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Introduction to Radiography Terms and Definitions Anatomic Terminology Anatomic position –Erect, face forward, feet together, arms at sides with palms forward Unit III 2 Anatomic Terminology Plane - Flat surface passed through the body or a portion of the body Unit III planes –Coronal –Sagittal Horizontal plane –Transverse coronal Longitudinal 3 Directional Terms anterior posterior lateral inferior caudal caudad Unit III posterior cephalad cephalic superior cranial lateral proximal medial distal 4 Joint Movement Terms ABDUCT vs. ADDUCT Unit III 5 Joint Movement Terms FLEXION vs. EXTENSION hyperextend extend flexion flexion extension dorsiflexion plantar flexion Unit III neutral 6 Joint Movement Terms INVERSION vs. EVERSION turn inward or medially Unit III turn outward or laterally 7 Joint Movement Terms PRONATION vs. SUPINATION place on front Unit III place on back 8 Joint Movement Terms ROTATION vs. CIRCUMDUCTION pivot circle Unit III 9 Body Position Terms Describe the overall placement of the body – Erect "upright" Position when the sagittal and coronal planes of the body are perpendicular to the horizon – Recumbent "lying down" Position when the transverse plane of the body is perpendicular to the horizon Unit III 10 Body Position Terms decubitus vs. recumbent – general meanings are the same "LYING DOWN" – but in radiography, decubitus has a special meaning – DECUBITUS patient is lying down & the x-ray beam is parallel to the horizon Unit III 11 Erect Positions Surface of body closest to the film used to give a more specific description Examples: Left lateral erect position – Posterior erect -- patient is standing with the posterior surface of the body next to the cassette – Left lateral erect -patient is standing with the left side of the body next to the cassette Unit III 12 Recumbent Positions Supine (posterior recumbent position) – Lying down on the back Prone (anterior recumbent position) – Lying face down xx lateral recumbent – lying down on the xx side Unit III 13 Oblique (Erect or Recumbent) Position when the body is rotated so that the MS plane is neither ^ nor to the film but at an angle Exact position is indicated by the surface closest to the film and the angle of rotation May be erect or recumbent abbreviations: – RPO, LPO, RAO, LAO Unit III 45 RPO 14 Decubitus Positions Ventral decubitus – patient is prone & a horizontal beam is used Dorsal decubitus – patient is supine & a horizontal beam is used Left lateral decubitus – patient lying on the left lateral side & a horizontal beam is used Unit III 15 PROJECTION Refers to the path the beam takes through part Anteroposterior projection (AP) AP projection in supine position Beam enters the front surface and exits the back surface of the part Posteroanterior projection (PA) PA projection in prone position Beam enters the back and exits the front of the part Unit III 16 Lateral Projections Normally the positioning terminology is used rather than projection – torso and head Right to left lateral projection Left to right lateral projection – extremities Mediolateral projection Lateromedial projection Unit III L lateral erect position R to L lateral projection 17 Oblique Projections Normally the positioning terminology is used – example RPO position = right anterior to right posterior projection (oblique AP) Unit III 18 Radiographpy vs Nuclear Medicine Radiography – source of radiation is external. Gamma rays pass through body and form radiograph Nuclear Medicine – source of radiation is radiopharmaceutical taken internally. Xrays pass out of body and form scan image. Unit III 19 Ionization Ability of x-rays to change substances thru which they pass Used to make radiographs and treat cancer May cause cell damage and even death Unit III 20 Nuclear Scan Can give picture of both structure and function Use radiopharmaceutical to produce image Unit III 21 Common Scans Bone – fractures, tumors, inflammation, bone growth Brain – tumors, blood flow Liver – cirrhosis, hepatitis, tumors, cysts, abscesses Lung – blood clots, tumors Thyroid – function, tumors Unit III 22 Radioimmunoassay Mix blood with radioactive substance to determine specific blood protein concentrations Find antibodies and antigens (titers) Unit III 23 Radiation Therapy Treatment of CA with external radiation Stereotactic – focusing multiple beams at the same spot Unit III 24 Teletherapy vs Bradytherapy Teletherapy – radiation source is external Bradytherapy – radiation source is internal Unit III 25 Tomography Imaging method that produces tomes (cross sections) of body along any plane Unit III 26 CAT vs PET CAT – 2D tomes are reconstructed to show 3D images of structure PET – radiopharmecuticals are used to give 2D and 3D images of function Unit III 27 Magnetic Resonance Imaging Media – radio waves and a strong magnetic field Gives good image of soft tissues Cannot use if metal is implanted in body Unit III 28 Sonogram Media – sound waves Gives image of deep structures Only imaging procedure safe for fetus Unit III 29 Thermogram Media – infrared camera captures surface body heat Newer forms relate metabolic activity (function) to heat give off Unit III 30 Contract Medium Radio-opaque substance used to make hard-to-see structure show up on image Used in CAT scans and fluoroscopy Unit III 31 Radio-opaque vs Radiolucent Radio-opaque Block x-rays Shows up as light color Radiolucent – Passes x-rays thru’ Shows up as dark color Unit III 32 Fluoroscopy Visualization of moving structures Used with radio-opaque substances Unit III 33