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4Kxray
United States
Registrace 10. 06. 2020
Educator and radiology tech for 20 years sharing tricks and tips
Radiology - What is Seen On Posterior Obliques - Made Easy
What do you see on the upside or downside of posterior oblique radiographs?
Intervertebral foramina? Zygapophyseal joint?
What does chicken have to do with it?
Registry Review - xraycoach.com
Radiology shirts and pins - scottydognation.com
Intervertebral foramina? Zygapophyseal joint?
What does chicken have to do with it?
Registry Review - xraycoach.com
Radiology shirts and pins - scottydognation.com
zhlédnutí: 652
Video
Upper GI Barium Positions - Easy!
zhlédnutí 378Před 9 měsíci
Easy way to remember where barium goes when patient is supine or prone Xray registry review - Xraycoach.com Xray shirts, gifts and items - scottydognation.com
Secret To Odontoid Xray Positioning
zhlédnutí 7KPřed rokem
Do you struggle to get the odontoid visualized on the open mouth xray view? What is the magic angle? What do you line up? Xray registry review - Xraycoach.com Xray shirts, gifts and items - scottydognation.com
How To Get Cheap Radiology Reports Using FIVERR!
zhlédnutí 116Před rokem
I often found radiologists on Fiverr.com offering to give second opinions and advice. Lets compare a US radiologist MRI report to a FIVERR radiologist report for only $10! Best xray registry review - xraycoach.com Best xray tshirts and keychains - scottydognation.com
Amazing New AI-Enabled X-Ray System
zhlédnutí 353Před 2 lety
Check out my favorite 3 new AI-enabled features of the GE unit. 1. Transposed bucky lines of IR over patient 2. Technique adjustment based on SID and patient size 3. Tomo feature for chest, knees, spine, etc Best xray registry review - xraycoach.com Best xray tshirts and keychains - scottydognation.com Get all 24 CE Credits for only $20! radtechcredits.com
How To Find 15% kVp Fast In Radiology
zhlédnutí 856Před 2 lety
Easy way to find 15% kVp. It is really simple when you do this trick! Best xray registry review - xraycoach.com Best xray tshirts and keychains - scottydognation.com Get all 24 CE Credits for only $20! radtechcredits.com
5 Computer Tips for Rad Techs
zhlédnutí 187Před 2 lety
Work smarter - not harder! Knowing these 5 computer shortcuts will make your coworkers think you are the go to for all IT related issues. Radiology T-shirts, pins, keychains and more - www.scottydognation.com ARRT Registry Review - www.xraycoach.com Please like and subscribe for more content!
Perfect Lateral Knee X-ray (Lateral Notch at 4:00min mark)
zhlédnutí 21KPřed 2 lety
Easily tell which is the medial and lateral condyle and how to reposition for a perfect lateral knee x-ray Best xray registry review - xraycoach.com Best xray tshirts and keychains - scottydognation.com Get all 24 CE Credits for only $20! radtechcredits.com
Easy Way To Remember Plane/Gliding Joints
zhlédnutí 1,9KPřed 2 lety
Do you struggle to remember which joints in your body have the plane/gliding movement? I promise you WON"T after this video! Radiology T-shirts, pins, keychains and more - www.scottydognation.com ARRT Registry Review - www.xraycoach.com Please like and subscribe for more content!
3 Things To Do BEFORE X-Ray School To Become the TOP Student!
zhlédnutí 828Před 2 lety
What can you do before x-ray school to have the edge over other students? 1. Learn to measure distance with your hands/fingers 2. Learn to measure 40 inches by memory 3. Learn to make things parallel Watch for bonus! Best xray registry review - xraycoach.com Best xray tshirts and keychains - scottydognation.com Get all 24 CE Credits for only $20! radtechcredits.com
Understanding Technique In Radiology
zhlédnutí 2,1KPřed 2 lety
Do you struggle to understand technique with xray and need some tips and tricks? Radiology T-shirts, pins, keychains and more - www.scottydognation.com ARRT Registry Review - www.xraycoach.com Please like and subscribe for more content!
How To Remember Lead Thickness In Radiology
zhlédnutí 728Před 2 lety
Easy way to remember lead thickness equivalent in radiology - can it be this easy? YES!! Never get confused again with lead gloves, apron, glasses, thyroid shield, bucky slot cover and fluoro spot film protective curtain! Best registry review - xraycoach.com Best radiology shirts and keychains - scottydognation.com
Tips To Remember Window & Level In Radiology
zhlédnutí 1,8KPřed 2 lety
Never struggle with window and level again! Tips to never get confused and which one is contrast and brightness. Best registry review - xraycoach.com X-ray shirts and keychains- scottydognation.com
Confused between LAMINA vs PEDICLE?
zhlédnutí 1,4KPřed 2 lety
Radiology T-shirts, pins, keychains and more - www.scottydognation.com ARRT Registry Review - www.xraycoach.com Please like and subscribe for more content!
Xray hack - Threshold or Non Threshold?
zhlédnutí 2,5KPřed 4 lety
Xray hack - Threshold or Non Threshold?
I got my exam in 20 min. Thank you so much!
Great vid!
Can you provide tips on getting a perfectly LATERAL STANDING KNEE? I find it difficult to get the condyles perfectly lateral consistently while a patient is standing.
Had the same question!!
Thank you so much ! Keep up the content. Any videos over pelvis/hips, T and L spine ?
Great video.Makes it all simple.Thank you. Make you make one on Exposure index
Thanks. That helped a lot.
window width would'nt be indirect it would be inverse
Perfect. Thanks!
Excellent video again.
This one is the best. It showing all the tips are absolutely incredible, and it is easier to understand compared to the other videos.Thank you for sharing this with me.
Thank you for those kind words!
I love your videos and Could you please the next video for the x-ray of the sternum positioning?
It's not from the tube 'bottom'. This would be confusing
The 40" SID is from the source to image. Radiation exits the bottom of the xray tube. The tape measure that is on the tube housing takes in to account the "inside distance" also. If you pull the tape measure out once actual inch, it does not read one inch. The students will get more technical in their program but the gist of the video was for students to learn how to measure 40".
I retired after a diverse 40 years of general radiography including presenting papers at national conferences in Australia about the errors believed, taught and practiced. I inadvertently became the best general radiographer in the world because when I was a student I rejected centring point radiography and invented my own 'collimation based positioning' which gave me an unfair advantage in having a closed feedback loop in learning. I was able to strive for perfection rather than completion of a task to an average standard. The paper presented tin 2016 was after all three university tutors failed this simple test. czcams.com/video/mZPD_gLs5Dw/video.htmlsi=egXlU5yFID76b5_A
Brilliant video! A colleague shared this video with me today. I've been doing radiography in the UK since 1989 and I never knew it was possible to tell which condyle was which. I was told years ago that the sharper condyle is the one nearest the detector and the condyle furthest away is slightly less sharp - the penumbra effect. This is true, but very hard to see on an x-ray. Your method is far clearer. I'd never noticed or realised before that the the femoral condyles are slightly different shapes. Thank you so much. This is a game changer for me. Regarding the very last image, I think that a slightly caudal ( not cephalic) would help superimpose them. The medial condyle is already above the lateral condyle, so angling more cepahlic would make the medial condyle go up even more. Therefore the central ray needs a slight caudal tilt. Do you agree? (Assuming the image was taken with the lateral condyle nearest the detector).
Thank you for the comment! For the last image I do believe a cephalic angle is needed. If we are looking at the same image (11:50) the medial condyle is lower than than the lateral. See min mark 2:50-3:40. Some of my students believe that angling will essentially move both condyles and still be in them situation... but with that mindset angling caudal will do the same thing in the reverse to both condyles. Too much of an angle will make that happen but 3-7 degrees is the sweet spot.
how to do a trauma shoulder y view in a gurney.
Would you do an angle on an x table lateral?
Good question! It all depends on patient position. You can angle the IR and tube on cross tables so no angle is needed and sometimes I find myself doing a up/cephalad angle if they cannot rotate their leg in.
Coming back because im struggling in clinic with this, specially cross table post op knee replacement. Our ortho surgeon wants a true lateral. We always shoot lateromedial. Now would you do a caudad angle if theyre unable to turn their leg in since its lateromedial?@@4Kxray
Thank you for making this video ❤
😅
Absolutely ingenious
More pls sir
Any suggestion on the next video? Would love some ideas!
The Waters projection should not expose the cervical spine or mandible and should not show the whole skull. This reduces the dose while improving image quality by minimising scatter damage to the image
Very true! This was the only image I was able to locate at the time for the example.
It is a pity that bad radiography has become standard practice in universities and tutors in hospitals and on line. I have presented papers at national conferences in Australia in 1988 and 2016 about the error in geometry believed by radiographers. The truth is that tube angulation only changes collimation. czcams.com/users/live7X7gZEUveDc?si=SkUxTc2BZaoTpiK0@@4Kxray
If you positioned the patient with their head stuck out like that, you have the cervical spine at an angle of 45 degrees to the base of the skull. The atlanto-axial joint needs to be in a decent orientation. Posture should be standing to attention with the chin tucked down. Remember that there are some patients where it is incredibly easy to produce an odontoid projection perfectly and there are others where it is impossible to produce due to anatomical variations. I don't use centring points, only accurate collimation. For example, I collimate the thyroid of a lateral cervcial spine. To see my lowest dose technique, please watch my video. czcams.com/video/ZcvH11MfgUo/video.htmlsi=WgEeF1atFVYXRnFb
We are dealing with the geometry of the projection - the relationship between focus, bone, and collector. Give up using centring points as they mean little and teach you how to make the same mistakes over and over. Do you know what happens to the geometry if the tube is angled? Only the collimation changes. Only 25% of qualifieds, 5% of students and 95% of radiologists pass my geometry test. czcams.com/video/QRT7wpOZmko/video.htmlsi=_ITM7u2ez3uuOFA7. Without understanding it, mastery of radiography is not possible. It is like the difference between a fast food cook and a master chef. To master anything, the mind has to engage with the foundation knowledge and logic.
I can tell you had fun with this haha
撮影した画像を見てからの評価で判断するのでは、何度も再撮影の必要がある。撮影時にどうすれば完全な側面が撮影できるかコツがあるなら知りたい。
コメントありがとうございます。膝を 20 ~ 30 度曲げ、頭側の角度を 5 ~ 7 度にするようにしてください。膝蓋骨を触って、中心光線に対して垂直であることを確認します。
Thank you for doing this video. I have a question. How can you manipulate the X-ray tube to mimic external or internal rotation for a cross table lateral (shooting mediolateral or lateromedial)when the patient CAN NOT move?
That is a very good question! Think of trauma views as shooting pool/billiards. Sometimes you have to angle the cue stick in different ways to get the ball in the pockets. Same with the xray tube. You often times have to have the tube in a cross table position but angle the tube up (towards the celling) When doing this you may also angle your IR to match. Remember for every 1" of OID you need to compensate by adding 7 inches more SID to avoid the magnification. It's also a good idea to cheat by tricking the patient with your wording. I the patient cannot rotate their leg inwards tell them to rotate/turn their body (in an oblique'ish) position. I say "I need you to turn on your left hip slightly and don't worry your leg will stay in the same position, I will help you". Its usually only 10 degrees needed. Hope this helps!
@@4Kxray thank you kindly for responding.
Very nice 👍 been looking for this thanks….
Hello, how are you? I have a question, please, what are the materials that x-rays cannot penetrate
Xray cannot penetrate items with a high atomic number such as lead (82). Hope this help!
There is no material that cannot be penetrated by xrays. Lead doesn't stop much if it is 0.1mm thick, but lead 1mm thick will stop a lot of xrays, and 10mm thick will stop almost all. Then again, there are low energy xrays that are more easily stopped, and high energy ones that are more able to penetrate anything.
Thank u. Amazing explanation
Thank you!
Thank you 🙏🏾
I always instruct techs to put mediolatetal or lateromedial on all x-tables.
Great suggestion, wish that would be mandatory!
Thank you
Really liked this!
Thank you!
when will the robot Radiographer's be inaugurated?
Good question! I think someone will always need to control the robot.
This video was incredible helpful, just what I've been looking for. Only suggestion on the last section "x-ray images" is to announce if whether those lateral knee images were medial-lateral Projection or x-table Lateral-medial projection. This is a Great video.
Thank you for the comment and suggestion!
nice :)
Great video, thank you!
You’re saying that at 90 degree dose is higher than when standing at the foot. I thought that the best place to stay is 90 degree from the patient. I’m a student and I’m getting kind of confused.
See this video for more info czcams.com/video/CNCX8Y-DMLY/video.html
This image will help clarify photos.app.goo.gl/d1sqX78mShhKeJj48
@@4Kxray interesting values in the picture. Never have read or heard that info before. Thank you!
Please make more videos like this. Thank you!