Normal XRay Anatomy Logan Class of December 2011正常X线解剖洛根班十二月2011.pptVIP

Normal X-Ray Anatomy Axial and Appendicular Skeleton William Ursprung, DC Lesson Objectives Identify anatomical structures on plain film radiographs Identify the views commonly used to radiograph the skeletal system Utilize a basic search pattern to screen plain film radiographs for pathology Basic Rules for Interpretation Plain films are a 2 dimensional gray scale image of a 3 dimensional anatomical structure Four basic densities Metal = very bright (white) Bone = bright (white) Water/soft tissue = (various shades of gray) Air = dark (black) Basic Rules for Interpretation Rule of thumb for radiographs: min. of 2 views that are offset by 90° for any body part ABOLTS search pattern A = anatomy B = breaks or step defects in the cortex O = opacities (ie blastic lesion, impacted fx) L = lucencies (ie lytic lesion, displaced fx) T= trabecular architecture S = soft tissues (swelling, mass, fascial planes) Cervical Spine Anterior Posterior Open Mouth Anterior Posterior Lower Cervical Lateral Cervical Cervical Oblique Thoracic Spine Posterior Anterior Chest Anterior Posterior Thoracic Spine Lateral Thoracic Spine Lumbar Spine AP Lumbar Lateral Lumbar Pelvis and Hips AP Pelvis AP Pelvis Shoulder Normal Shoulder Normal Shoulder Elbow and Forearm Normal Elbow Normal Elbow Forearm Wrist and Hand Normal Wrist Normal Wrist Normal Hand Normal Hand Knee Normal Knee Ankle and Foot Normal Ankle Normal Ankle Normal Ankle Boehler’s Angle Normal Foot Normal Foot * *