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Anatomy and Positioning 1 - Lecture 1
Basic Radiographic Positioning and Terminology
121
Medical
Undergraduate 1
08/22/2011

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Term
Anterior / Ventral
Definition
Refers to forward or front part of body or organ
Term
Posterior / Dorsal
Definition
Refers to back part of body or organ
Term
Superior
Definition
Body Surface - toward the head end of the body
Term
Inferior
Definition
Body Surface - Toward the foot end of the body
Term
Center (Body Surface)
Definition
Body Surface - Mid-area / main partof body or body part
Term
Peripheral
Definition
Body Surface - Surface or parts away from the center; Toward the outer border; "Middle layer"
Term
Superficial
Definition
Body Surface - Nearest to / on skin surface
Term
Deep
Definition
Body Surface - Furthest from the skin surface
Term
Lateral
Definition
Part or surface AWAY from middle of the body, "thumb side on true anatomical position"
Term
Medial
Definition
Parts or surface TOWARD the middle of the body; "Pinky side on the true anatomical position"
Term
Proximal
Definition
Refers to parts NEARER the point of attachment, point of reference, origin or beginning
Term
Distal
Definition
Refers to parts FARTHEST from the point of attachment, point of reference, origin or beginning
Term
Internal / Intrinsic
Definition
Refers to inside or the internal portion of an organ
Term
External / Extrinsic
Definition
Outer border / surface of a part, the outside of an organ or structure
Term
Visceral
Definition
Refers to the organs contained within a body cavity or membranous lining surrounding organs
Term
Parietal
Definition
Refers to the wall or membranous lining surrounding a body cavity
Term
True Anatomical Position
Definition
Universal guideline: body erect, arms extended by the sides with palms of the hands facing forward, toes pointing anteriorly
Term
Erect
Definition
Patient standing upright, either facing you or away from you
Term
Recumbant
Definition
Patient lying down in any position
Term
Supine
Definition
Patient is lying down (recumbant) on back or posterior (dorsal) surface with face up
Term
Dorsal Recumbant
Definition
Supine
Term
Prone
Definition
Patient lying down on his / her stomach with anterior surface / face down
Term
Ventral Recumbant
Definition
Prone
Term
Lateral Recumbent
Definition
Patient is lying down on either his / her right or left side
Term
Lateral Recumbent - A
Definition
Left Lateral Recumbent Position
Term
Lateral Recumbent - B
Definition
Right Lateral Recumbent Position
Term
3 Nursing Terms
Definition
Trendelenburg, Fowlers, Sims'
Term
Trendelenburg
Definition
Nursing Term to describe the patient lying recumbent, feet elevated higher than head
Term
Fowlers
Definition
Nursing term for a patient partially sitting upright - head elevated above trunk
Term
Sims'
Definition
Nursing term for when a patient in lying on his/her left side in a postion halfway between prone and lateral.
The right knee and thigh are flexed. Left arm along side patient's back
Used when inserting an enema tip or for colonoscopy / rectal exams
Term
5 Body Planes
Definition
Midsagittal Plane ... aka Median Plane
Sagittal
Transverse Plane
Midcoronal Plane
Midaxillary Line
Term
Midsagittal Plane
Definition
A longitudinal line that passes through the midline of the body dividing it into equal right/left halves
Term
Sagittal
Definition
Any line passing parallel to the midsagittal plane
Term
Transverse Plane
Definition
A line passing crosswise, dividing body into equal superior / inferior portions
Term
Midcoronal Plane
Definition
Longitudinal line passing vertically dividing the body into equal anterior / posterior halves; perpendicular to the midsagittal plane
Term
Midaxillary Line
Definition
A coronal plane extending vertically through the axilla or armpit; useful for positioning a lateral chest x-ray
Term
Palmar / Volvar
Definition
Refers to the palm or anterior surface of the hand; the anterior surface of the palm is the True Anatomical Position
Term
Dorsal surface of the hand
Definition
Refers to the posterior surface of the hand
Term
Plantar
Definition
Sole or bottom of the foot; The posterior surface
Term
Dorsum
Definition
Top or anterior portion of the foot; Dont confuse with dorsal!!!!
Term
Flexion
Definition
To flex / bend at a joint; decreasing the angle between the parts
Term
Hyperflexion
Definition
Forced flexion beyond normal of a limb or part
Term
Extension
Definition
To extend or straighten a joint; increasing the angle between parts
Term
Hyperextension
Definition
Extending a joint beyond a straight or neutral position
Term
Ulnar Flexion
Definition
To decrease the angle between the hand and the ulnar side of the distal forearm (To flex the hand and wrist away from the thumb)
Term
Ulanar Deviation
Definition
Used by orthopedics for Ulnar Flexion
Term
Radial Flexion
Definition
To decrease the angle (flex) between the hand and radial side of the distal forearm (to flex the hand and wrist toward the thumb)
Term
Radial Deviation
Definition
Used by orthopedics for Radial Flexion
Term
Dorsiflexion of the foot
Definition
To decrease the angle (flex) between the dorsum (anterior) surface of the foot and lower leg; (Move foot and toes upward toward the ankle)
Term
Plantar Flexion
Definition
To increase the angle (extend) between the foot and ankle; balarina look; (moving the foot and toes downward from the normal position
Term
Evert / Eversion
Definition
Outward movement of the foot and ankle joint, WITHOUT ROTATING THE LOWER LEG (the plantar surface of the foot is turned away from the median plane of body)
Term
Invert / Inversion
Definition
Inward movement of the foot at the ankle joint, WITHOUT ROTATING THE LOWER LEG ( the plantar surface of the foot is turned toward the median of the body)
Term
Adduction
Definition
A movement of the arm or leg toward the center or midline of the body
Term
Abduction
Definition
a movement of the arm or leg away from the body - A lateral movement
Term
Internal / Medial Roatation
Definition
To turn the body part toward the midline of the body from the anatomical position (Hip and shoulders are the ONLY two joints that rotate)
Term
Hips and Shoulders
Definition
Only 2 joints to rotate
Term
External / Lateral Ratation
Definition
To turn the body part away from the midline of the body from the anatomical position (rotating the shoulder/hip joint outward away from the body)
Term
Supinate
Definition
Roatational movement of the forearm, placing the palm up; placing the hand in the true anatonmical postion
Term
Pronate
Definition
Rotational movement of the forearm, placing the palm down
Term
Circumduction
Definition
To move around in a circular motion, using flexion, extension, adduction and abduction
Term
Tilt
Definition
A slanting or tilting movement
Term
Elevate
Definition
Lifting or raising a part superiorly
Term
Depress
Definition
A lowering or moving a part inferiorly
Term
Ipsilateral
Definition
Relates to the same side of the body or part (ex. right forearm and right femur are same side or ipsilateral)
Term
Contralateral
Definition
Relates to the opposite side of the body or part ( ex. right forearm and left femur are on opposite sides or contralateral)
Term
Ipsilateral & Contralateral are commonly used with
Definition
Mammography
Term
Central Ray (CR)
Definition
Center beam emitted from the x-ray tube
Term
Central Ray identified by
Definition
two crosshairs when the light field of the x-ray tube is on, and is directed to the center of the body / part
Term
Vertical Central Ray is used
Definition
when patient is recumbent or seated
Term
Vertical / longitudinal X-ray beam
Definition
Vertical Centray Ray is 90 degrees perpendicular to the horizon or horizontal portion of the patients body
Term
Horizontal x-ray beam
Definition
A horizontal central ray is at 0 degrees to the horizon or horizontal portion of the patients body
Term
Horizontal Central Ray is used
Definition
when the patient is upright, erect, or decubitus; to see air/fluid levels in the lungs
Term
2 types of angled beams
Definition
Cephalic and Caudad
Term
Cephalic
Definition
A term used to describe the central ray of the x-ray beam directed TOWARD THE HEAD end of the body.
Term
Caudad
Definition
A term used to describe the central ray of the x-ray beam directed TOWARD THE FOOT end of the body
Term
Image Receptor (IR)
Definition
The device that recieves the energy of the x-ray beam and captures the radiographic image that exits the patient; An image which has been created with digital / computed radiographic equipment.
Term
3 devices/ways that use a Image Receptor
Definition
1. Cassette of film (dark room)
2. Cassette with phosphor plate / Computed tomography (digital)
3. Fluoroscopic Screen (real time)
Term
Latent Image
Definition
Image that hasn't been processed
Term
Image receptor with phosphor plate
Definition
The plate stores energy created by x-ray exposure; the image reader scans the plate with a laser. the image is converted into a digital format and viewed on a computer monitor (computed radiography)
Term
Cassette with film
Definition
the film within contians the latent image.
Term
Lengthwise
Definition
The image receptor is placed in the direction of the LONG AXIS of the body or body part. (for long objects)
Term
Crosswise
Definition
The image receptor is placed in the direction of the TRANSVERSE AXIS of the body or body part. (for wide objects and placing 2 objects on 1 plate)
Term
Fluoroscopic Screen
Definition
A "real time" device in which the body part is viewed on live television.
Term
Direct Digital Radiography (DR)
Definition
"Cassette-less;" Involves a direct conversion method in which a digital receptor detects the radiation intensities transmitted through the patient; Most recent technilogical development in radiography
Term
Radiograph
Definition
An image of a patient's amatomic part(s), as produced by the interaction of x-rays on an image receptor (IR) image of an anatomical part produced by the interaction of x-rays and an image receptor.
Term
X-ray Film
Definition
A physical piece of material upon which a radiographic inage is exposed
Term
Radiopaque
Definition
More dense structures which absorb x-rays and appear white on a radiograph
Term
Radiolucent
Definition
Less dense structures which don't absorb x-rays that appear black on a radigraph. Ex. air
Term
Radiographic Position
Definition
how the body is placed; placing a patients body in a position that best demonstrates anatomical structures; refers to the body part that is closest to the image receptor or the surface on which the patient is lying
Term
Radiograhpic Projection
Definition
The path of the x-ray beam as it enters one surface and exits the other surface of the patients body
Term
Radiograhpic View
Definition
The image on the radiograph / computer monitor; Opposite of projection; NOT a positioning term; best demonstrates the surface closest to the film / image receptor.
Term
Anteroposterior Projection (AP)
Definition
The path of the x-ray beam as it enters the anterior surface of the body and exits the posterior surface to reach the image receptor.
Term
Posteroanterior Projection (PA)
Definition
The path of the x-ray beam as it enters the posterior surface and exits the anterior surface next to the image receptor.
Term
Lateral Projection
Definition
90 degrees to the plane of film; The projection of the x-ray beam as it enters the side or lateral aspect of the body or body part
Term
Left to Right Lateral
Definition
The x-ray beam as it enters the left side of the patient and exits the right side
Term
True Lateral Position
Definition
90 degrees from the anterior / posterior postitions; side of interest is placed closest to the image receptor
Term
Axial Projection
Definition
When ever the beam is angled; The central ray of th x-ray beam is angled along with the long axis of the body or body part
Term
Tangential
Definition
"Skimming;" The central ray of the x-ray beam is positioned so that it skims between body parts or body surfaces to profile a body part and project it free of superimposition.
Term
Superimposition
Definition
"things on top of eachother," when ever a part is on top / covering another.
Term
Inferosuperior Projection
Definition
The path of the beam as it enters inferiorly and exits superiorly; frequently used with the shoulder or hip
Term
Superoinferior Projection
Definition
The path of the beam enters superiorly and exits inferiorly; also used with shoulders and hips
Term
Frontal Position
Definition
0 degrees to plane of film
Term
Oblique Position
Definition
The body or body part is rotated so it does not produce a frontal or lateral position; degrees in between 0 and 90, most common being 15,20,30,45; gives the 3rd dimension.
Term
Oblique Projection
(AP Oblique Projection)
(PA Oblique Projection)
Definition
The path of the x-ray beam which enters wither the anterior or posterior surface and exits the body accordingly
Term
4 Possible Oblique Positions
Definition
Named for side and body surface closest to the film
Right Posterior Oblique (RPO)
Left Posterior Obliquw (LPO)
Right Anterior Oblique (RAO)
Left Anterior Oblique (LAO)
Term
Right Posterior Oblique (RPO)
Definition
The patient lying recumbent or standing erect with right posterior surface against the film; Left side elevated away from the film; AP Oblique Projection
Term
Left Posterior Oblique (LPO)
Definition
The patient is lying recumbent or erect with left posterior surface against the IR, right side elevated; AP Oblique Projection
Term
Right Anterior Oblique (RAO)
Definition
The patient is lying down recumebnt or erect with right anterior surface against the IR, left side elevated; PA Olbique Projection
Term
Left Anterior Oblique (LAO)
Definition
The patient is lying down recumbent or erect with left anterior surface agaisnt the IR, right side elevated; PA Oblique Projection
Term
Decubitus
Definition
Patient is lying down with a horizontal x-ray beam; type is determined by the side the patient is lying on
Term
Decubitus Positions are used
Definition
To determine air/fluid levels with in the chest or abdominal cavities; THE PATIENT IS USUALLY UNABLE TO STAND FOR AN UPRIGHT POSITION - DONE IN PLACE OF IT
Term
Terms used with Decubitus
Definition
Ventral and Dorsal
instead of
Anterior and Posterior
and you still use
Rt lateral and Lf Lateral
Term
2 requirements with decubitus
Definition
1. beam is always sideways
2. patient is always lying down
Term
Pneumothorax
Definition
Air outside of the lungs in the chest; indicative of a punctured lung
Term
Perforation
Definition
A hole
Term
"free air"
Definition
air outside of the digestive tract, with a postibility of a perforation
Term
4 possible decubitus positions
Definition
Named after the surface or side the patient is lying on
Right Lateral Decubitus
Left lateral Decubitus
Ventral Decubitus
Dorsal Decubitus
Term
Left Lateral Decubitus
Definition
The patient is lying on their left side in the true lateral position; the IR is behind the patient with the x-ray tube in front (AP Projection)
Term
Right Lateral Decubitus
Definition
The patient is lying on their right side in the true lateral position, the IR is behind the patient with the x-ray tube in front (AP Prjoection)
Term
Dorsal Decubitus
Definition
The patient is lying on their back with the IR against their side, the x-ray tube horizontal on the other side (Lateral Projection of the side closest)
Term
Ventral Decubitus
Definition
The patient is lying down on their stomach with the IR against their side, the x-ray tube horizontal on the other side (Lateral projection of the side closest)
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