Position
Position
Position
Anatomical terminology
Patient aspect
• Anterior aspect: that seen when viewing the patient from
the front.
• Posterior (dorsal) aspect: that seen when viewing the
patient from the back.
• Lateral aspect: refers to any view of the patient from the
side. The side of the head would therefore be the lateral
aspect of the cranium.
• Medial aspect: refers to the side of a body part closest to
the midline, e.g. the inner side of a limb is the medial
aspect of that limb.
Radiology of Iraq
Positioning terminology
Planes of the body
⚫ Three planes of the body are used for descriptions of
positioning both in plain-film imaging and in cross-sectional
imaging techniques:
• Median sagittal plane: divides the body into right and
left halves. Any plane that is parallel to this but divides the
body into unequal right and left portions is known
simply as a sagittal plane or parasagittal plane.
• Coronal plane: divides the body into an anterior part
and a posterior part.
• Transverse or axial plane: divides the body into a
superior part and an inferior part.
Radiology of Iraq
Radiology of Iraq
⚫ Positioning terminology
⚫ Erect: the projection is taken with the patient sitting or
standing. In the erect position, the patient may be standing
or sitting:
1. with the posterior aspect against the cassette; or
2. with the anterior aspect against the cassette; or
3. with the right or left side against the cassette.
Radiology of Iraq
⚫ Decubitus: the patient is lying down. In the decubitus
position, the patient may be lying in any of the following
positions:
⚫ Supine (dorsal decubitus): lying on the back.
Radiology of Iraq
Terminology used to describe the limb position
Positioning for limb radiography may include:
• a description of the aspect of the limb in contact with the
cassette;
• the direction of rotation of the limb in relation to the
anatomical position, e.g. medial (internal) rotation towards
the midline, or lateral (external) rotation away from the
midline;
• the final angle to the cassette of a line joining two
imaginary landmarks;
• the movements, and degree of movement, of the various
joints concerned.
Extension: when the angle of the joint increases.
• Flexion: when the angle of the joint decreases.
• Abduction: refers to a movement away from the midline.
• Adduction: refers to a movement towards the midline.
• Rotation: movement of the body part around its own
axis,
e.g. medial (internal) rotation towards the midline, or lateral
(external) rotation away from the midline.
• Pronation: movement of the hand and forearm in which
the
palm is moved from facing anteriorly (as per anatomical
position) to posteriorly. Supination is the reverse of this.
Radiology of Iraq
Radiology of Iraq
A projection is described by the direction of the central
ray relative to aspects and planes of the body.
Antero-posterior The central ray is incident on the
anterior aspect, passes along or parallel to the median
sagittal plane, and emerges from the posterior aspect of
the body.
Postero-anterior The central ray is incident on the
posterior aspect, passes along or parallel to the median
sagittal plane, and emerges from the anterior aspect of
the body.
Radiology of Iraq
Lateral
The central ray passes from one side of the body to the
other along a coronal and transverse plane. The projection
is called a right lateral if the central ray enters the body on
the left side and passes through to the image receptor
positioned on the right side.
A left lateral is achieved if the central ray enters the body
on the right side and passes through to the image
receptor, which will be positioned parallel to the median
sagittal plane on the left side of the body.
Radiology of Iraq
Beam angulation
Radiographic projections are often modified by directing
the central ray at some angle to a transverse plane, i.e.
either caudally (angled towards the feet) or
cranially/cephalic angulation (angled towards the head).
for example,
a lateral 20-degree caudad or
a lateral 15-degree cephalad.
Oblique
The central ray passes through the body along a
transverse plane at some angle between the median
sagittal and coronal planes Anterior oblique The central ray
enters the posterior aspect, passes along a transverse
plane at some angle to the median sagittal plane, and
emerges from the anterior aspect Posterior oblique The
central ray enters the anterior aspect, passes along a
transverse plane at some angle to the median sagittal
plane, and emerges from the posterior aspect.
Radiology of Iraq
Oblique using beam angulation
Radiology of Iraq
Radiology of Iraq
Radiology of Iraq