Location: Protocol - Abdomen + Renal

Discussion: breathing technique for supine abdomen x-rayReported This is a featured thread

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sahar8902
breathing technique for supine abdomen x-ray
Apr 2 2009, 12:06 AM EDT | Post edited: Apr 2 2009, 12:06 AM EDT
A supine abdomen x-ray is taken in expiration whereas a supine renal abdomen for control film in IVU is taken in inspiration. what is the reason behind this? 2  out of 2 found this valuable. Do you?    
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AndyC
AndyC
1. RE: breathing technique for supine abdomen x-ray
Apr 7 2009, 10:47 PM EDT | Post edited: Apr 7 2009, 10:47 PM EDT
The Abdomen including Renal area is done when there is a suspected renal calculi.

If you see a suspected renal calculi (opacity) you need to prove that the opacity is related to the kidney and ureter.

This is done by taking two films (inspiration and expiration). This enables you to see if the opacity maintains a constant position in relation to the kidneys while the abdominal contents move during the phases of respiration.

The two films are taken as it can be hard to differentiate between between certain pathologies and renal calculi. Pathologies known to be associated with calcification's in the renal area are punctate costal cartilage, gallstones, TB, cysts, tumours and renal artery aneurysms.

Andy
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JenSpin
JenSpin
2. RE: breathing technique for supine abdomen x-ray
Apr 27 2009, 5:53 PM EDT | Post edited: Apr 27 2009, 5:53 PM EDT
For an IVU film you want to ensure you include Kidneys, Ureter and Bladder (KUB) and by doing the film on inspiration the diaphragm moves down and compresses the abdominal contents into a smaller space :) 1  out of 1 found this valuable. Do you?    

synoptic
3. RE: breathing technique for supine abdomen x-ray
Jun 24 2009, 3:06 PM EDT | Post edited: Jun 24 2009, 3:06 PM EDT
I understand the rationale behind doing a KUB on inspiration but, depending upon which radiographer is supervising you, we are taught to take an IVU abdo on expiration as there may be the possibility of the ureters becoming kinked if you did it on inspiration. This may mimic pathology.

If a suspected renal calculi is demonstrated our normal protocol is to obtain obliques rather than inspiration/expiration views...
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