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
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Collimation:
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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
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Collimation:
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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:
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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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