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.
RELATIVE RADIO SENSITIVITY OF THE TISSUES
Radiosensitive (2500 r or less kills or seriously injures many cells)
Lymphocytes and lymphoblasts
Bone marrow (myeloblastic and erythroblastic cells)
Epithelium
Germ cells (testes and ovary)
Radioresponsive (2500-5000 r kills or seriously injures many cells)
Epithelium of skin and many appendages.
Endothelium of blood vessels
Salivary glands
Growing bone and cartilage.
Conjunctiva, cornea and lens of eye
Collagen and elastic tissue(fibroblasts themselves are resistant)
Radioresistant (over 5000 r are required to kill or injure many cells)
Kidney
Liver
Thyroid
Pancreas
Pituitary
Adrenal and parathyroids
Mature bone and cartilage
Muscle
Brain and other nervous tissue.
The numbers represent the minimum damaging doses; a gray and a sievert represent roughly the same amount of radiation:
• Fetus--2 grays (Gy).
• Bone marrow--2 Gy.
• Ovary--2-3 Gy.
• Testes--5-15 Gy.
• Lens of the eye--5 Gy.
• Child cartilage--10 Gy.
• Adult cartilage--60 Gy.
• Child bone--20 Gy.
• Adult bone--60 Gy.
• Kidney--23 Gy.
• Child muscle--20-30 Gy.
• Adult muscle--100+ Gy.
• Intestines--45-55 Gy.
• Brain--50 Gy.