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♦♦ ROUTINE: AP AND PROFILE ♦♦
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♦ AP:
► Patient Positioning - Inclined and Upright Position
• Place the patient in a supine position (preferred) with arms at the sides and head on the table
or on a thin pillow. If the patient cannot stand the supine position, put him on his feet with the
arms at the sides of the body and weight evenly distributed on both feet.
• Anode effect will create more uniform density across the thoracic spine. Position the patient to
that the most intense aspect of the bundle (cathode side) is over the lumbar thoracic region of the spine.
► Position of the Party:
• Align the midsagittal plane with the RC and the center of the table and/or the RI.
• Bend knees and hips to reduce chest curvature.
• Make sure there is no rotation of the chest or pelvis.
► RC:
• RC perpendicular to RI.
• Direct the RC to T7 (8 to 10 cm below the jugular notch or 3 to 5 cm below the sternal angle).
Centering is similar to that used with the AP chest.
• Centralize RI to RC.
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♦ PROFILE:
► Patient Positioning - Inclined or Upright Lateral Position
• Place the patient in the lateral inclined position (preferred), with the head on the pillow and knees
flexed. For the upright position, place your arms straight, with weight evenly distributed on the
two feet.
► Position of the Party:
• Align the posterior half of the chest (between the middle coronal plane and posterior aspect of the chest) with the
RC and with the center of the table and/or with the RI.
• Raise the patient's arms at right angles to the body with elbows bent.
• Support your waist so that your entire spine is parallel to the table. Palpate the spinous processes for
determine alignment (see Note 2).
• Bend your hips and knees, with support between your knees.
• Make sure there is no rotation of the shoulders or pelvis.
► RC:
• CR perpendicular to the long axis of the thoracic spine (see Note 2).
• Direct the RC with the T7 (8 to 10 cm below the jugular notch or 18 to 21 cm below the vertebra
prominent).
• Centralize the RI with the RC.
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Source: Bontrager, 8th Edition. #Radiology
14 окт 2024
