Talk to us?

- NEETMDS- courses
NEET MDS Lessons
Radiology

1. Postero-Anterior (PA) View of Skull

  • Head Position: Centered in front of the cassette; canthomeatal line parallel to the floor. For cephalometric applications, the canthomeatal line is 10° above the horizontal, and the Frankfort plane is perpendicular to the film.
  • Projection of Central Ray: Passes posterior to anterior, perpendicular to the film.
  • Important Features:
    • Used to examine the skull for disease, trauma, and sinuses.
    • Best for viewing the coronoid process; a PA view with a 10° tilt is called the Caldwell projection.

2. Lateral Skull or Cephalometric View

  • Head Position: Left side of the face near the cassette; midsagittal plane parallel to the film.
  • Projection of Central Ray: Directed towards the external auditory meatus, perpendicular to the film and midsagittal plane.
  • Important Features:
    • Assesses facial growth.
    • Reveals soft tissue profile.
    • Surveys skull and facial bones for disease and trauma.

3. Water's Projection

  • Head Position: Sagittal plane perpendicular to the film; chin raised so the canthomeatal line is 37° above horizontal.
  • Projection of Central Ray: Passes through the maxillary sinus.
  • Important Features:
    • Also known as Occipito-mental projection (variation of PA view).
    • Best for demonstrating zygoma fractures, paranasal sinuses, and nasal cavity.
    • Shows the position of the coronoid process between the maxilla and zygomatic arch.

4. Submentovertex (SMV) View

  • Head Position: Head and neck extended backward; vertex of the skull at the center of the cassette.
  • Projection of Central Ray: Directed towards the vertex of the skull.
  • Important Features:
    • Also called BASE, FULL AXIAL, or JUG HANDLE VIEW.
    • Best for viewing the base of the skull and zygomatic arch fractures.
    • Contraindicated in patients with cervical spondylitis.
    • For viewing zygomatic arches, exposure time is reduced to one-third of that used for the skull.

5. Reverse Towne's View

  • Head Position: Canthomeatal line oriented 25-30° downward.
  • Projection of Central Ray: Directed towards the occipital bone.
  • Important Features:
    • Frankfort plane vertically oriented and parallel to the film.
    • Best for viewing condylar neck fractures.
    • Condyles are better visualized if the patient opens their mouth widely.

6. Lateral Oblique Mandibular Body Projection

  • Head Position: Tilted towards the side being examined; mandible protruded.
  • Projection of Central Ray: Directed towards the first molar region.
  • Important Features:
    • Demonstrates the premolar and molar region.
    • Best for viewing the inferior border of the mandible.

7. Lateral Oblique Mandibular Ramus Projection

  • Head Position: Tilted towards the side being examined; mandible protruded.
  • Projection of Central Ray: Directed posteriorly towards the center of the ramus.
  • Important Features:
    • Often used for examining third molar regions of the maxilla and mandible.
    • Provides a view of the ramus from the angle to the condyle.

Common Problems in Film Processing

1. Light Radiographs

  • Causes:
    • Under Development:
      • Temperature too low
      • Time too short
      • Depleted developer solution
    • Under Exposure:
      • Insufficient milliamperage
      • Insufficient kVp
      • Insufficient exposure time
      • Film-source distance too great
      • Film packet reversed in the mouth

2. Dark Radiographs

  • Causes:
    • Over Development:
      • Temperature too high
      • Time too long
      • Accidental exposure to light
      • Improper safe lighting
      • Developer concentration too high
    • Over Exposure:
      • Excessive milliamperage
      • Excessive kVp
      • Excessive exposure time
      • Film-source distance too short

3. Insufficient Contrast

  • Causes:
    • Improper processing conditions (under or over development)
    • Depleted developer solution
    • Contaminated solutions

4. Film Fog

  • Causes:
    • Excessive kVp
    • Improper safe lighting
    • Light leaks in the darkroom
    • Contaminated developer solution

5. Dark Spots or Tines

  • Causes:
    • Contaminated solutions
    • Film contaminated with developer before processing
    • Film in contact with tank or another film during fixation

6. Light Spots

  • Causes:
    • Insufficient washing
    • Film contaminated with fixer before processing
    • Film in contact with tank or another film during development

7. Yellow or Brown Stains

  • Causes:
    • Insufficient washing after fixation
    • Depleted fixer solution
    • Contaminated solutions

8. Blurring

  • Causes:
    • Movement of the patient during exposure
    • Movement of the X-ray tube head
    • Double exposure
    • Misalignment of the X-ray tube head (cone cut)

9. Partial Images

  • Causes:
    • Top of film not immersed in developing solution
    • Film in contact with tank or another film during processing

10. Emulsion Peel

  • Causes:
    • Excessive bending of the film
    • Improper handling of the film

11. Static Discharge

  • Causes:
    • Static discharge to film before processing (results in dark lines with a tree-like image)

12. Fingerprint Contamination

  • Causes:
    • Fingerprint contamination during handling of the film

13. Excessive Roller Pressure

  • Causes:
    • Excessive roller pressure during processing can lead to artifacts on the film.

Explore by Exams