Imaging Flashcards
(26 cards)
Why do we image patients?
Provide reliable anatomical, morphological and physiological information to effect treatment.
How do you summarize your findings?
ABC's of film Interpretation Alignment Bone Cartilage Soft tissues
Typically written BCAS, or in order of clinical significance.
Are old films important for new patients?
YES, old film can have a huge impact on patients care and management. SHOULD ALWAYS BE OBTAINED.
Ask for reports too.
What is a report for?
Records data
Communicates, record if others are lost, communication with other professionals.
What are the components of the report?
Identification Introduction Findings Impressions Recommendations Signature
Is there a difference in finding a sign vs a diagnosis?
Yes. Like finding a mass vs calling it a glioblastoma
What is in the findings component?
Description of what you see written in paragraph format (ABCS)
Don’t use diagnoses
Understandable language
What is in the impressions component?
Diagnosis or differential diagnosis and conclusions
In order of clinical significance
Short brief statements
What is in the recommendations component?
X-rays, lab, special imaging to further clarify diagnosis, or DDX
What is an ambiguous image?
Images that kind of give an illusion like Mach bands
Radiograph densities from least dense to dense.
Air, oil (fat), water, bone, metal
How do pathologies effect imaging?
Most will change or alter architecture/structure/anatomy, and increase or decrease densities.
What are the routine views for the cervical spine?
Lateral, AP open mouth, AP lower
Boundaries for lateral cervical.
Base of occiput through top of T1
Boundaries for AP lower
C3-T1
Boundaries for AP open mouth
Occ/C1, C1-C2, Dens
Which upper cervical arteries will you see or not see if calcified?
Carotid artery will be seen with calcification
Vertebral artery will not
Markers and the cervical anterior oblique view
RAO = Right IVF LAO = Left IVF RPO = Left IVF LPO = Right IVF
Markers with lumbar oblique views
RAO = Left pars/dog
LAO - Right pars/dog
RPO -Right Pars/dog
LPO = Left pars/dog
Thoracic Spine views.
AP, Lateral
Lumbar views
AP, lateral, obliques, flx/ext
AP lumbar view
T-12 to pelvis
Lateral lumbar view
L1-sacrum
Recumbent on large patients
Oblique lumbar
Anterior recumbent
Posterior upright
