Radiographic Protocol Guide


Skull & Face


Facial Bones
  • PA
  • Waters
Sinuses
  • PA 20-25 degs.
  • Waters

Nasal
  • Waters
  • lateral (coned-down view of both Nasal Bone and Anterior Nasal Spine
Skull
  • PA
  • Townes
  • Lateral

Mandible
  • PA
  • Lateral obliques - (both sides)
  • Lateral mandible
  • Townes

Temporo-mandibular jts.
  • Dedicated TMJ views are possible using the OPG machine according to requirement:
  • Functional open and closed views where dislocation or subluxation are suspected.
  • PA's and Lateral's dedicated over the joints for fracture of the condyles.


Orbits (for foreign body)
  • Eyes up
  • Eyes down
  • Lateral - done when a foreign body has been demonstrated on the above views

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Spine


Cervical Spine
  • AP (3-7)
  • AP Odontoid (coned-down)
  • Lateral - (horizontal ray where a cervical collar has been applied).
  • swimmers if required
Cervical Spine Flexion & Extension Protocol non trauma
  • Lateral erect in neutral position
  • Lateral erect in Flexion
  • Lateral erect in Extension

Lumbar Spine -
  • AP
  • LAT – The L5/SI is usually well visualised on the lateral projection using the CR and DR.
  • Oblique
  • L5 ,S1 spot
Flexion Extension Lumbar Spine
  • Lateral erect in neutral position
  • Lateral erect in Flexion
  • Lateral erect in Extension

Thoracic Spine - radiographic anatomy
  • AP

________________________________________________

Thorax

Chest
  • PA
  • LAT – including paediatrics.
  • Modification of technique and projection according to patient condition.

Ribs
  • PA chest
  • Posterior oblique ribs of the affected side
  • 10 X12 transverse of lower ribs

Sternum
  • PA chest
  • Lateral Sternum
  • RAO

______________________________________

Abdomen


Abdominal

  • AP supine is the routine projection.

___________________________________________

Lower Limb


Pelvis

  • AP Pelvis - including iliac crests

Hip
  • AP Pelvis - A separate AP hip may need to be included if indicated or where proximal femur has not been adequately demonstrated. Iliac crests must be included.
  • Lateral (frog-legged)

Sacroiliac joints
  • AP
  • Oblique (effective side up)
Femur
  • AP, LAT

Knee - non trauma
  • Oblique
  • AP
  • Lateral

Tib/ Fib
  • AP,

Ankle
  • Oblique
  • Lateral


Foot

  • AP, Oblique, Lateral

Toes
  • AP, Oblique, Lateral

_________________________

Upper Limb


Shoulder
1. AP (internal and external views)
2. Lateral

Acromio-clavicular Joints.
  • AP shoulder – to exclude trauma to the rest of the shoulder girdle.
  • AP comparison (both sides) – non wt. bearing unless requested specifically.

Clavicle
  • AP shoulder

Humerus
  • AP
  • LAT

Elbow

  • AP
  • LAT
  • Oblique

Forearm

  • AP
  • LAT

Wrist
  • PA
  • OBL – not necessary with obvious deformity
  • LAT


Hand

  • PA
  • OBL
  • LAT

Finger
  • PA hand
  • OBL– not necessary with obvious deformity
  • LAT

______________________________________





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