By Terry R. Yochum

The absolutely up-to-date 3rd variation of this profitable textual content covers the total spectrum of radiology, carrying on with its culture of excellence. invaluable either as a studying software around the chiropractic curriculum and as a reference and scientific relief to practitioners, the textual content is helping readers distinguish key radiologic features—invaluable in scientific determination making.

This version accommodates the most recent imaging technologies—including SPECT bone experiment, diagnostic ultrasound, helical 3D CT, and MRI—and positive factors greater than 4,500 pictures acquired with state of the art ideas. assurance contains new chapters on soft-tissue imaging and paraspinal abnormalities and additional info on sports-related injuries.

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Example text

Mrs. Bowers brought on her next visit to the chiropractor the radiograph shown in Figure Y. Although the radiograph has aged and lacks technical clarity, careful observation of the image reveals an acute angular deformity of the femoral neck owing to a displaced fracture. Even today, some 100 years later, the initial diagnostic examination of choice for a similar case is still the same: the plain film radiograph. For examinations of the skeleton, there is no modality to match the time and cost- effectiveness of the plain film radiograph.

The true anatomic joint space, where there is a gap between the two cartilages, is visible only if contrast is injected into the joint (arthrogram) or with traction, in which nitrogen gas may accumulate in the space and be visible as a radiolucent line (vacuum phenomenon). For a joint to be adequately demonstrated, the x-ray beam must pass through the same plane as the joint surfaces. 6 I Yochum & Rowe’s Essentials of Skeletal Radiology Radiographic Positioning Format of Presentation Each projection shown in this chapter is described in a standard format for simplicity and easy reference.

Grid: Yes. TFD: 40 inches (102 cm). Tube Tilt: None. Patient Position: Semiprone. (Fig. 1-5A) Part Position: Head is in true lateral position against the bucky. The infraorbital meatal line is parallel with the long edge of the cassette, and the interpupillary line is perpendicular. CR: Passes 3⁄4 inch superior and 3⁄4 inch anterior to the external auditory meatus. (Fig. 1-5B) Collimation: To skull size. Side Marker: Side closest to the film, in a corner. Breathing Instructions: Suspended expiration.

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