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Merrill's Atlas of Radiographic Positioning and Procedures - E-Book

Merrill's Atlas of Radiographic Positioning and Procedures - E-Book

Bruce W. Long | Jeannean Hall Rollins | Barbara J. Smith

(2015)

Additional Information

Book Details

Abstract

More than 400 projections make it easier to learn anatomy, properly position the patient, set exposures, and take high-quality radiographs! With Merrill's Atlas of Radiographic Positioning & Procedures, 13th Edition, you will develop the skills to produce clear radiographic images to help physicians make accurate diagnoses. It separates anatomy and positioning information by bone groups — using full-color illustrations to show anatomical anatomy, and CT scans and MRI images to help you learn cross-section anatomy. Written by radiologic imaging experts Bruce Long, Jeannean Hall Rollins, and Barbara Smith, Merrill's Atlas is not just the gold standard in radiographic positioning references, and the most widely used, but also an excellent review in preparing for ARRT and certification exams!

  • Comprehensive, full-color coverage of anatomy and positioning makes Merrill's Atlas the most in-depth text and reference available for radiography students and practitioners.
  • Frequently performed projections are identified with a special icon to help you focus on what you need to know as an entry-level radiographer.
  • Numerous CT and MRI images enhance your comprehension of cross-sectional anatomy and help you prepare for the Registry examination.
  • UNIQUE! Collimation sizes and other key information are provided for each relevant projection.
  • Bulleted lists provide clear instructions on how to correctly position the patient and body part when performing procedures.
  • Summary tables provide quick access to projection overviews, guides to anatomy, pathology tables for bone groups and body systems, and exposure technique charts.
  • NEW! Coverage of the latest advances in digital imaging also includes more digital radiographs with greater contrast resolution of pertinent anatomy.
  • NEW positioning photos show current digital imaging equipment and technology.

Table of Contents

Section Title Page Action Price
Front cover cover
Endsheet 2 IFC2
Endsheet 3 IFC3
half-title page i
Merrill's Atlas of Radiographic Positioning and Procedures iii
Copyright page iv
Previous Authors v
The Merrill’s Team vi
Advisory Board vii
Chapter Content Experts viii
Preface ix
Learning and Perfecting Positioning Skills ix
New to This Edition ix
New Patient Photography ix
Revised Image Evaluation Criteria ix
Working with the Obese Patient ix
Fully Revised Pediatric Chapter ix
Updated Geriatric Chapter ix
Consolidated Cranial Chapters ix
Digital Radiography Collimation ix
English/Metric IR Sizes x
Integration of CT and MRI x
New Illustrations x
Digital Radiography Updated x
Computed Radiography x
Obsolete Projections Deleted x
New Radiographs x
Learning Aids for the Student x
Pocket Guide to Radiography x
Radiographic Anatomy, Positioning, and Procedures Workbook x
Teaching Aids for the Instructor x
Evolve Instructor Electronic Resources x
Mosby’s Radiography Online x
Evolve—Online Course Management x
Acknowledgments xii
Contributors xii
Table of Contents xiii
1 Preliminary Steps in Radiography 1
Outline 1
The Radiographer 2
Ethics in Radiologic Technology 2
American Society of Radiologic Technologists Code of Ethics 2
Canadian Association of Medical Radiation Technologists Code of Ethics 2
Patient Respect and Dignity 2
Patient-Centered Care and Safety 3
Fairness, Accountability, and Integrity 3
Image Receptor 3
Radiograph 5
Display of Radiographs 8
Anatomic Position 8
Posteroanterior and Anteroposterior Radiographs 10
Lateral Radiographs 11
Oblique Radiographs 12
Other Radiographs 12
Clinical History 13
Advanced Clinical Practice 14
Initial Examination 14
Diagnosis and the Radiographer 14
Care of the Radiographic Room 14
Standard Precautions 15
Control of Pathogen Contamination 16
Centers for Disease Control and Prevention 16
Operating Room 16
Minor Surgical Procedures in the Radiology Department 17
Procedure Book 17
Bowel Preparation 18
Motion and Its Control 18
Involuntary Muscles 18
Reducing Involuntary Muscle Motion on Images 19
Voluntary Muscles 19
Reducing Voluntary Muscle Motion on Images 19
Patient’s Attire, Ornaments, and Surgical Dressings 20
Interacting with Patients 21
Ill or Injured Patients 22
Age-Specific Competencies 23
Identification of Radiographs 25
Anatomic Markers 27
Placement and Orientation of Anatomy on the Image Receptor 28
English/Metric Conversion and IR Sizes 30
IR Sizes in This Atlas 30
Direction of Central Ray 31
Source–to–Image Receptor Distance (SID) 31
Source–to–Image Receptor Distance in This Atlas 31
Source–to–Skin Distance 32
Collimation of X-Ray Beam 32
Gonad Shielding 33
Bone Marrow Dose 35
Gonad Dose 35
Digital Imaging 36
Kilovoltage 37
Part Centering 38
Split Cassettes 38
Collimation 38
Grids 38
Digital Imaging in This Atlas 38
Digital Imaging 38
Foundation Exposure Techniques and Charts 38
Adaptation of Exposure Technique to Patients 40
Preexposure Instructions 41
Technical Factors 42
Kilovoltage in This Atlas 42
Automatic Exposure Control in This Atlas 42
Working Effectively with Obese Patients 44
Equipment 44
Transportation 46
Communication 47
Imaging Challenges 47
Landmarks 49
Oblique and Lateral Projections 49
Image Receptor Sizes and Collimation 50
Field light size 50
Exposure Factors 50
Focal Spot 51
Bucky and Grid 51
Automatic Exposure Control and Anatomically Programmed Radiography Systems 52
Mobile Radiography 52
Radiation Dose 52
2 Compensating Filters 53
Outline 53
Introduction 54
Physical Principles 57
Shape 57
Composition 57
Placement 58
Specific Applications 60
Compensating Filters in This Atlas 64
3 General Anatomy and Radiographic Positioning Terminology 65
Outline 65
General Anatomy 66
Body Planes 66
Sagittal Plane 66
Coronal Plane 66
Horizontal Plane 66
Oblique Plane 67
Special Planes 68
Interiliac Plane 68
Occlusal Plane 68
Body Cavities 68
Thoracic Cavity 69
Abdominal Cavity 69
Divisions of the Abdomen 70
Quadrants 70
Regions 70
Superior 70
Middle 70
Inferior 70
Surface Landmarks 71
Body Habitus 72
Osteology 75
General Bone Features 76
Bone Vessels and Nerves 77
Bone Development 77
Intermembranous Ossification 77
Endochondral Ossification 77
Primary Ossification 77
Secondary Ossification 78
Classification of Bones 79
Long Bones 79
Short Bones 79
Flat Bones 79
Irregular Bones 79
Sesamoid Bones 79
Arthrology 80
Functional Classification 81
Structural Classification 81
Fibrous Joints 81
Cartilaginous Joints 81
Synovial Joints 82
Bone Markings and Features 84
Processes or Projections 84
Depressions 84
Fractures 84
Anatomic Relationship Terms 85
Radiographic Positioning Terminology 85
Projection 86
Anteroposterior Projection 86
Posteroanterior Projection 86
Axial Projection 87
Tangential Projection 87
Lateral Projection 88
Oblique Projection 88
Complex Projections 88
True Projections 89
In-Profile 89
Position 89
General Body Positions 90
Lateral Position 91
Oblique Position 92
Decubitus Position 94
Lordotic Position 94
Note to Educators, Students, and Clinicians 95
View 95
Method 95
Body Movement Terminology 96
Medical Terminology 98
4 Upper Limb 99
Outline 99
Summary of Projections 100
Anatomy 101
Hand 101
Digits 101
Metacarpals 101
Wrist 102
Carpal Sulcus 102
Forearm 102
Ulna 103
Radius 103
Arm 104
Upper Limb Articulations 105
Fat Pads 107
Radiography 110
Digits (Second Through Fifth) 110
General Procedures 110
Digits (Second Through Fifth) 110
PA Projections 110
Position of patient 110
Position of part 110
Central ray 111
Collimation 111
Computed Radiography 111
Structures shown 111
Lateral Projection 112
Lateromedial or mediolateral 112
Position of patient 112
Position of part 112
Central ray 113
Collimation 113
Structures shown 113
PA Oblique Projection 114
Lateral rotation 114
Position of patient 114
Position of part 114
Central ray 114
Collimation 114
Structures shown 114
First Digit (Thumb) 116
AP, PA, Lateral, and PA Oblique Projections 116
AP projection 116
5 Shoulder Girdle 173
Outline 173
Summary of Projections 174
Anatomy 175
Shoulder Girdle 175
Clavicle 175
Scapula 176
Humerus 177
Shoulder Girdle Articulations 178
Scapulohumeral Articulation 178
Acromioclavicular Articulation 181
Sternoclavicular Articulation 181
Radiography 183
6 Lower Limb 225
Outline 225
Summary of Projections 226
Anatomy 228
Foot 228
Phalanges 228
Metatarsals 229
Tarsals 229
Sesamoid Bones 230
Leg 230
Tibia 230
Fibula 231
Femur 232
Patella 233
Knee Joint 234
Lower Limb Articulations 236
Radiography 242
7 Pelvis and Proximal Femora 325
Outline 325
Summary of Projections 326
Anatomy 327
Hip Bone 327
Ilium 328
Pubis 328
Ischium 328
Proximal Femur 329
Articulations of the Pelvis 331
Pelvis 332
Localizing Anatomic Structures 333
Alternative Positioning Landmark 334
Radiography 336
Radiation Protection 336
Pelvis and Proximal Femora 337
AP Projection 337
Position of patient 337
Position of part 337
Central ray 338
Collimation 338
Structures shown 339
Congenital dislocation of the hip 339
Lateral Projection 340
Right or left position 340
Position of patient 340
Position of part 340
Recumbent position 340
Upright position 341
Central ray 341
Structures shown 341
Femoral Necks 342
AP Oblique Projection 342
Modified Cleaves Method 342
Position of patient 342
Position of part 342
Bilateral projection 342
Step 1 342
Step 2 342
Step 3 342
Unilateral projection 342
Central ray 343
Collimation 343
Structures shown 343
Axiolateral Projection 344
Original Cleaves Method 344
Position of patient 344
Position of part 344
Central ray 344
Structures shown 345
Congenital dislocation of the hip 345
Hip 346
AP Projection 346
Position of patient 346
Position of part 346
Central ray 346
Collimation 346
Structures shown 347
Lateral Projection 348
Position of patient 348
Position of part 348
Central ray 348
Collimation 348
Structures shown 348
Axiolateral Projection 350
Danelius-Miller Method 350
Position of patient 350
Position of part 350
Position of IR 351
Central ray 351
Collimation 351
Compensating Filter 351
Structures shown 351
Modified Axiolateral Projection 352
Clements-Nakayama Modification 352
Position of patient 352
Position of part 352
Central ray 353
Structures shown 353
Acetabulum 354
PA Axial Oblique Projection 354
Position of patient 354
Position of part 354
Central ray 355
Structures shown 355
AP Oblique Projection 356
Internal oblique 356
8 Vertebral Column 363
Outline 363
Summary of Projections 364
Anatomy 366
Vertebral Column 366
Vertebral Curvature 367
Typical Vertebra 368
Cervical Vertebrae 369
Atlas 369
Axis 369
Seventh Vertebra 370
Typical Cervical Vertebra 370
Thoracic Vertebrae 372
Lumbar Vertebrae 374
Sacrum 376
Coccyx 377
Vertebral Articulations 378
Radiography 382
AP Projection 383
Fuchs Method 383
Position of patient 383
Position of part 383
Central ray 383
Collimation 383
Structures shown 383
PA Projection 383
Judd Method 383
Atlas and Axis 384
AP Projection 384
Open-mouth 384
Position of patient 384
Position of part 384
Central ray 385
Collimation 385
Structures shown 385
Lateral Projection 386
R or L position 386
Position of patient 386
Position of part 386
Central ray 386
Structures shown 386
Cervical Vertebrae 387
AP Axial Projection 387
Position of patient 387
Position of part 387
Central ray 387
Collimation 388
Structures shown 388
Lateral Projection 389
Position of patient 389
Position of part 389
Central ray 390
Collimation 390
Structures shown 390
Lateral Projection 391
Position of patient 391
Position of part 391
Hyperflexion 391
Hyperextension 391
Central ray 392
Collimation 392
Structures shown 392
Cervical Intervertebral Foramina 393
AP Axial Oblique Projection 393
RPO and LPO positions 393
Position of patient 393
Position of part 393
Upright posterior oblique position 393
Recumbent posterior oblique position 393
Central ray 394
Collimation 394
Structures shown 394
AP Oblique Projection 394
Hyperflexion and hyperextension 394
PA Axial Oblique Projection 395
RAO and LAO positions 395
Position of patient 395
Position of part 395
Central ray 395
Collimation 395
Structures shown 395
Cervical Vertebrae 397
AP Projection 397
Ottonello Method 397
Position of patient 397
Position of part 397
Central ray 398
Collimation 398
Structures shown 398
Cervical and Upper Thoracic Vertebrae 399
Vertebral Arch (Pillars) 399
AP Axial Projection 399
Position of patient 399
Position of part 399
Central ray 400
Structures shown 400
Vertebral Arch (Pillars) 401
AP Axial Oblique Projection 401
R and L head rotations 401
Position of patient 401
Position of part 401
Central ray 401
Structures shown 401
Cervicothoracic Region 402
Lateral Projection 402
Position of patient 402
Position of part 402
Central ray 402
Collimation 403
Compensating Filter 403
Structures shown 403
Thoracic Vertebrae 404
AP Projection 404
Position of patient 404
Position of part 404
Central ray 404
Collimation 404
Structures shown 405
Compensating Filter 406
Lateral Projection 407
R or L position 407
Position of patient 407
Position of part 407
Central ray 408
Collimation 409
Improving radiographic quality 409
Structures shown 409
Thoracic Zygapophyseal Joints 410
AP or PA Oblique Projection 410
Upright position 410
Position of patient 410
Position of part 410
Recumbent position 411
Position of patient 411
Position of part 411
Central ray 411
Collimation 411
Structures shown 412
Lumbar-Lumbosacral Vertebrae 413
AP Projection 413
PA projection (optional) 413
Special positioning 414
Position of patient 414
Position of part 414
Central ray 414
Collimation 414
Structures shown, AP and PA 415
Lateral Projection 417
R or L position 417
Position of patient 417
Position of part 417
Central ray 417
Collimation 417
Structures shown 417
Improving radiographic quality 418
L5-S1 Lumbosacral Junction 419
Lateral Projection 419
R or L position 419
Position of patient 419
Position of part 419
Central ray 420
Collimation 420
Structures shown 420
Lumbar Zygapophyseal Joints 421
AP Oblique Projection 421
RPO and LPO positions 421
Position of patient 421
Position of part 421
Central ray 421
Lumbar region 421
L5-S1 zygapophyseal joint 421
Collimation 421
Structures shown 421
PA Oblique Projection 423
RAO and LAO positions 423
Position of patient 423
Position of part 423
Central ray 423
Lumbar region 423
L5-S1 zygapophyseal joint 423
Collimation 423
Structures shown 423
Lumbosacral Junction and Sacroiliac Joints 425
AP or PA Axial Projection 425
Ferguson Method 425
Position of patient 425
Position of part 425
Central ray 425
Collimation 425
Structures shown 425
Sacroiliac Joints 427
AP Oblique Projection 427
RPO and LPO positions 427
Position of patient 427
Position of part 427
Central ray 428
Collimation 428
Structures shown 428
PA Oblique Projection 429
RAO and LAO positions 429
Position of patient 429
Position of part 429
Central ray 430
Structures shown 430
Sacrum and Coccyx 431
AP and PA Axial Projections 431
Position of patient 431
Position of part 431
Central ray 431
Sacrum 431
Coccyx 432
Collimation 432
Structures shown 432
Radiation protection 432
Lateral Projections 433
R or L position 433
Position of patient 433
Position of part 433
Central ray 434
Sacrum 434
Coccyx 434
Collimation 434
Structures shown 434
Improving radiographic quality 434
Lumbar Intervertebral Disks 435
PA Projection 435
Position of patient 435
Position of part 435
Central ray 435
Structures shown 436
Radiation protection 436
Thoracolumbar Spine: Scoliosis 437
PA and Lateral Projections 437
Frank et al. Method 437
Digital imaging 437
Collimation 437
Radiation protection 438
Structures shown 438
PA Projection 439
Ferguson Method 439
Position of patient 439
Position of part 439
First radiograph 439
Second radiograph 439
Central ray 439
Collimation 439
Structures shown 439
Lumbar Spine: Spinal Fusion 441
AP Projection 441
R and L bending 441
Position of patient 441
Position of part 441
Central ray 442
Structures shown 442
Lateral Projection 443
Position of patient 443
Position of part 443
Central ray 444
Structures shown 444
9 Bony Thorax 445
Outline 445
Summary of Projections 446
Anatomy 447
Bony Thorax 447
Sternum 447
Ribs 448
Bony Thorax Articulations 449
Respiratory Movement 451
Diaphragm 452
Body Position 453
Trauma Patients 453
Radiography 456
10 Thoracic Viscera 477
Outline 477
Summary of Projections 478
Anatomy 479
Body Habitus 479
Thoracic Cavity 479
Respiratory System 479
Trachea 480
Alveoli 481
Lungs 481
Mediastinum 483
Computed Tomography 484
Radiography 488
General Positioning Considerations 488
PA Criteria 488
Lateral Criteria 488
Oblique Criteria 488
Breathing Instructions 490
Technical Procedure 490
Trachea 492
Radiation Protection 492
AP Projection 492
Position of patient 492
Position of part 492
Central ray 493
Structures shown 493
Trachea and Superior Mediastinum 494
Lateral Projection 494
R or L position 494
Position of patient 494
Position of part 494
Central ray 495
Structures shown 495
Chest 496
Lungs and Heart 496
PA Projection 496
Position of patient 496
Position of part 496
Central ray 498
Collimation 499
Structures shown 499
Cardiac studies with barium 499
Lungs and Heart 500
Lateral Projection 500
R or L position 500
Position of patient 500
Position of part 500
Central ray 501
Collimation 502
Structures shown 502
Cardiac studies with barium 503
Lungs and Heart 504
PA Oblique Projection 504
RAO and LAO positions 504
Position of patient 504
Position of part 505
LAO position 505
RAO position 505
Central ray 505
Collimation 506
Structures shown 506
Barium studies 507
Lungs and Heart 508
AP Oblique Projection 508
RPO and LPO positions 508
Position of patient 508
Position of part 508
Central ray 509
Collimation 509
Structures shown 509
AP Projection* 510
Position of patient 510
Position of part 510
Central ray 510
Collimation 511
Structures shown 511
Pulmonary Apices 512
AP Axial Projection 512
Position of patient 512
Position of part 512
Lordotic position 512
Oblique lordotic positions—LPO or RPO 512
Central ray 513
Collimation 513
Structures shown 513
Lordotic position 513
Oblique lordotic position 513
PA Axial Projection 514
Position of patient 514
Position of part 514
Central ray 514
Inspiration 514
Expiration (optional) 514
Collimation 514
Structures shown 514
AP Axial Projection 515
Position of patient 515
Position of part 515
Central ray 515
Collimation 515
Structures shown 515
Lungs and Pleurae 516
AP or PA Projection* 516
R or L lateral decubitus positions 516
Position of patient 516
Position of part 516
Central ray 516
Collimation 516
Structures shown 516
Lateral Projection 518
Position of patient 518
Position of part 518
Central ray 518
Collimation 518
Structures shown 518
Addendum A Summary of Abbreviations Volume One 521
Index I-1
A I-1
B I-4
C I-6
D I-13
E I-15
F I-17
G I-19
H I-20
I I-22
J I-24
K I-24
L I-24
M I-27
N I-30
O I-31
P I-32
Q I-35
R I-35
S I-38
T I-43
U I-46
V I-47
W I-49
X I-49
Y I-49
Z I-49
Index e1
A e1
B e2
C e2
D e4
E e4
F e5
G e6
H e6
I e7
J e7
K e7
L e7
M e8
N e9
O e9
P e9
Q e10
R e10
S e11
T e13
U e14
V e14
W e14
X e15
Y e15
Z e15
Endsheet 6 IBC6
Endsheet 7 IBC7