X-Ray

CONVENTIONAL RADIOGRAPHY (X-Ray)

Projection radiography, also known as conventional radiography is a form of radiography and medical imaging that produces two-dimensional images by x-ray radiation. The image acquisition is generally performed by radiographers and the images are examined by radiologists. Sometimes, conventional radiography include dyes that are used orally to image the GI tract or dyes that can be injected intravenously for IVP or injected into the uterus for HSG.

Digital radiography is a form of radiography that uses x-ray–sensitive plates to directly capture data during the patient examination  and transferring digitally to a computer for image processing, without the need of  any manual intervention.

Advantages include

TIME EFFICIENCY

  • Fast –Instantaneous viewing and interpretation.
  • Due to less time, the motion blur is less. Very helpful for children.

LESS RADIATION EXPOSURE

  • 50-80% less radiation producing an image of higher resolution in contrast to conventional or CR radiography.

MAJOR ADVANTAGE IN CHILDREN.

HIGH RESOLUTION, BETTER CONTRAST, MAGNIFICATION, SHARPNESS

as compared to analog CR units

The simplified word ‘view’ is often used to describe a radiographic projection.

View refers to the direction of the X-Ray beam with respect to the part being radiographed.

Common views are

  • AP – Antero-Posterior
  • PA – Postero-Anterior
  • Lateral – Projection taken with the central ray perpendicular to the midsagittal plane
  • Oblique – Projection taken with the central ray at an angle to any of the body   planes.
  • Flexion – Joint is radiographed while in flexion
  • Extension – Joint is radiographed while in extension
  • Weight-bearing – Generally with the subject standing up
  • Prone – Patient lies on their front
  • Supine – Patient lies on the back
  • Decubitus – Patient lying down.

COMMON RADIOGRAPHIC VIEWS & INDICATIONS

CHEST RADIOGRAPHY

Suspected case of  chest infection (Bacterial pneumonia , Viral infection, tuberculosis), Pneumothorax, interstitial lung disease, heart failure.

An erect postero-anterior (PA) projection is the preferred projection

ABDOMINAL RADIOGRAPHY

In acute abdominal pain ,suspected bowel obstruction, gastrointestinal perforation, foreign body in the alimentary tract, suspected abdominal mass and intussusception .

An erect postero-anterior (PA) projection is the preferred projection

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SPINE RADIOGRAPH

In suspected spondylosis, trauma, pain , deformities.

PA and LAT projections are preferred.

Cervical Spine
Lumbar Spine
Dorsal Spine
Sacral Spine

PNS RADIOGRAPHY

Suspected case of  sinusitis, trauma, Deviated nasal septum.

Water’s view and Caldwell’s views are the preferred projections.Town’s view / Lat view is sometimes needed

NASOPHARYNS X-Ray

To diagnose enlarged adenoids

SKULL X-Ray

To diagnose fractures , birth defects , infection , foreign bodies , pituitary tumours etc.

Water’s view and Caldwell’s views are the preferred projections

X-Ray NASAL BONE

To rule out fracture

EXTREMITIES RADIOGRAPHY

Pain, suspected fracture, swelling, tumours, arthritis, trauma.

AP, Lateral & Oblique views are the preferred projections

Shoulder
Ribs
Hands
Knee Standing
Ankle

FAQ

Generally majority of  general radiography (Digital X-Ray) do not need any preparation.

Bowel clearance and fasting required for :

  • X-Ray Lumbar Spine
  • X-Ray Sacro-coccygeal Spine
  • X-Ray KUB

Test timingPatient PreparationTest durationCommon IndicationsRisks and complications
Conventional X-RayAnytime during the day, Prior appointment NOT required(Only Applicable to X-Ray KUB and Lumbosacral spine Xrays)
Overnight fasting, Laxatives ( 2 tabs Dulcoflex)previous night for bowel clearance, Early morning time after bowel clearance is preferred except for trauma patients.
Remove all jewelry and aids or devices such as dentures, hair clips etc; and wear a hospital gown. Carry all your relevant old radiographs and submit to the technician before the test for comparison.

  • Prior appointment is not needed.
  • General waiting time is between 15-30 minutes.
  • An accompanying relative maybe helpful in patients with a plaster cast .
  • Children and elderly needs to be accompanied by a relative.
  • Exact date of last menses  needs to be mentioned.
  • In case of missed period a recent Negative UPT report is mandatory

X-Rays cannot be performed in pregnant patients except under special circumstances(with a doctor’s prescription)   

No. But the treating doctor’s notes would help in deciding the exact radiograph required.

  • Reports are issued the same day / next day
  • Mailing / WhatsApp on request

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