Lumbar Spine L Spine Series - Radiographic Positioning

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➡️ LESSON DESCRIPTION:
This video's objective is to provide detailed instructions for taking routine lumbar spine radiographs. Radiographic positioning included in this video are anteroposterior (AP), anteroposterior (AP) oblique (LPO), anteroposterior (AP) oblique (RPO), lateral, and the L5-S1 lateral spot lumbar spine. *Discuss radiographic techniques using anatomic and projection terminology for the anteroposterior (AP), anteroposterior (AP) oblique (LPO), anteroposterior (AP) oblique (RPO), lateral, and the L5-S1 lateral spot lumbar spine. *Apply patient positioning techniques for common lumbar spine radiographs. *List and identify the central ray location, image receptor (IR) size, marker placement, and image receptor placement. *Explain radiographic equipment manipulation for required radiographic examinations. *Describe procedural considerations for required radiographic examinations. *Discuss the relevance of pathology in radiographic procedures. *Explain the rationale for each projection. *Describe the positioning used to visualize anatomic structures.
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[@candykakumba4745]

Just started my clinicals this year and I love the way you explaining everything

[@Sparzinedan-jv8qw]

I wanna meet this lady in real life
Her explanation is amazing

[@Ufw.boojee]

Your teaching has been very helpful

[@shastriramroop4815]

I'm recently started back doing general xray after 5 years in MRI. I forgot the love I had for general xray. I love these videos! They would be useful for undergrad students.

[@TejRecordz]

update

[@shastriramroop4815]

@@TejRecordz haven't gotten a patient capable yet. All have been really sick or incubated

[@dr.thihanthein3649]

Thank you 😊

[@darienbrewer8317]

Very good explanation of the process. It's very similar to a Judet Pelvis from what I'm seeing. I will understand this process completely after watching this video two more times. I will subscribe if you have more positioning videos on this channel. I'm in my last year of Radiologic Technology. This will help me perfect my craft!

[@noahsakala3792]

Just earned yourself a new student

[@tobiasbrisa13462]

Can you explain the obliques

[@thevoiceharmonic]

At 9.39 we see the collimation opened so it includes the symphysis pubis. This is because the centring point method is being used and there is no measure of how much radiation misses the receptor top and bottom. When judging how good an AP lumbar spine is, look at the collimation. If there is none on the top and bottom of the radiograph, it was the position of the receptor that has determined the success of the image, not the exact centring point. When I produce an AP lumbar, I collimate to the receptor or less, then use the illuminated field produced by the light beam diaphragm as my only positioning guide. For women, this means I can usually exclude the ovaries from the primary beam because I only show down to the bottom of the SIJs. I use knowledge of anatomy to determine what will be on the bottom of the radiograph and what is above that is the projection. Here is my collimated lumbar spine, minimal dose series. czcams.com/video/4W1g0UVOGq0/video.htmlsi=2kxhsXDyyb29gnTC
For laterals, about 5% of women don't need a down tilt on the tube. These are extremely big ladies. To get the perfect lateral requires putting every patient in the perfect position and learning from that. Raise the shoulder and lower the hip they are lying on. This puts a sway in to the back. The line between sacrum and T12 is perpendicular to the angle required for the tube. Always using a breathing technique. I use no centring points, only accurate collimation so I put the sacrum on the bottom of the image, then use lead to protect the ovaries from a primary beam exposure on most women. So my technique reduces the radiation dose to ovaries to 1/1000th of the techniques used in text books and taught by tutors. Why haven't we challenged the way we do radiography in 100 years? Here is my routine standard for lateral lumbars with the masking taken off czcams.com/video/255Z8dtPNpk/video.htmlsi=uv-HrYIg8-a49H1n

[@RonniePrince1-ff6ge5vi9b]

Yo a blessing Lady...#John 14:6..💕💕💕

[@Rainbow_1312]

neck of scottie dog is pars interarticularis

[@Rainbow_1312]

lazy marker placement

[@melissahelmen8323]

Please tell me whats better, Im a student and trying to learn!