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Sinuses, skull, and facial bones

Ashley DeSalvo Radiological Technology Englisch 84 Karten

Karten in diesem Stapel (84)

  1. 1Lateral Paranasal Sinuses PositioningPart position: MSP of head parallel with IR plane
    IPL perp to IR plane
    IOML perp to front edge of IR
    CR: Horizontal and perp to IR
    CR enters 1/2 to 1 inch posterior to outer canthus
    Collimated field 8x10 inches
  2. 2(PA) axial (Caldwell method) Angle Grid Technique Paranasal Sinuses PositioningPart position: Tilt vert bucky down 15 degrees
    forehead and nose touching device
    center nasion to IR
    MSP and OML perp to IR plane
    CR: Horizontal CR, and CR exits the nasion
    Collimated field 8x10 inches
  3. 3(PA) axial (Caldwell method) Vertical Grid Technique Paranasal Sinuses PositioningPart position: Position patient's OML at 15 degree angle to horizontal to CR
    Center nasion to IR
    MSP perp to IR
    CR: Horizontal and exits nasion
    Collimated field 8x10 inches
  4. 4Parietoacanthial (Waters Method) Paranasal Sinuses PositioningPart position: Hyperextend neck to place OML at 37 degree angle from IR plane
    MSP and MML Perp to IR plane
    CR: Horizontal CR , and CR exits acanthion
    Collimated field: 8 x10 inches
  5. 5Parietoacanthial (Open Mouth Waters Method) Paranasal Sinuses PositioningPart position: Hyperextend neck to place OML at 37 degree angle from IR plane
    MSP and MML perpendicular to IR plane
    Open mouth wide
    CR: Horizontal and exits acanthion
    Collimated field: 8x10 inches
  6. 6SMV Projection Paranasal Sinuses PositioningPart position: Hyperextend neck and rest vertex of head on vertical grid device
    MSP perp to IR plane
    Neck extended to place IOML parallel to IR plane
    CR: Horizontal and perp to IOML, Enters MSP 3/4 inch anterior to level of EAM
    Collimated field: 8x10 inches
  7. 7Lateral Projection Cranium PositioningPart position: MSP of head parallel to image receptor
    IPL perp
    IOML parallel to transverse axis of cassette
    CR: Perp to center of IR, Enters superior to EAM
    Collimated field: 10 x12 inches
  8. 8Lateral Projection Dorsal Decubitus Cranium PositioningPart Position: Elevate head on radiolucent support to center to vertical IR
    MSP of head vertical to IR
    IPL Perp to IR
    IOML parallel to transverse axis of cassette
    CR: Horizontal and perp to center of IR, Enters 2 inches superior to EAM
    Collimated field: 10 x12 inches
  9. 9PA Cranium positioningPatient Position: Seated erect or prone, MSP centered to midline, Forehead and nose resting on table or upright bucky
    Part Position: OML perp to IR plane, MSP perp to IR, IR centered to nasion
    CR: Perp, exits nasion
    Collimated field: 10 x12 inches
  10. 10PA Axial Caldwell Cranium ProjectionPatient Position: Seated erect or prone, MSP centered to midline, Forehead and nose resting on table or upright bucky
    Part Position: OML perp to IR plane, MSP perp to IR, IR centered to nasion
    CR: Angled 15 degrees caudad, Exits nasion
    Collimated field: 10 x12 inches
  11. 11AP Cranium PositioningPatient and Part Position: Supine, MSP centered to midline, MSP and IR perp to IR
    CR: Perp, and enters nasion
    Collimated field: 10 x12 inches
  12. 12AP Axial Cranium PositioningPatient and Part Position: Supine, MSP centered to midline, MSP and IR perp to IR
    CR: 15 degrees cephalad, enters nasion
    Collimated field: 10 x12 inches
  13. 13AP Axial Towne Method Cranium PositioningPatient and Part Position: Supine or seated erect, MSP center to midline, MSP perp, OML or IOML perp, IR top border level with skull vertex, IR center at or near foramen magnum
    CR: Directed through foramen magnum, If OML is perp angle 30 degrees caudal, If IOML is perp angle 37 degrees caudal
    Collimated field: 10 x12 inches
  14. 14PA Axial Haas Method Cranium PositioningPatient Position: Prone or Upright, MSP centered to midline, Shoulders in same horizontal plane to avoid rotation
    Part Position: Forehead and nose on table, MSP perp, OML perp to IR
    CR: Directed cephalad at 25 degree angle to OML, Enters at a point 1 1/2 inches below external occipital protuberance, Exits 1 1/2 inches superior to nasion
    Collimate field: 10 x 12
  15. 15SMV Projection (Schuller Method) Cranium PositioningPatient Position: Seated or upright, Torso elevated if supine
    Part Position: MSP centered to midline, IOML parallel with IR, MSP perp to IR
    CR: Through sella turcica perp to IOML, Enters MSP of throat between angles of mandible, Passes through a point 3/4 inch anterior to level of EAM
    Collimated Field: 10x12 inches
  16. 16Lateral Projection Facial Bones PositioningPatient Position: Upright or recumbent anterior oblique position
    Part Position: MSP of head parallel with IR, IPL perp to IR, IOML perp to front edge of IR
    CR: Perp to IR center, Enters patient on lateral surface of zygomatic bone halfway between outer canthus and external acoustic meatus EAM
    Collimated Field: 6x10 inches
  17. 17Parietoacanthial (Waters) Facial Bones PositioningPatient Position: Prone or seated upright, Center MSP to midline of upright bucky
    Part Position: Rest chin tip on board, Place OML to form a 37 degree angle with plane of IR, MML perp, MSP perp, Center IR to level of acanthion
    CR: Perp to and exits acanthion
    Collimated field 8x10 inches
  18. 18Modified Waters Facial bones PositioningPatient Position: Prone or seated upright, Center MSP to midline of bucky
    Part Position: Rest chin tip on board, Place OML to form a 55 degree angle with plane of IR, MML perp, MSP perp, Center IR to level of acanthion
    CR: Perp to and exits acanthion
    Collimated field 8x10 inches
  19. 19Acanthioparietal (Reverse Waters) Facial Bones PositioningPatient position: Supine, MSP centered to midline of grid
    Part position: Extend chin and neck to place OML at 37 degree angle with the plane of the IR, MML almost perp to IR plane, MSP perp to IR plane
    CR: Perp to ancanthion
    Collimated Field: 10x12 inches
  20. 20PA Axial (Caldwell) Facial bones positioningPatient position: seated erect or prone, MSP centered to midline, Forehead and nose resting on bucky
    Part Position: OML perp to IR plane, MSP perp to IR, IR centered to nasion
    CR: Angled 15 degrees caudad, exits nasion
    * For exaggerated Caldwell angle 30 degrees caudad for orbital rims
    Collimated Field: 10x12 inches
  21. 21Lateral Nasal bones positioningPatient Position: Upright or recumbent anterior oblique, MSP of head horizontal
    Part Position: MSP parallel with table top, IPL perp to table top, IOML is parallel with transverse axis of IR
    CR: Perp to bridge of nose, enters at a point 1/2 inch distal to nasion
    Collimated field: 3x3 inches, Field should extend from the glabella to the acathion and 1/2 inches beyond the top of the nose
  22. 22Parietoacanthial (Waters) Nasial bones positioningPatient Position: prone or seated erect, center MSP to midline of bucky
    Part Position: Rest chin tip on board, Place OML to form a 37 degree angle with plane of IR, MML perp, MSP perp
    CR: perp to exit at a point midway between nasion and acanthion
    Collimated field: 3x3 inches
  23. 23PA Axial (Caldwell) Nasal Bones PositioningPatient Position: Seated erect or prone, MSP centered to midline, Forehead and nose resting on bucky
    Part Position: OML perp to IR plane, MSP perp to IR, IR centered to nasion
    CR: Angled 15 degrees caudad, Exits nasion
    Collimated field: 3x3 inches
  24. 24Submentovertical Zygomatic ArchesPatient Position: Seated erect or supine
    * If supine elevate thorax
    Part position: hyperextend neck to place IOML parallel with IR plane, Rest head on vertex, MSP perp to IR plane
    CR: perp to IOML, Enters MSP at level 1 inch posterior to outer canthi
    Collimated field: 8x10 inches
  25. 25Parietoacanthial (Waters) Zygomatic Arches PositioningPatient position: Prone or seated erect, center MSP to midline of bucky
    Part position: Rest head on tip of extended chin, place OML to form 37 degree angle with plane of IR, MML perp to IR, MSP perp to IR, Center IR to level of acanthion
    CR: Perp to exit acanthion
    Collimated Field: 8x10 inches
  26. 26Tangential Zygomatic Arches PositioningPatient Position: Seated upright with back against bucky, supine with trunk elevated
    Part Position: Hyperextend neck and rest head on vertex, IOML as parallel with IR plane as possible, rotate MSP of head 1 degrees toward side being examined, tilt top of head away from side being examined, center zygomatic arch to IR
    CR: perp to IOML, centered to zygomatic arch at a point of 1 in posterior to outer canthus
    Collimated Field: 8x10 inches
  27. 27AP Axial (Modified Towne) Zygomatic Arches PositioningPatient position: seated upright or supine
    Part Position: MSP perp to midline of grid, OML or IOML perp to IR plane
    CR: Angled 30 degrees caudad to enter glabella approximately 1 inch above nasion, If IOML used angle 37 degrees caudad
    Collimated field: 8x10 inches
  28. 28PA Mandible PositioningPaitent position: prone or seated upright facing bucky
    Part position: Rest forehead and nose on IR, OML perp to IR plane, MSP perp to IR plane
    CR: Perp to exit acanthion
    Collimated field: 8x10 inches
  29. 29PA axial Mandible positioningPatient position: Prone or upright facing bucky, OML perp to IR plane, MSP perp to IR plane
    CR: Directed 20 to 25 degrees cephalad, exits acanthion
    Collimated field: 8x10 inches
  30. 30AP Axial (Towne) Mandible positioningPatient and part position: Supine or seated erect, MSP centered to midline, MSP perp, OML perp, anterior surface of mandibular symphysis parallel with IR plane, AML nearly perp to IR plane
    CR: Directed midway between the TMJ's, 30 degrees caudal
    Collimated Field: 8 x10 inches
  31. 31PA modified waters mandible positioningPart position: MSP centered to the midline of the grid head is rested on nose and chin, anterior surface of mandibular symphysis is parallel with IR plane, AML nearly perp with IR plane, MSP perp to plane of IR
    CR: Perp to level of the lips
  32. 32Axiolateral and Axiolateral Oblique Mandible positioningPart position: Lateral with IPL perp to IR, mouth closed with teeth together, Extend neck to place mandibular body parallel with transverse axis of IR, Adjust rotation of head to place area of interest parallel to IR
    *Ramus= head in true lateral
    *Body= Rotate head 30 degrees toward IR
    * Symphysis= Rotate head 45 degrees toward IR
    CR: Angled 25 degrees cephalad to pass directly through the mandibular region of interest
    Collimated field: 8x10 inches
  33. 33SMV Mandible PositioningPart position: MSP centered to midline, IOML parallel with IR, MSP per to IR, neck fully extended resting on vertex
    CR: directed through the sella turcica perp to the IOML, enters MSP of throat between angles of the mandible, passes through a point 3/4 inch anterior to level of EAM
    Collimated field: 8x10 inches
  34. 34AP Axial (Modified Towne) TMJS PositioningPatient positioning: Posterior skull in contact with bucky
    Part position: MSP of head perp to IR plane, OML perp to IR plane
    CR: Angled 35 degrees caudad, Centered midway between TMJs entering a point of 3 inches above nasion
    Collimated field: 8x10 inches
  35. 35Axiolateral (Modified Shuller) TMJs PositioningPatient position: One exposure made with mouth open, and one made with mouth closed if possible
    Part Position: MSP parallel to plane of IR, IPL perp to IR plane, Affected side closest to IR in lat position
    CR: 25 to 30 degrees caudad, Enters 1/2 inch anterior and 2 inches superior to the upside of the EAM
    Collimated field: 8x10 inches
  36. 36Axiolateral Oblique (modified Law) TMJs PositioningPatient Position: Semiprone or seated upright, one exposure made with mouth open and one made with mouth closed if possible
    Part Position: Center a point 1/2 inch anterior to EAM to IR, Rest cheek against the grid device, rotate MSP 15 degrees toward IR, IPL perp to IR plane, AML parallel with transverse axis of IR
    CR: Angled 15 degrees caudad, Exits through TMJ closer to IR, Enters approximately 1 1/2 inch superior to upside EAM
    Collimated Field: 8x10 inches
  37. 37Parietoacanthial (Waters) Orbits PositioningPatient Position: Center MSP to midline of bucky
    Part Positioning: tip of chin touches, OML forms a 37 degree angle with plane of IR, Mentomeatal line perp to IR, MSP perp to IR, Center IR to level of acanthion
    CR: Perp to acanthion
    Collimated field: 8x10
  38. 38Lateral Orbits PositioningPatient Position: Semi-prone or seated upright, MSP parallel with plane of IR, IPL perp to IR plane
    Part Positioning: Outer canthus of affected eye adjacent and centered to midpoint of IR, Instruct patient to look straight ahead for exposure
    CR: Perp through outer canthus
  39. 39PA Axial (Caldwell) Orbits PositioningPatient Position: Forehead and nose resting on table or upright bucky
    Part Position: OML perp to IR plane, MSP perp to IR plane, IR centered to 3/4 inch distal to nasion, Instruct patient to close eyes and hold them still during exposure
    CR: 30 degrees caudad, Enters through the center of the orbits
  40. 40Modified Parietoacanthial (Modified Waters) Orbits PositioningPart position: Rest head on extended chin, OML forms a 50 degree angle with IR plane, MSP perp to IR, Center IR to the level of center of orbits, Instruct patient to close eyes and hold them still during exposure
    CR: Perp through the mid-orbits
  41. 41Lateral Paranasal sinuses Image evaluation*All four sinus groups shown
    * sphenoidal sinus is best demonstrated
    *No Rotation or tilt of sinus anatomy
    -Sella turcica in profile
    -Superimposed orbital roofs
    -Super imposed mandibular rami
    *AP and superoinferior dimensions of paranasal sinuses
    *Thickness of frontal bone
    * Detail of side closest to IR
  42. 42PA Axial (Caldwell Method) Paranasal sinuses Image evaluation* Frontal sinuses above frontal suture
    *Anterior ethmoid air cells
    *Spenoid sinuses seen through nasal fossa bellow or between the ethmoids
    *Petrous pyramids in lower third of orbit
    *Frontal and ethmoids best demostrated
  43. 43Parieoacanthial Projection (Waters Method) Paranasal sinuses Image evaluation*Maxillary sinuses best demonstrated
    *Petrous pyramids lying Inferior to the maxillary floor
    * Frontal and ethmoid sinuses distorted
  44. 44Parieoacanthial Projection (Open-Mouth Waters Method) Paranasal sinuses Image evaluation*Sphenoid sinuses through open mouth
    *Maxillary sinuses
    *Petrous pyramids lying inferior to maxillary floor
  45. 45What is the name for the largest paranasal sinuse?Maxillary
  46. 46What are the paranasal sinuses functions?* Shock absorbers
    *Aid in warming and moisturizing inhaled air
    *Decrease the weight of the skull
    *Serve as a resonating chamber for the voice
    * Possibly control the immune system
  47. 47When do maxillary sinuses develop?At birth
  48. 48When do frontal and spenoid sinuses start to develop?6 to 7 years of age
  49. 49When are sinuses fully developed?Around age 18
  50. 50The Skull is divided into how many groups?two
  51. 51What are the names of the two groups the skull is divided into?Cranial bones and Facial bones
  52. 52How many Cranial bones are there?8
  53. 53How many Facial bones ?14
  54. 54Define DiploeLayer of spongy bone separating two outer plates of compact tissue
  55. 55typical skull morphologyMesocephalic
  56. 56Lateral Cranium Image evaluation*Entire cranium without rotation or tilt, demonstrated by:
    -superimposed orbital roofs and greator wings of spenoid
    -Superimposed mastoid regions and EAM
    -Superimposed TMJs
    -Sella turcica in profile
    * No overlap of cervical spine by mandible
  57. 57PA projection Cranium Image evaluation* Pa projection shows orbits filled by petrous ridges
    *Entire cranial perimeter showing three distinct tables of squamous bone
    *Penetration of frontal bone with appropriate brightness at lateral borders of skull
  58. 58PA Axial (Caldwell Method) Cranium Image evaluation* Same as PA
    * Except demonstrates petrous pyramids lying in lower third of orbit
  59. 59AP/AP Axial Cranium Image evaluation* Same as PA and PA axial projections except AP projections are more magnified
  60. 60AP Axial (Towne Method) Cranium Image evaluation* Dorsum sellae and posterior clinoid processes visible with in foramen magnum
    * Penetration of occipital bone with appropriate brightness
    * Posterior aspects of the parietal bone and occipital bone are best demonstrated
  61. 61PA Axial (Hass Method) Cranium Image evaluation*Equal distances from lat borders of skull to lat margins of foramen magnum on both sides
    *Symmetric petrous pyramids
    ** Dorsum sellae and posterior clinoid processes visible with in foramen magnum
  62. 62SMV Projection Cranium Image evaluation*Mandibular condyles anterior to petrosae
    * Equal distances from lat borders of skull to mandibular condyles on both sides
    *Mental protuberances superimposed over anterior frontal bone
  63. 63Lateral Facial Bones Image evaluation* All facial bones in their entiret, with the zygomatic bones in the center
    * Almost perfectly superimposed mandibular rami
    * Superimposed orbital roofs
    *Sella turcia in profile
  64. 64Parietoacnthial (Waters) Facial Bones Image Evaluation*Maxilla and zygomatic arch best demonstrated
    * Petrous ridges projected immediately below the maxillary sinuses
    * Brightness and contrast demonstrates soft tissue and boney trabular detail
  65. 65Parietoacanthial (Modified Waters) Facial Bones Image evaluation* less axial angulation then the waters projection
    *Petrous ridges projected immediately below inferior border of the orbits, midway through maxillary sinuses
    * Best demonstrates blow out fractures of the orbits
  66. 66Acanthioparietal (Reverse Waters) Facial bones Image evaluation*Entire orbits and facial bones
    * Distances between lat borders of the skull and orbits are equal on each side
    *Petrous ridges projected below maxillary sinuses
  67. 67PA Axial Caldwell Projection Facial bones Image evaluation* Equal distance from the lateral borders of the skull to lateral borders of the orbits on both sides
    * Symmetric petrous ridges lying in the lower third of the orbit
    * Best demonstrates orbital rims, maxilla, nasal septums, zygomatic bones
  68. 68Lateral Nasal Bones Image evaluation*Nasal bones, anterior nasal spine, and frontal suture demonstrated
    * No rotation of nasal bones
    *Brightness and contrast demonstrates soft tissue and boney trabecular detail
  69. 69Parietoacanthial (Waters) Nasal bones Image evaluation*Boney nasal septum shown without rotation
    *Evidence of close collimation
    * Best shown for deviated bony nasal septum
  70. 70PA Axial (Caldwell) Nasal bones Image evaluation*Same as facial bones
  71. 71Submentovertical Zygomatic Arches Image evaluation* Zygomatic arches free from overlying structures
    * No rotation or tilt of head, evidenced by
    -zygomatic arches symmetric and without foreshortening
  72. 72Parietoacanthial (Waters) Zygomatic Arches Image evaluation* Best demonstrates orbits, maxillae, and zygomatic arches
    Same evaluation criteria as facial bones
  73. 73Tangential Zygomatic Arches Image evaluation* zygomatic arches free from overlying structures
    * Brightness and contrast demonstrate soft tissue and boney trabecular detail
  74. 74AP Axial (Modified Towne) Zygomatic Arches Image evaluation* No overlap of zygomatic arches by mandible
    * No Rotation or tilt
  75. 75PA Mandible Image evaluation*Entire mandible
    *No rotation or tilt, evidenced by
    -Mandibular body and rami symmetric on each side
    -MSP of head aligned with long axis of collimated field
  76. 76PA Axial Mandible Image evaluation*Entire mandible
    *No rotation or tilt, evidenced by
    -Mandibular body and rami symmetric on each side
    -MSP of head aligned with long axis of collimated field
    * Condylar processes
  77. 77AP Axial (Towne) Mandible Image evaluation* Best demonstrates mandibular body and TMJs
    *No rotation or tilt, evidenced by
    -symmetric rami
    -MSP of head aligned with long axis of collimated field
  78. 78Parietoacanthial (Waters) Mandible Image evaluationBest demonstrates body of mandible
  79. 79Axiolateral and Axiolateral Oblique Mandible Image evalution* Ramus and body shown
    -no overlap of ramus by opposite side of mandiable
    -no elongation or foreshortening of ramus or body
    -No super imposition of Ramus of C-spine
  80. 80Submentovertex mandiable image evaluation* Condyles are anterior to the pars petrosa
    *MSP aligned to collimated field
  81. 81AP Axial TMJ image evaluation* no rotation of head
    * Minimal superimposition of petrosa on condyle in closed mouth position
    * Condyles and TMJ below pars petrosa in open mouth position
  82. 82Axiolateral (Shuller) TMJ image evaluation*Condyle in mandibular fossa in closed mouth exam
    * Condyle inferior to articular tubercle in open mouth exam
  83. 83Axiolateral Oblique TMJ Image evaluation* TMJ
    *Condyle lying in mandibular fossa in closed mouth position
    *Condyle lying inferior to articular tuberical in open-mouth position, if norma;
  84. 84Parietoacanthial (Waters) Orbits image evaluation*Entire orbits
    *MSP aligned with long axis of columated field

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Radiological Technology Karteikarten am Sinuses, skull, and facial bones , erstellt von Ashley DeSalvo am 30/07/2017.
Erstellt von
Ashley DeSalvo
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