Presentation chest.pptx x ray positioning of chest

Chest x ray

1. RADIOGRAPHIC TECHNIQUE AND POSITIONING

2. UPPER AIRWAY

3. CHEST

4. STERNUM

5. RIBS

6. ABDOMEN

7. URINARY TRACT

8. Pathology

-inflammation, tum g of upper airway

IR Size

Respiration
ed with deep insp

9. Upper Airway AP
Upper Airway

Position

ion or ing

of upper

AM) at the
ead.

10. lw: X-ray Image

Evaluation +)

1. Larynx and trachea appear filled with air and soft ¿2
tissue should show clearly.
2. Trachea should not be shown overlapped.

11. Evaluation

1. Larynx and trachea appear filled with air and soft 을
tissue should show clearly.
2. Trachea should not be shown overlapped.

12. 25 x 30 cm (10 x 12 inch)

100 cm

-Project perpendicularly toward the midpoint of 6th
and 7th cervical spines

nclude the entire cervical vertebra to show larynx

and trachea

00

13. CHEST

14. Pathology

-lung 0
diseas

IR Size

x 17 inch)

ject

ith the height of

Respiration

15. Evaluation

Eighth and ninth rib
because lun

16. [Rain eronenus .

Evaluation

ructure.
Eighth and ninth ribs sho r above diaphragm
e lune ot 6 r enough:
4, Bilateral
in same lin
5. Lung apex s
ula must not overlap with lur

17. -35 x 43 cm (14 x 17 inch)

-180 cm

-Project perpendicularly toward the center of chest
with the height of 7th thoracic (T7)

-Include the entire lung field

18. bronchus, heart, diaphragm,

Pathology

dung d

IR Size

3 cm (14x 17 inch)

cm

Central Ray

-Pr erp
with the height of 7th tho

Respiration

d with deep inspiration

19. Chest Lateral
Chest

Position

16 patient
the filming to image re
around the I

20. View: X-ray Image

Evaluation M

1. Ribs and costophrenic angles should be in stack. 을
2. Chin and arms should be lifted enough to avoid
overlapping with lung apex.

3. Hilum resion should be placed in the middle of
image.

4. Bilateral lung field must show clearly in long scale
contrast state

21. View: X-ray Image

Evaluation ®

1. Ribs and costophrenic angles should be in stack.
2. Chin and arms should be lifted enough to avoid
overlapping with lung apex.

3. Hilum resion should be placed in the middle of
image

4. Bilateral lung field must show clearly in long scale
contrast state.

22. -35 x 43 cm (14 x 17 inch)

-180 cm

-Project perpendicularly toward the center of ches
with the height of 7th thoracic (T7)

Include the entire lung field.

110

23. arch, heart, th

Pathology

lung dis e, mediastinal di:
dise

IR Size

x 43 cm (14 x 17 inch)

24. Position

on hip region facing the palm external s
4. Lift the chin and raise the c te arm high to

exclude them in in

25. View: X-ray Image

Evaluation 的

1. Ribs should be shown expanded far from image
receptor (IR)

2. Lung apex should be shown to costophrenic angle.

3. Bronchovascular shadow can also be observed from
the part where heart and lung overlap.

26. © Diaphragm
eRtXCostophrenic Angle)

View: X-ray Image

Evaluation 2

1. Ribs should be shown expanded far from image
receptor (IR),

2. Lung apex should be shown to costophrenic angle.

3. Bronchovascular shadow can also be observed from
the part where heart and lung overlap.

27. -35 x 43 cm (14 x 17 inch)

-180 cm

Project perpendicularly toward the center of chest
with the height of 7th thoracic (T7)

-Include the entire lung field.

00

28. Region
ortic arch, heart, the

Pathology

nediastinal disease and heart

IR Size
43 cm (14 x 17 inch)

Central Ray

Project perpendicularly toward the center of cl
with the height th thoraci

Respiration

29. Chest LPO, RPO
Chest

Position

1. The patient is in

er 45° to the filming

g d putita
site arm on hip region with

30. MEW: X-ray Image

Evaluation BN
e diaphragm is expanded, the lung field

2. Ribs should be shown expanded far from image
receptor (IR).

3. Lung apex should be shown to costophrenic angle.
4. Heart and g e: hould be shown in
expansion.

31. E: X-ray Image

Evaluation

1. Because diaphragm is expanded, the lung field
appears short.

2. Ribs should be shown expanded far from image
receptor (IR).

3. Lung apex should be shown to costophrenic angle.
4. Heart and great vessel should be shown in
expansion

32. -35 x 43 cm (14 x 17 inch)

180 cm

-Project perpendicularly toward the center of chest
with the height of 7th thoracic (T7)

-Include the entire lung field

100

33. Region

-pulmonary apex

Pathology

inflamı

IR Size

ubrium

Respiration

ended with

Position

| Lordotic (E

34. Chest Apical Lordotic
Chest

Position

1
image re

eptor (IR)

> the palm on hip re

35. Chest Apical Lordotic (Erect)
Chest

View: Side

1. The patient is placed a step ahe
ima ptor device in 10
to lean shoulders and

eptor (IR)
the palm on hip region facing

37. ial ends of bilateral cles ap with

id 1d rik

38. -35 x 43 cm (14 x 17 inch)

-180 cm

-Project perpendicularly toward the center of
manubrium

-Include the entire lung field

100

>

39. Region

pulmonary al

Pathology

inflai ion and tumor of lu

IR Size

x 17 inch)

40. Position

1. The patient is placed in supine position.
2. Hold bilateral ut in front by
gion.

43. -35 x 43 cm (14 x 17 inch)

-100 cm

Project 15°~20° cephalad from the center of
sternum

-Include the entire lung field

100

44. HA.

1/1 late

Region

-pleural effusion, mediastinitis, empyema,
pneumothorax

Pathology

-pleural effu
empyema

45. Chest Lateral Decubitus
Chest

Position

1. Place a support with thickness of 5 ~10cm on the

)
filming table and place the patient on the support in

lateral decubitus position.
2. Place im ptor (IR) in front of patient:
and put arms around IR

46. Chest Lateral Decubitus
Chest

View: Perspective

Position

1. Place a support with thickness of 5 ~10cm on tl
filming table and place the patient on the support in
lateral decubitus position.

2. Place image receptor (IR) in front of patient's chest
and put arms around IR.

47. MEME X-ray Image

Evaluation

bottom.

48. SIA X-ray Image

the opposite side of illness sus Enea d lung on the
bottom

49. -35 x 43 cm (14 x 17 inch)

-100 cm

-Project perpendicularly toward the center of chest
with the height of 7th thoracic (T7)

-Include the entire lung field.

100

50. STERNUM

51. Sternur

MUA =

Region

wm, manubrium, s

Pathology

“fracture of sternum

7 inch)

pendicularl
and xiphoid proc

52. Sternum Lateral (Supine)
Stemum

Position

ubitus pi
Jlder and arm in
19 with inspectin

53. 06000 y Image

EM

Evaluation D

1. Sternum should be shown in true lateral position nay
overlapped.

2. Proximal portion of manubriun to distal portion of
xiphoid process must show.

54. +)
1. Sternum should be shown in true lateral position nat)
overlapped.
2. Proximal portion of manubriun to distal portion of
xiphoid process must show.

55. -35 x 43 cm (14 x 17 inch)

-180 cm

-Project perpendicularly toward the midpoint of
juglar notch and xiphoid process

-Include sternum

75

25

56. Sternum Lateral (Ere

Region

-sternum, manubrium, nal angle

Pathology

frac

IR Size
7 inch)

midpoint of

Position
1. The

57. Position

1. The patient is in erect position.
ose 6 and arm in hyper
erlapping y area
Match major axis of sternum with

3. Place upper ed R 4cm above jugular notch

58. =)
1. Sternum should be shown in true lateral position re
overlapped.
2. Proximal portion of manubriun to distal portion of
xiphoid process must show.

59. +)
1. Sternum should be shown in true lateral position 人

overlapped.
2. Proximal portion of manubriun to distal portion of

xiphoid process must show.

60. -35 x 43 cm (14 x 17 inch)

-180 cm

-Project perpendicularly toward the midpoint of
juglar notch and xiphoid process

-Include sternum.

61. Pathology
fracture of

IR Size
25 x 30 cm (10 x 12 inch)

SID

-100 cm

Central Ray

he midpoint of

Respiration

allow ai

Position

63. Evaluation +)

1. Sternum should be show rlapping over heart
hadow.
rnum should appear next to spinal column w
overlapping
3. Lung shadow should be shown vaguely due to
ment of breathing.

65. -25 x 30 cm (10 x 12 inch)

-Project perpendicularly toward the midpoint of
juglar notch and xiphoid process

-Include sternum

66. rnum RAO (Erect)

lavicular joint SC joint

-100 cm

Central Ray

rpendi
tch and

67. Sternum RAO (Erect)
Stemum

Position

The patient is
Rotate patien

Raise and put the opposite arm <

place the

palm facing external
4. Match major axis of sternum
im receptor (I

5, Place upper edge

69. D

Sternum should own overlapping over heart 을

ernum should appear next to spinal column without
overlapping.
vn vaguely due to

adjustment of breathing.

70. -25 x 30 cm (10 x 12 inch)

-100 cm

-Project perpendicularly toward the midpoint of
juglar notch and xiphoid process

-Include sternum.

60

71. RIBS

72. Ribs PA (Anterior Ril

Region

rib, sternum

Pathology
fracture of rib

IR Size
43 cm (14x 17 inch)

SID

-100 cm

Central Ray

Project perpendicularly tow
thoracic (T7)
Respiration

er ri

Position

73. Position

1. The patient

74. MS Xray Image

Evaluation A)

1. First rib to ninth posterior rib should be shown abs, à]

the diaphragm. E
2. According to lung field, posterior ribs should be
shown thr heart shadow.

75. UE Xray Image

Evaluation 2
1. First rib to ninth posterior rib should be shown abrzs
the diaphragm.

2. According to lung field, posterior ribs should be
shown through heart shadow.

76. -35 x 43 cm (14 x 17 inch)

-100 cm

Project perpendicularly toward sagittal 7th
thoracic (T7)

-Include all ribs.

00

77. 1 Ribs AP (Posterior Rib

Region

rib, sternum

Pathology

-fracture of rib

IR Size

SID

-100 cm

Central Ray

t perpendicularly toward sa

Respiration

1. upper ribs on suspend deep inspiration
rib: h expiration

Position

78. Position

1. The patient is
2. Pl patients midsagittal plar
or (IR)
y flexing bilateral 5, if p ble, place bilate
oulders in front
4. Lift the chin up to avoid overlapping with ribs.

79. ion
on the center o

g bilate 5 ; bilateral
in front
chin up to avoid overlapping with ribs

80. Evaluation
1. First rib to ninth posterior rib should be shown aba $

the diaphragm. =
2. According to lung field, posterior ribs should be
shown through heart shadow.

81. MiS X-ray Image

Evaluation =)

1. First rib to ninth posterior rib should be shown 8008
the diaphragm.

According to lung field, posterior ribs should be
shown through heart shadow.

82. -35 x 43 cm (14 x 17 inch)

-100 cm

Project perpendicularly toward sagittal 7th
thoracic (T7)

-Include all ribs

16

83. Pathology

-fracture of rib

100 cm

Central Ray

Project perpendicularly toward the midpoint of
which is 8cm<10cm below jugular

ration

84. Ribs LPO, RPO
Ribs

Position

to touch imi
n the center o th center (
nargin of ribs and spinal column.
d put one arm on the!

85. Evaluation

1. Distance between lateral margin of ribs and spinal)
column should be twice longer than that of normal
region:

2. Ribs with trauma should be shown wider.

86. Evaluation

1. Distance between lateral margin of ribs and spinal 2)
column should be twice longer than that of normal
regions.

2. Ribs with trauma should be shown wider.

87. 35 x 43 cm (14 x 17 inch)

-100 cm

-Project perpendicularly toward the midpoint of
xiphoid process which is 8cm-10cm below jugular
notch and the lower rib

-Include all ribs.

16

88. -right ribs

Pathology

-fracture of rib

IR Size
cm (14 x 17 inch)

no nd the lower

Respiration

1, upper ribs on deep inspiration
2. lower ribs on s ende xpiration

89. IMGray Image

Evaluation

1. Distance between lateral margin of ri
column should be twice longer than that of norr
region

2. Ribs with trauma should be shown wider

90. Evaluation

91. -35 x 43 cm (14 x 17 inch)

-100 cm

-Project perpendicularly toward the midpoint of
xiphoid process which is 8cm=10cm below jugular
notch and the lower rib

-Include all ribs

66

16

92. ABDOMEN

93. IR Size

inch)

SID

100 cm

Central Ray

perpendicularly toward 5cm abo

crest

Respiration
d

94. Position

ean the back on imag
t po:
2. Place the center of IR 5cm above the center of iliac

95. Abdomen AP Ere
Abdomen

Position

1 n the back on image ptor (IR) while the
patient i

above the center of iliac

e not in rotation

96. 7
dew: Xray Image

Evaluation +)
1. Residual gas, etc inside of gastrointestinal tract 을
appears and air in lower abdomen should be shown ®
under the diaphragm.
2. Diaphragm must be included.

f organs inside of abdomen should show

CI
4. Pelvis and lumbar vertebrae should be shown
symmetrically without rotation.

97. etc inside of gastrointestinal tract

appears and air in lower abdomen should be shown
under the diaphragm.
2. Diaphragm must be included.

Outlines of organs inside of abdomen should show
clearly.
4. Pelvis and lumbar vertebrae should be shown
symmetrically without rotation

98. -35 x 43 cm (14 x 17 inch)

-100 cm

-Project perpendicularly toward 5~7.5cm above
iliac crest

-Include the entire abdomen including diaphragm

75

95

99. Central Ray
perpendicularly tc
t

Respiration

100. Abdomen PA Erect

> receptor (IR) gently while

center of ilia

houlders are not in rotation.

101. Position D

1. Lean abdomen on image receptor (IR) gently while»,

ct position. /

enter of iliac

are not in rotation

102. Evaluation

1. Residual gas, etc inside of gastrointestinal tract
appears and air in lower abdomen should be shown
under the diaphr:

4. Pelvis and lumbar vertebrae should be shown
ly without rotation.

103. Evaluation
1.R al gas, etc ide of gastr

appears and air in lower

under the diaphragm.

2. Diaphragm must be included
3. Outlines of organs inside of abdomen should show
clearly

4. Pelvis and lumbar vertebrae should be shown
symmetrically without rotation.

104. 35 x 43 cm (14 x 17 inch)

-100 cm

-Project perpendicularly toward iliac crest

Include from upper abdomen to pubic symphysis]

105. P Supine

Region

vertebrae

Pathology

ritoneum

IR Size

-35 x 43 cm (14 x 17 inch)

SID

100 cm

Central Ray
-Project perpendicularly tov

Respiration
-suspended

Position
hanatient is nlaced in suninannsitian |

106. Position

107. rtebrae should be sh
tation in the ima

108. ithout rotation in the im:
e and kidney should be w

imag
sion of residual gas in abdomen and outline:
read out even

109. , pneumoperitoneum, aneu
rta

x 17 inch)

rly toward 5c

Respiration

ended with expiration

110. Abdomen Dorsal Decubitus
Abdomen

Position

1. Place a support with thickness of 5 ~10cm on the
ing table and place the patient on the support in

111. View: X-ray Image

Evaluation A

1. Spinal column uld appear from under the 2
diaphragm.

2. Outlines of organs inside of abdo: should show
clearly.

3. Residual gas, etc inside of gastrointestinal tract
should appear.

112. View: X-ray Image

Evaluation D

1. Spinal column should appear from under the =
diaphragm.

2. Outlines of organs inside of abdomen should show
clearly.

3. Residual gas, etc inside of gastrointestinal tract
should appear.

113. -35 x 43 cm (14 x 17 inch)

-100 cm

-Project perpendicularly toward 5cm above iliac

crest

Include the entire abdomen including diaphragm

114. tem, lumbar
erte

Pathology

scitis, pneumoperitoneum and bowel obstri

IR Size

43 cm (14 x 17 inch)

cm

Central Ray

t perpendi

115. Abdomen Lateral Decubitus
Abdomen

Position

1. Place a support with thickness of 5 ~10cm on the.@
filming table and place the patient on the support in
lateral decubitus posi

(IR) perpendicularly to touch
back and place its center 5cm above the
center of ilia
4. Make sure nd should ot in rotation

116. X-ray Image

Evaluation m

1. Pelvis and lumbar vertebrae should be shown
symmetrically without rotation.
2. Spinal column should appear in the middle of IR
vithout rota
3. Outlines of organs inside of abdomen should show
arly.
4. Diaphragm must be included.

117. View: X-ray Image

Evaluation

1. Pelvis and lumbar vertebrae should be shown
symmetrically without rot

2. Spinal column should appear in the middle of IR
without rotation

3. Outlines of organs inside of abdomen should show
clearly.

4. Diaphragm must be included

118. -35 x 43 cm (14 x 17 inch)

-100 cm

Project perpendicularly toward 5cm above iliac
crest

-Include the entire abdomen including diaphragm

80

40

119. URINARY
TRACT

120. N 1
Region

kidney, ureter, urinary bladder, urethra

Pathology

urolithiasis, obstructive urop
and hy s

IR Size

7 inch)

SID

-100 cm

Central Ray
Project perper

Respiration
pended

Position

ean the kon im: 0 while the

121. Position

back on image re: or (IR) while the
t is in erect position
Place the center of IR 5cm above the center of iliac
t

122. Position

ers are not in rotation

123. y Tract AP Erect

Wie JW Xray Image

Evaluation on

1. Figures of kidney and bladder must be shown in th

image
2. Pelvis and lumbar vertebrae should be shown
symmetrically without rotation.

3. Spinal column should appear in the middle of IR
without rotation

124. y Miew Xray 17009

Evaluation

+)

1. Figures of kidney and bladder must be shown in thay
image. |
2. Pelvis and lumbar vertebrae should be shown
symmetrically without rotation.

3. Spinal column should appear in the middle of IR
without rotation.

125. -35 x 43 cm (14 x 17 inch)

-100 cm

-Project perpendicularly toward iliac crest

-Include all structures from upper abdomen to
public symphysis

126. “ki

Pathology

-nephrolithiasis, urolithiasi

Central Ray

P ndicularly ard iliac cre

Respiration

suspended

Position

t

127. Position

1. The patient is placed in supine position.

2. Place the center of image receptor (IR) 5cm above
the center of ili rest.

3. Make sure pelvis and shoulders are not in rotation.

128. R

Evaluation

1. Figures of kidney and bladder must be shown in tha
image.

2. Pelvis and lumbar vertebrae should be shown
symmetrically without rotation

3. Spinal column should appear in the middle of IR
without rotation

129. [psoas Muscle}

ㆍ oscending, Colon)

R
Evaluation

1. Figures of kidney and bladder must be shown in thay
image.

2. Pelvis and lumbar vertebrae should be shown
symmetrically without rotation.

3. Spinal column should appear in the middle of IR
without rotation.

130. -35 x 43 cm (14 x 17 inch)

-100 cm

-Project perpendicularly toward 5cm above iliac
crest

-Include front and back of abdomen including
diaphragm

40

131. urethra

Pathology

-nephrolith sbstructive uropathy
and hydronephro

IR Size

3 cm (14 x 17 inch)

Central Ray

Project perpendicularly toward iliac

Respiration

Position

in supine posi
nter of imaae receptor (IR) 5cm

132. Position

1. The patient is pl

2. Place the center of image

the center of iliac crest.

3. Make sure pelvis and shoulders are not in rotation.

133. R

+)

1. Figures of kidney and bladder must be shown in thay
image.

2. Pelvis and lumbar vertebrae should be shown
symmetrically without rotation.

3. Spinal column should appear in the middle of IR
without rotation.

134. fray Image

R
Evaluation +)

1. Figures of kidney and bladder must be shown in th
image.

2. Pelvis and lumbar vertebrae should be shown
symmetrically without rotation.

3. Spinal column should appear in the middle of IR
without rotation.

135. -35 x 43 cm (14 x 17 inch)

-100 cm

-Project perpendicularly toward 5cm above iliac
crest

-Include front and back of abdomen including
diaphragm

40