Sternum and SCA

Question 1

BO: 15-20deg

Answer 1

PAO Sternum
RAO Posn

Question 2

RP: 1” lat to MSP - level -T7

Answer 2

PAO Sternum
RAO Posn

Question 3

Sternum IR used

Answer 3

10x12 - longit
except: Moore Method - CW

Question 4

Uses a 30” SID to blur the posterior ribs

Answer 4

1. PAO Sternum (RAO)
2. PAO Sternum - Moore Method

Question 5

Demo slight oblique of sternum free from vertebral superimposition

Answer 5

PAO Sternum
RAO Posn

Question 6

When breathing motion is to be used, instruct the patient to take slow, shallow breath during the exposure. When a short exposure time is to be used, instruct the patient to suspend breathing at the end of expiration to obtain a more uniform density.

Answer 6

1. PAO Sternum
   RAO Posn
2. Moore Method (PAO Sternum)
   Modified Prone

Question 7

PAO Sternum
Modification for trauma pts

Answer 7

Perform in upright APO Proj (LPO posn)

Question 8

Alternative for conventional PAO Sternum (RAO Posn)

Answer 8

Moore Method (PAO)
Modified Prone

Question 9

RP: 2” lat to MSP - level - T7

Answer 9

Moore Method (PAO)
Modified Prone

Question 10

CR 25deg medially

Answer 10

Moore Method (PAO)
Modified Prone

Question 11

Moore Method (PAO)
Modified Prone
XRT angulation may be adjusted. Large patients require (1), and thin patients require (2)

Answer 11

1. less angulation
2. more than 25deg medially

Question 12

RP: Mid Lat (LA) - sternum

Answer 12

Lat Sternum

Question 13

Uses a 72” SID to
reduce magnification and distortion of the POI

Answer 13

Lat Sternum

Question 14

Demo superimposed sternoclavicular articulation including medial ends of clavicle

Answer 14

Lat Sternum

Question 15

Lat Sternum
Modification for traumatic pts/ severe injury

Answer 15

Pt positioned in dorsal decub position

Question 16

PA SCA
Bilateral vs Unilat Exam
Part Position

Answer 16

Bilat: chin - rest - RT; MSP in vertical

Unilat: head rotated facing affected SCA - cheek - rest - RT to prevent cervical spine superimposition

Question 17

RP: T3

Answer 17

PA SCA

Question 18

SCA IR used

Answer 18

8x10 - BD - CW except:

1. PAO SCA
   Central Ray Angulation Method: top RT - longit
2. Kurzbauer Method: 10x12 - BD - longit

Question 19

Demo frontal image of SCA including medial ends of clavicle

Answer 19

PA SCA

Question 20

PA SCA
Modification

Answer 20

Can be done in upright

Question 21

BO: 10-15deg

Answer 21

PAO SCA
Body Rotation Method
RAO/ LAO Position

Question 22

Projects vertebrae wall behind the SCA

Answer 22

PAO SCA
Body Rotation Method
RAO/ LAO Position
10-15deg BO

Question 23

RP: T2-T3

Answer 23

PAO SCA
Body Rotation Method
RAO/ LAO Position

Question 24

Demo slight oblique image of the SCA

Answer 24

PAO SCA
Body Rotation Method
RAO/ LAO Position

Question 25

CR: 15deg medial

Answer 25

PAO SCA Central Ray Angulation Method

Question 26

PAO SCA Central Ray Angulation Method Enter and exit point

Answer 26

40" SID - enter 3" distal to vertebral prominence and 1-2" lat to MSP (T2-T3) - exit - MP - IR

Question 27

Non-bucky technique

Answer 27

PAO SCA Central Ray Angulation Method

Question 28

RP: affected SCA

Answer 28

Kurzbauer Method Axiolat SCA

Question 29

CR - 15deg caudal

Answer 29

Kurzbauer Method Axiolat SCA

Question 30

Demo axiolat image of the SCA

Answer 30

Kurzbauer Method Axiolat SCA

Question 31

Kurzbauer Method Axiolat SCA Modification

Answer 31

Can be done in upright