Facial Bones
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Lateral
IR Size: 8x10 LW
SID: 40""
Page #'s: 2:325,292
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Positioning:
True Lateral with affected side to IR
Upright if possible to demonstrate air / fluid levels
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CR Entrance & Angle:
_|_ to zygoma 1/2 way between outer canthus & EAM
Collimation:
Best to Determine:
Entire facial bones in lateral position
Zygomatic bone in the center
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Eval Criteria:
SI orbital roofs & mandibular rami
NR by sella turcica in profile
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Parietoacanthial
(Waters)
IR Size: 8x10 LW
SID: 40""
Page #'s: 2:328,294
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Positioning:
Upright or prone facing bucky
Nose should be ~3/4"" from grid
Upright if possible to demonstrate air / fluid levels
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CR Entrance & Angle:
_|_ to exit acanthion
Collimation:
Best to Determine:
Orbits, Maxillae & Zygomatic arches
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Eval Criteria:
NR by Equidistant lat borders of skull & orbits
***Must be met or need to repeat if Petrous ridges aren't immediately below the maxillary sinuses
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PA axial
(Caldwell)
IR Size: 8x10 LW
SID: 40""
Page #'s:
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Positioning:
Same as Cranium-Caldwell + added angle
Pt prone or seated/upright in PA position:
Pt forehead & nose: rest on bucky
AP/AP axial may also be performed-Cephalad angles entering nasion (Orbits will be magnified ^ OID):
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CR Entrance & Angle:
CR exits Nasion.
General study 15° caudad; if orbital floors of interest CR 30° caudad (Exaggerated Caldwell)
Collimation:
Best to Determine:
Orbital rims, maxillae, nasal septum, zygomatic bones & anterior nasal spine
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Anatomy to IR:
MSP centered to IR & OML _|_ to IR, Nasion to crosshairs
Eval Criteria:
Entire cranial perimeter
NR by Equidistant lat borders of skull & orbits
Symmetric petrous ridges in lower 1/3 of the orbits
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