There is never a reason to take an oblique whole chest. Only include the side of the chest with the problem. Ensure you don't include the thyroid in the primary beam
Thank you. Do read comments from @thevoiceharmonic too, as they are useful in getting a good radiograph. He gives us practical tips and highlights our mistakes inorder to get a good radiograph. Thanks again.
@@Radiodiagnosis.aiimsbibinagar in 1st year we have all departments common subjects but 2nd 3rd year different like in second year 1) physics of diagnostic radiology, 2) image processing techniques (including dark room tecqunices ) & special radiography procedures, and 3) radiographic anatomy -positining and special radiographic tecqunices
@@Radiodiagnosis.aiimsbibinagar in 3rd year 1) advanced imagining technology ( ct& DSA) 2) advance imagine technology ( mri physics various procedures and protocol and saftey 3) nuclear medicine ultrasound and colour Doppler
I would collimate to only show the nose and not include the face in the primary beam. I would not use the bucky. I would use a finger exposure directly on a cassette.
The positioning shown does not match the image produced because the patients head is tilted. Don't put the patients shoulder under the bucky. Instead, let them face the bucky and turn the head.
The radiography of the foot demonstrated 3.42 is not correct. First, the global standard for and AP is with a 15 degree uptilt, and second, we see that no collimation was used, so the lower leg was included in the beam which added to dose and scatter degradation of the radiograph. There should be no reason for a radiographer to wear a lead apron when doing a chest xray or a foot xray.
What can you do about this radiographer in Pakistan who uses an xray tube without a collimator? ru-vid.com/video/%D0%B2%D0%B8%D0%B4%D0%B5%D0%BE-y6QjJKWA9B0.htmlsi=LRp3FuJT2M4-6MQz
In 40 years of being a general radiographer, I was never called upon to produce a lateral pelvis apart from pelvimetry. What is shown is certainly not an AP pelvis as designated.
The rest of the world would add a 15 degree uptilt. I would collimate most of the thyroid off. Here is my lowest dose cervical spine ru-vid.com/video/%D0%B2%D0%B8%D0%B4%D0%B5%D0%BE-ZcvH11MfgUo.htmlsi=ufkOwFOgtn8sPzyj
It is much easier for the patient to do the lateral in a PA position. Doing it AP means the arm is twisted behind the back which will hurt a patient with shoulder issues and it will be impossible for a fracture of the humeral shaft
No need to give a primary beam dose the to thyroid. Collimate to a 8x10cm rectangle. The only reason the text books don't tell you to do this is because accurate light bream diaphragms have only been around for 30-40 years.. Most projections were devised before the dangerous of x-rays were known. The ability to take a comparison is of value in assessment, first as a normal orientation then perhaps, as weight bearing views.
Good collimation. No gonad protection. Accurate collimation is better than using a centring point. If the collimation is correct, all you need is the crest on the top of the image. The exposure you use is good. Most radiographers from the Indian subcontinent will use 60kV which will double the dose. It astounds me that you xray people on a table without mattress or sheet or pillow.
Any good radiographer would have used accurate collimation and lead protection, but not in this case, never in India will anyone get good radiography because standards and training are at the world's worst standard. There is no standard. Any horrible radiography is acceptable and can be made into a video for students to learn from
We respect your experience and expertise in taking radiographs and also see your videos. We shared your video among our group for proper collimation in cervical spine, the link for which you shared. However I do not agree with your sentence that radiography training is worst in India because collimation in radiographs were not proper the students are learning and are very open to learn new things and improve accordingly, and also, if that would have been the case then most of them would not have been called to "First world" countries to work. We are constantly reading your comments and the students are being told to improve accordingly. We would really appreciate if you could also give us positive inputs regarding how to take the above radiograph.
We appreciate your input however generalising training and standards in India without prior knowledge is a thoughtless and frankly disrespectful stance to take. We hope you will be more considerate in the future with your comments as we work on our radiography techniques. Regards.
I have looked at all the radiography tutor channels available to the algorithm. That means about 30. Of these RU-vid channels I can find none that practice quality radiography. I have looked at 80 from the rest of the world. India, Pakistan, Bangladesh are the worst in the world with body dose being about 6 times higher, gonad and thyroid dose being 1000 times higher than the rest of the world. I generalise because I have seen 1000 RU-vid videos on radiography.@@divyagurram4762
The video is not consistent so I have to explain that first. The image from the text book is what you want to achieve. The positioning and collimation shown in the video does not match with the radiographic technique demonstrated. To perform the lateral oblique hip and femur, begin by collimating. That may be to the size of the cassette or less. Use the illumination from the light beam diaphragm as your only positioning guide. Never use centring points for any projection ever. For the hip joint, use your knowledge of the pelvis to position correctly. Find the ASIS and the symphysis pubis and you will then know where the head of the femur is. Put that on the top of the resultant radiography by using the illuminated field. Apply lead protection. Ensure you collimate well within the skin edge. Radiography of the lateral proximal femur may as well be called lateral oblique hip. If the femur is required, do a lateral oblique hip then a lateral knee with lower femur as that minimises gonad dose to men. Never get a patient to lie down on a table without there being a sheet on it. Use a foam rubber mattress. You don't even use a pillow which I find shocking. Imagine being old and frail and having to lie down on a hard flat surface. Sliding a patient around for accurate positioning requires the means to do it and clothing or a gown will not do. No xray table in the developed world is used without a mattress and a sheet.@@divyagurram4762
