medial to easily palpated poster

CR perpendicular to IR, directed to midpoint of humerus

CR perpendicular to IR, centered to midpoint of humerus

CR perpendicular to IR, directed to 1 inch (2.5 cm) inferior to coracoid process

CR perpendicular to IR, directed to scapulohumeral joint (2 or 2 1/2 inches [5 or 6 cm] below top of shoulder)

CR is directed perpendicular to the axilla and the humeral head to pass through the glenohumeral joint

CR perpendicular to midclavicle

CR perpendicular to midpoint between AC joints, 1 inch (2.5 cm) above jugular notch

CR perpendicular to midscapula, 2 inches (5 cm) inferior to coracoid process, or to level of axilla, and approximately 2 inches (5

CR to midvertebral border of scapula

Angle CR 10° to 15° toward calcaneus (CR perpendicular to phalanges). If a 15° wedge is placed under the foot for parallel part-

CR perpendicular to IR. CR directed to interphalangeal joint for first digit and to proximal interphalangeal joint for second to fift

Angle CR 10° posteriorly (toward heel) with CR perpendicular to metatarsals. Direct CR to base of third metatarsal.

CR perpendicular to IR, directed to base of third metatarsal


CR perpendicular to IR, directed to medial cuneiform (at level of base of third metatarsal)

Direct CR to base of third metatarsal to emerge at a level just distal to lateral malleolus. Angle CR 40° cephalad from long axis o

CR perpendicular to IR, directed to a point 1 inch (2.5 cm) inferior to medial malleolus

CR perpendicular to IR, directed to a point midway between malleoli

CR perpendicular to IR, directed midway between malleoli

CR perpendicular to IR, directed to medial malleolus

CR perpendicular to IR, directed to midpoint of leg

CR perpendicular to IR, directed to midpoint of leg

CR is directed to midpoint between knee joints at a level 12 inch (1.25 cm) below apex of patellae

Align CR parallel to articular facets (tibial plateau); for average-size patient, CR is perpendicular to IR. Direct CR to a point 1/2 in

Direct CR to a point 1 inch (2.5 cm) distal to medial epicondyle

Direct CR to a point midway between patellae

CR is directed to midpoint between knee joints at level 12 inch (1.25 cm) below apex of patellae when a bilateral study is perfo

CR is directed to Midfemur area

CR is directed to th midpoint of femur

CR is directed to 1 to 2 inches (2.5 to 5 cm) distal to midfemoral neck (to include all of orthopedic appliance of hip, if present).

CR is directed to midfemoral neck (center of IR)

Midway between level of aSiS and the symphysis pubis

CR is directed to 3 inches (7.5 cm) below level of ASIS

Midsagittal plane at level of T7

CR to level of T7

Midthorax at level of T7

Center of IR to level of iliac crests

2 inches (5 cm) above iliac crest

Center of IR to level of iliac crests

3 or 4 inches (8 to 10cm) below jugular notch (level of T7)

(7 to 8 inches [18 to 20 cm] below vertebra prominens

Midway between lateral margin of ribs and spine

CR is directed to level of T2 to T3
Midway between the jugular notch and xiphoid process)

Direct CR through center of open mouth

Directed to the level of lower margin of thyroid cartilage to pass through C4

Directed to C4 (level of upper margin of thyroid cartilage)

CR is directed horizontally to C4 (level of upper margin of thyroid cartilage)

CR is directed to T7 (1 to 2 inches [3 to 5 cm] below sternal angle)

CR is directed to T7 (1 to 2 inches [3 to 5 cm] below sternal angle)

CR is directed to level of iliac crest (L4-L5 interspace)

CR is directed to L3 at the level of the lower costal margi

Center to level of iliac crest (L4-L5)

CR is directed to midline about 2 inches (5 cm) below level of ASIS

CR is directed 1 inch (2.5 cm) medial to upside ASIS

Direct CR 2 inches (5 cm) superior to pubic symphysis

Directed 3 to 4 inches (8 to 10 cm) posterior to ASIS

Direct CR 2 inches (5 cm) superior to symphysis pubis

3 to 4 inches (8 to 10 cm) posterior and 2 inches (5 cm) distal to ASIS

CR is center to exit at nasion

Center to a point 2 inches above eam

CR is directed to exit at acanthion

CR to zygoma, midway between outer canthus and EAM

CR is centered to 12 inch (1.25 cm) inferior to nasion

CR is directed and centered to exit at acanthion

Point midway between outer canthus and eam


ojections
Angulation

None

None

None

None

None

None

None

None

None

None

None

None

None

None

None

None

None

None

None

None

None

None

10° to 15° toward calcaneus

None

10° posteriorly

None
None

40° cephalad

None

None

None

None

None

None

None / 5° to 10° caudad on thin patient

None

5° to 7° cephalad for lateral recumbent projection

Caudad, 30° from horizontal (CR 30° to femora).

10° caudad

None

None / CR perpendicular to femur

None / CR is perpendicular to IR.

None

None

None

None / CR is perpendicular to IR.

Yes/+/- 5 caudad to be perpendicular to long axis of sternum.

None / CR is perpendicular to IR.

None

None / CR horizontal, to center of IR

None

None

None

None

None
None

None

15° to 20° cephalad.

15° caudad or cephalic

None

None

None

None

None

None

30° to 35° cephalad

NA / but 15° to 20° cephalad to demonstrate clearere parts

15° cephalad

None

10° caudad

None

15° caudad / 25° to 30° caudad

None

None /CR is centered to IR

None

None /CR is aligned perpendicular to IR

None /Align horizontal CR perpendicular to IR

None /Align horizontal CR perpendicular to IR


Grid (Yes/ No)

No Grid

No Grid

No Grid

No Grid

No Grid

No Grid

No Grid

No Grid

No Grid

No Grid

No Grid

No Grid

No Grid

Grid, (nongrid, detail screen for smaller patient)

Grid, (nongrid, detail screen for smaller patient)

Grid

Grid, vertical, CR to centerline

Grid (CR to centerline of grid)

Grid

Grid or nongrid (depending on size of shoulder)

Grid

Grid

No Grid

No Grid

No Grid

No Grid
No Grid

No Grid

No Grid

No Grid

No Grid

No Grid

Nongrid (unless lower leg measures >10 cm)

Nongrid (unless lower leg measures >10 cm)

Grid

Grid or Bucky, >10 cm, Nongrid, tabletop, <10 cm

Grid or Bucky, >10 cm, Nongrid, tabletop, <10 cm

Nongrid (grid is not needed because of air gap caused by increased OID

Grid

Grid

Grid

Grid

Grid

Grid

Grid

Grid

Grid

Grid

Grid

Grid

Grid

Grid

Grid

Grid

Grid
Grid

Grid

Grid

Grid / Optional

Grid / Optional

Grid

Grid

Grid

Grid

Grid

Grid

Grid

Grid

Grid

Grid

Grid

Grid

Grid

Grid

Grid

Grid

Grid

Grid
Co

Collimate on four sides to our margins of hand and wrist

Collimate on four sides to hand and wrist

Collimate on four sides to our margins of hand and wrist

Collimate on four sides to area of affected finger and distal aspect of metacarpal

Collimate on four sides to area of affected finger and distal aspect of metacarpal

Collimate on four sides to thumb area, including the first metacarpal

Collimate on four sides to thumb area, including the first metacarpal

Collimate to wrist on all four sides; include distal radius and ulna and midmetacarpal area

Collimate on four sides, including distal radius and ulna and metacarpal area
Collimate lateral borders to actual forearm area with minimal collimation at both ends to avoid cutting off anatomy at either jo
included on IR.

Collimate both lateral borders to the actual forearm area. Also, collimate at both ends to avoid cutting off anatomy at either joi

Collimate on four sides to area of interest.

Collimate on four sides to area of interest.

Collimate on sides to soft tissue borders of humerus and shoulder. (Lower margin of collimation field should include the elbow

Collimate on four sides to soft tissue border of humerus, ensuring that all of shoulder and elbow joints are included.

Collimate on four sides, with lateral and upper borders adjusted to soft tissue margins.

Collimate on four sides to area of interest.

Collimate closely on four sides.

Collimate to area of clavicle. (Ensure that both AC and sternoclavicular joints are included.)

Collimate with a long, narrow light field to area of interest; upper light border should be to upper shoulder soft tissue margins.

Closely collimate on four sides to area of scapula.

Closely collimate to area of scapula

Collimate on four sides to area of interest. On side margins, include a minimum of at least part of one digit on each side of the

Collimate closely on four sides to affected digit.

Collimate to outer margins of foot on four sides.

Collimate to outer margins of skin on four sides.


Collimate to the outer skin margins of the foot to include about 1 inch (2 to 3 cm) proximal to ankle joint.

Collimate closely to region of calcaneus.

Collimate to outer skin margins to include ankle joint proximally and entire calcaneus.

Collimate to lateral skin margins; include proximal one-half of metatarsals and distal tibia-fibula.

Collimate to lateral skin margins, including proximal metatarsals and distal tibia-fibula.

Collimate to include distal tibia and fibula to midmetatarsal area.

Collimate on both sides to skin margins, with full collimation at ends of IR borders to include maximum knee and ankle joints.

Collimate on both sides to skin margins, with full collimation at ends to include maximum knee and ankle joints.

Collimate to bilateral knee joint region, including some distal femurs and proximal tibia for alignment purposes.

Collimate on both sides to skin margins at ends to IR borders.

Collimate on both sides to skin margins, with full collimation at ends to IR borders to include maximum femur, tibia, and fibula.

Collimate tightly on all sides to patellae.

Collimate to bilateral knee joint region, including some distal femurs and proximal tibia for alignment purposes.

Collimate closely on both sides to femur with end collimation to film borders. Include both joints.

Collimate closely on both sides to femur with end collimation to film borders. Include both joints.

Collimate on four sides to anatomy of interest.

Collimate on four sides to anatomy of interest.

Collimate on four sides to anatomy of interest.

Collimate on four sides to anatomy of interest.

Collimate on four sides to area of lung fields.

Collimate on four sides to area of lung fields.

Collimate on four sides to area of lung fields (top border of light field to level of vertebra prominens).

35 × 43 cm (14 × 17 inches), field of view or collimate on four sides to anatomy of interest.

Field of view or collimate on four sides to anatomy of interest /Must include upper abdomen

35 × 43 cm (14 × 17 inches), field of view or collimate on four sides to anatomy of interest.

Collimation Collimate to region of interest.

Collimation Collimate to region of interest.

Collimation Collimate to region of interest.

Collimate to region of sternoclavicular joints.


Long, narrow collimation field, to region of sternum.

Collimate tightly on four sides to anatomy of interest.

Collimate on four sides to anatomy of interest.

Collimate on four sides to anatomy of interest.

Collimate on four sides to anatomy of interest.

Collimate on two sides of anatomy (four sides if possible).

Collimate on two sides of anatomy (four sides if possible).

Collimate on four sides to anatomy of interest.

Collimate on four sides to anatomy of interest.

Collimate on four sides to anatomy of interest.

Collimate on four sides to anatomy of interest.

Collimate on four sides to anatomy of interest.

Collimate on four sides to anatomy of interest.

Collimate on four sides to anatomy of interest.

Collimate on four sides to anatomy of interest.

Collimate on four sides to anatomy of interest.

Collimate on four sides to anatomy of interest.

Collimate on four sides to anatomy of interest.

Collimate on four sides to anatomy of interest.

Collimate on four sides to anatomy of interest.

Collimate on all sides to within 2 inches (5 cm) of nasal bone.

Collimate on four sides to anatomy of interest.

Collimate on four sides to anatomy of interest.


w joints is included on IR.

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