Radiography Protocols
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1 Radiography Protocols Upper Limb Second through Fifth Digits (Standard 3 views) First Digit (Thumb) (Standard 3 views) Hand (Standard 3 views) Wrist (Standard 4 views) Forearm (Standard 2 views) Elbow (Standard 4 views) Humerus (Standard 2 views) Shoulder (Standard 3 views) Acromioclavicular Articulation (Standard 2 views) Clavicle (Standard 2 views) Scapula (Standard 2 views) Lower Limb Tib/Fib (Standard 2 projections) Knee (Standard 4 views) Femur (Standard 2 projections) Hip (Standard 2 Projections) Pelvis (Standard 1 projection) Vertebral Column Cervical Spine (Standard 3 views) Thoracic Spine (Standard 2 projections) Lumbar Spine (Standard 2 views) Sacroiliac Joints (Standard 2 projections) Sacrum (Standard 2 views) Coccyx (Standard 2 views) Scoliosis (Standard 1 projection) Thorax Toes (Standard 3 views) Foot (Standard 3 views) Calcaneus (Standard 2 views) Ankle (Standard 4 views) Routine Chest (Standard 2 projections) Portable Chest (Standard 1 projection) Nonroutine Chest Ribs (Standard 2 projections) 1
2 Sternum (Standard 2 views) Sternoclavicular Articulations (Standard 2 projections) Cranium Facial Bones (Standard 3 views) Mandible (Standard 2 projections) Nasal Bones (Standard 2 projections) Abdomen Abdomen (Standard 2 projection) 2
3 3
4 Upper Limb Second through Fifth Digits (Standard 3 views) 1. PA 3. Oblique Notes: Please separate the finger of interest from other fingers on all views. First Digit (Thumb) (Standard 3 views) 3. Oblique Hand (Standard 3 views) 1. PA 2. PA oblique 3. Lateral Wrist (Standard 4 views) 1. PA 3. PA external oblique 4. Pisiform oblique 5. PA ulnar deviation (optional to evaluate for scaphoid fracture) 6. PA axial STRECHER METHOD (optional for carpal bone evaluation) 7. Tangential GAYNOR-HART METHOD (optional for carpal bone evaluation) Forearm (Standard 2 views) Elbow (Standard 4 views) 3. AP oblique- medial rotation 4
5 4. AP oblique- lateral rotation 5. AP partial flexion (optional) Humerus (Standard 2 views) Shoulder (Standard 3 views) internal rotation 2. AP external rotation 3. Scapular Y 4. AP oblique GRASHEY METHOD 5. Inferosuperior axial LAWRENCE METHOD (optional to look for dislocation) 6. Transthoracic lateral LAWRENCE METHOD (optional) Acromioclavicular Articulation (Standard 2 views) PEARSON METHOD (with weights) 2. AP PEARSON METHOD (without weights) Notes: Get both AC joints in field of view. Clavicle (Standard 2 views) 2. AP axial Scapula (Standard 2 views) 5
6 Lower Limb Toes (Standard 3 views) 2. AP oblique 3. Lateral Notes: Separate the toe of interest from the other toes Foot (Standard 3 views) or AP axial 2. AP oblique- medial rotation 3. Lateral- mediolateral Calcaneus (Standard 2 views) 1. Axial- plantar dorsal Ankle (Standard 4 views) - mediolateral 3. AP oblique- medial rotation ankle mortise 4. AP oblique- lateral rotation 5. AP stress studies (optional) Tib/Fib (Standard 2 projections) Knee (Standard 4 views) 3. AP oblique 6
7 4. Patella sunrise view 5. Patella: Tangential SETTEGAST METHOD 6. Intercondylar fossa: PA axial HOLMBLAD MEHTOD (optional) 7. Intercondylar fossa: PA axial CAMP-COVENTRY METHOD (optional) 8. Patella: PA (optional) 9. Patella: Lateral- mediolateral (optional) Femur (Standard 2 projections) 3. Femoral Neck: AP oblique MODIFIED CLEAVES METHOD (optional) Hip (Standard 2 Projections) 2. Frog Lateral LAUENSTEIN and HICKEY METHODS or 3. Axiolateral DANELIUS-MILLER METHOD Pelvis (Standard 1 projection) 2. Inlet (optional 3. Outlet (optional) 4. Judet Obliques 7
8 Vertebral Column Cervical Spine (Standard 3 views) 1. Atlas and axis: AP- open mouth 2. AP axial 3. Lateral GRANDY METHOD 4. Dens: AP FUCHS METHOD (optional) 5. Lateral- SWIMMER S TECHNIQUE (if needed) 6. Hyperflexion and hyperextension lateral (optional) 7. AP axial oblique- RPO and LPO (optional- of little clinical value) 8. PA axial oblique- RAO and LAO (optional- of little clinical value) 9. Trauma lateral- dorsal decubitus (if trauma) 10. Trauma AP axial oblique (optional) Thoracic Spine (Standard 2 projections) 3. Lateral- SWIMMER S TECHNIQUE (if needed) Lumbar Spine (Standard 2 views) 3. L5-S1 Junction: Lateral 4. Hyperflexion and hyperextension lateral (optional) 5. Zygapophyseal Joints: AP oblique- RPO and LPO (optional- of little clinical value) Sacroiliac Joints (Standard 2 projections) axial FERGUSON METHOD 2. AP oblique- RPO AND LPO Sacrum (Standard 2 views) angled 8
9 Coccyx (Standard 2 views) angled Scoliosis (Standard 1 projection) Pasting AP, PA or lateral FERGUSON METHOD 9
10 Thorax Routine Chest (Standard 2 projections) 1. PA Portable Chest (Standard 1 projection) View: AP Note: A PA view should be taken whenever possible as an AP view has significantly less clinical value. Nonroutine Chest lordotic LINDBLOM METHOD (optional) 2. AP or PA lateral decubitus (optional) 3. Lateral dorsal or ventral decubitus (optional) Ribs (Standard 2 projections) 1. PA or AP upper and lower 2. PA or AP oblique upper and lower Notes: It is helpful if a BB is placed at the site of pain. Sternum (Standard 2 views) 1. PA oblique- RAO Sternoclavicular Articulations (Standard 2 projections) 1. PA 2. PA oblique- RAO or LAO BODY ROTATION METHOD 10
11 Cranium Facial Bones (Standard 3 views) 1. Lateral 2. Parietocanthial (WATERS) 3. Acanthoparietal (Reverse WATERS) Notes: These views have little clinical value. Mandible (Standard 2 projections) Towne 2. Mandible axiolateral obliques Nasal Bones (Standard 2 projections) 1. Parietocanthial (WATERS) (both) 11
12 Abdomen Abdomen (Standard 2 projection) - supine (get enough views to get entire abd-pelvis in field of view) 2. AP-Upright (visualized hemidiaphragms; this view is optional if the clinical indication is to evaluate for renal stones) 3. AP- upright 4. AP- lateral decubitus (optional) 5. Lateral (optional) 6. Lateral- dorsal decubitus (optional) 12
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