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Radiology Test #3
Crowder College Radiology extremities-special procedures
57
Veterinary Medicine
Undergraduate 3
11/16/2011

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Cards

Term
What seven things should be concentrated on when taking extremities?
Definition

1) Measure at thickest area

2) Center at the area of interest

3) If taking long bone, include joint above and below

4) If taking joint, include part of long bone above and below joint

5) Always do at least 2 views

6) Remember label and where to place lead markers

7) Extremities are done on the tablet top so adjust SID

Term
How do you position a forelimb for radius and ulna?
Definition

Position-affected limb closest to the cassette, opposite limb pulled caudally out of the way.  Use tape or gauze on the distal foot to apply gentle traction.  Split film if possible.

 

Term
Where do you measure for a radius and ulna film?
Definition
at the elbow or the thickest part of the radius/ulna
Term
Where do you center a radius and ulna film?
Definition
Middle of radius/ulna or area of interest
Term
What should be included in a radius and ulna film?
Definition
Joint above and below
Term
What is the positioning for a crania/caudal radius and ulna?
Definition
Patient in sternal recumbancy with the affected limb pulled cranially.  Use tape or gauze to apply gentle traction.  A true cranial/caudal places the olecranon between the humeral condyles.
Term
Where do you center a cranial/caudal radius and ulna film?
Definition
Middle of radius/ulna or the area of interest
Term
Where do you measure for a cranial/caudal radius and ulna film?
Definition
Elbow or the thickest area
Term
What should be included in a cranial/caudal radius and ulna film?
Definition
Joint above and below
Term

Hind extremity film, metatarsus and phalanges lateral

Position?

Positional aids?

Measure?

Include?

Center?

Definition

Position:  lateral recumbancy with the affected area closest to the cassette.  The opposite limb pulled caudally out of the view. The joint should be in a natural flexed position.

Positional aids:  Use tape, gauze, or wooden spoon 

Measure: at tarsal joint

Include:  tarsal joint, metatarsus, and phalanges

Center:  mid-metatarsal region

Term

Hind extremity:  Metatarsus-Phalanges, Dorsoplantar view

Position?

Center?

Measure?

Include?

Definition

Position:  sternal recumbancy and the affected limb pulled cranially and away from the body

Center:  mid-metatarsal region

Measure: tarsal joint

Include:  tarsus, metatarsus, and phalanges

Term
The term dorsomedial-platarolateral oblique is in reference to the?
Definition
metatarsus
Term
The term dorsomedial-plantarolateral oblique means tat the x-ray beam is directed at the?
Definition
Dorsal limb aspect, and the film is against the medial side of the limb
Term
Foreshortening occurs when radiographing a long bone, and the?
Definition
Bone is not parallel to the cassette
Term
A lateral projection of a dog's shoulder is made.  On the finished radiographic film, the manubrium and the trachea are superimposed over the joint space.  How can the animal be repositioned to correct this?
Definition
Extend the head caudodorsally, and draw the contralateral limb farther caudally
Term
The best view of the elbow is?
Definition
Craniocaudal
Term
The peripheral borders for an elbow radiograph are?
Definition
1/3 of the radius/ulna and 1/3 of the humerus
Term
For maximum detail, it is important when radiographing a lateral shoulder or humerus to?
Definition
Term
Which of the following is a false statement regarding positioning for a lateral view of the shoulder?
Definition
Opposite limb is pulled in a craniodorsal position
Term
To determine if an animal had a ununited anconeal process, the veterinarian would want you to x-ray the?
Definition
Term
The palmer surface of the forelimb refers to?
Definition
The caudal surface of the forelimb distal to the carpus
Term
When naming a radiographic view, which of the following best describes a DMPaLO of the carpus?
Definition
The beam enters the dorsal/medial surface of the carpus and exits the palmar/lateral surface
Term
When radiographing extremities the beam should be centered?
Definition
Midway on the shaft of the bone of choice
Term

Lateral view of the pelvis

Positioning?

Positional aids?

Include?

Good to visualize?

 

Definition

Positioning:  Lateral recumbency with the side of interest closest to the cassette, limb closest to the cassette should be pulled slightly cranial and the top leg slightly caudal, magnifying the top femur on the finished film

Positional aids:  Foam wedge between stifles

Include:  The entire pelvis and a portion of the lumbar spine and femur

Visualizes:  Luxated hips and lumbar spine

Term

Lateral view of the pelvis

Shape?

Landmarks?

Center?

Measure?

Definition

Shape:  Square

Landmarks:  Top of animal to mid femur, lumbar spine to behind the ishium

Center:  Greater trochanter of the femur

Measure: Greater trochanter

Term
When should a V/D frog leg be used?
Definition
If trauma is suspected
Term

V/D frog leg

Positioning aids?

Position?

Definition

Positioning aids:  V-trough

Position:  Allow hind legs to assume a relaxed, flexed but identically symmetrical

Term

V/D extended

Used for?

Positioning?

Definition

Hip dysplasia for OFA

Dorsal recumbency with back in V-trough or sandbags, pelvic limbs flexed in a frog leg and tarsal joints grasped firmly, Stifle joints rotated medially, Stifle joints 1-2 inches from each other, limbs extended caudally until the femurs are parallel with the cassette, Femurs parallel to each other, Patellae centered between femoral condyle, No rotation in pelvis

Term

V/D extended

Center?

Landmarks?

Collimate?

Definition

Center: over trocanters of femur

Landmarks: top of the ilium to just below the stifles

Collimate: down on width, leaving full length of cassette open

Term
Describe OFA process?
Definition
24 months of age or older, independently evaluated by three randomly selected board-certified radiologists, evaluating hip status considering breed, sex, age along with 9 different anatomic areas of the hip.
Term
Descibe the PennHIP method
Definition
More reliable, puts pressure on hips to measure joint laxity, 3 views-standard extended, compression view with a neutral position, and a distraction view, 16 weeks of age
Term
What are four common mistakes when taking pelvis radiographs?
Definition

1) Failure to scissor legs on a lateral view.  Bottom leg forward, top leg backwards.

2) You must visualize the lumbosacral area as well as the lumbar spine.  Especially important in older dogs.

3) The failure to rotate the stifles in a VD position. Puts hips in a "normal" position.

4) Do not try to force the femurs to the tablet top.  More painful.

Term
A dog is lying in left lateral recumbency for a pelvis radiograph.  The right femur will be?
Definition
More magnified because of decreased focal-film distance and increased object-film distance.
Term
In a lateral pelvic projection the affected limb should be?
Definition
Closest to the film and pulled slightly cranially
Term
The femurs in a hip dysplasia view appear foreshortened. This is likely due to not having the?
Definition
Femurs parallel to the cassette.
Term
The field of view of the pelvis for the OFA includes?
Definition
Pelvis, femurs, stifles
Term
The primary difference between an OFA and a PennHIP evaluation is that?
Definition
PennHIP focuses on the degree of joint laxity using three views
Term
Radiographs of the lateral pelvis should be measured?
Definition
Over the hip joints
Term
Positioning the lateral pelvis should include?
Definition
Lower leg perpendicular to the body, and the upper leg positioned caudally
Term
A VD view of the pelvis for hip dysplasia evaluation should not show which of the following?
Definition
Stifles rotated laterally
Term

T-L Spine V/D

Measure?

Center?

Landmarks?

Collimate?

Definition

Measure: At the T-L junction

Center: Halfway between landmarks

Landmarks: Xiphoid to last rib

Collimate: Tight laterally to increase detail

Term

T-L spine Lateral

Positioning?

Measure?

Center?

Landmarks?

Definition

Positioning: Lateral recumbancy with front and rear legs extended.  Elevate sternum with a foam wedge to eliminate rotation.  To prevent rotation, keep the sternum and thoracic spine should be the same distance from the table.

Measure: 7th rib

Center: T-L juncture

Landmarks: Xiphoid to last rib

Term
For cervical studies you should center the primary beam at?
Definition
C3 to C4
Term
When taking cervical radiographs one should measure at?
Definition
C3
Term
An important radiographic aid used during lateral cervical radiographs is?
Definition
Radiolucent positioner under the midcervical region
Term
For V/D thoracic spine radiographs you would measure at?
Definition
T13
Term
Lumbar radiographs series should be?
Definition
Term
Lumbar V/D radiographs should be?
Definition
Term
Where should the primary beam be centered when radiographing the canine lumbar spine?
Definition
L4
Term
Where should the primary beam be centered for a lateral view of the canine thoracic spine?
Definition
T7
Term
Thorax needs what type of contrast?
Definition
Low contrast, long grey scale using high kVp, low mAs exposure factors using less than 1/60th exposure factor to reduce motion.
Term

What exposure changes should be made for obese animals?

Thin animals?

Definition

Obese: increase in mAs

Thin: decrease in kVp

Term
What is the correct positioning for thoracic films?
Definition

Superimpositions of the paired dorsal rib arches

Sternum and spine superimposed

Obliqued, spinous processes extend laterally away from the spine.  Obliques can cause artifacts such as cardiac enlargement or mediastinal shift

Term
Right thorax used for?
Definition
Cardiac silhouette appears longer
Term
Left thorax shows?
Definition
Peripheral pulmonary arteries and veins in the cranial lung fields
Term

Lateral Thorax

Positioning?

Landmarks?

Measure?

Center?

Definition

Positioning: Extend front legs very far cranially to remove superimposition of the triceps over the cranial aspect of the thorax, hind limbs pulled caudally, extend the head slightly to avoid displacing the trachea. Use a foam wedge, Elevate the sternum with a towel or wedge to prevent rotation

Landmarks: Thoracic inlet-behind 13th rib including xiphoid process

Measure: standing in a natural postion at the caudal border of the scapula

Center: caudal aspect of the scapula

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