Im actually surprised the exact video I was looking for came up
@m.francis27747 күн бұрын
Can you explain how to determine the correct CEPHALAD angle when doing a TRAUMA (patient in a neck collar)skull Caldwell view? If you typically use the OML but can't adjust the patient's neck, how do you get the right angle? I've seen videos that say just add 15° to the 7° difference that exists between the OML & IOML. They end up angling 22° cephalad.
@bharathiraja323314 күн бұрын
Thank u so much🙏
@bigbearrojas4327Ай бұрын
I got my exam in 20 min. Thank you so much!
@osos2312 ай бұрын
Great vid!
@m.francis27742 ай бұрын
Can you provide tips on getting a perfectly LATERAL STANDING KNEE? I find it difficult to get the condyles perfectly lateral consistently while a patient is standing.
@ajlaramedinaАй бұрын
Had the same question!!
@Influencepoetry3 ай бұрын
Thank you so much ! Keep up the content. Any videos over pelvis/hips, T and L spine ?
@carltonchats58533 ай бұрын
Great video.Makes it all simple.Thank you. Make you make one on Exposure index
@monicamcmeans16323 ай бұрын
Thanks. That helped a lot.
@conordawson26495 ай бұрын
window width would'nt be indirect it would be inverse
@biliibalaaa57475 ай бұрын
Perfect. Thanks!
@togetherness20006 ай бұрын
Excellent video again.
@togetherness20006 ай бұрын
This one is the best. It showing all the tips are absolutely incredible, and it is easier to understand compared to the other videos.Thank you for sharing this with me.
@4Kxray6 ай бұрын
Thank you for those kind words!
@togetherness20006 ай бұрын
I love your videos and Could you please the next video for the x-ray of the sternum positioning?
@cindyreszke7 ай бұрын
It's not from the tube 'bottom'. This would be confusing
@4Kxray7 ай бұрын
The 40" SID is from the source to image. Radiation exits the bottom of the xray tube. The tape measure that is on the tube housing takes in to account the "inside distance" also. If you pull the tape measure out once actual inch, it does not read one inch. The students will get more technical in their program but the gist of the video was for students to learn how to measure 40".
@thevoiceharmonic8 ай бұрын
I retired after a diverse 40 years of general radiography including presenting papers at national conferences in Australia about the errors believed, taught and practiced. I inadvertently became the best general radiographer in the world because when I was a student I rejected centring point radiography and invented my own 'collimation based positioning' which gave me an unfair advantage in having a closed feedback loop in learning. I was able to strive for perfection rather than completion of a task to an average standard. The paper presented tin 2016 was after all three university tutors failed this simple test. kzbin.info/www/bejne/o4uzdZKdgdhoetksi=egXlU5yFID76b5_A
@pgbear9 ай бұрын
Brilliant video! A colleague shared this video with me today. I've been doing radiography in the UK since 1989 and I never knew it was possible to tell which condyle was which. I was told years ago that the sharper condyle is the one nearest the detector and the condyle furthest away is slightly less sharp - the penumbra effect. This is true, but very hard to see on an x-ray. Your method is far clearer. I'd never noticed or realised before that the the femoral condyles are slightly different shapes. Thank you so much. This is a game changer for me. Regarding the very last image, I think that a slightly caudal ( not cephalic) would help superimpose them. The medial condyle is already above the lateral condyle, so angling more cepahlic would make the medial condyle go up even more. Therefore the central ray needs a slight caudal tilt. Do you agree? (Assuming the image was taken with the lateral condyle nearest the detector).
@4Kxray9 ай бұрын
Thank you for the comment! For the last image I do believe a cephalic angle is needed. If we are looking at the same image (11:50) the medial condyle is lower than than the lateral. See min mark 2:50-3:40. Some of my students believe that angling will essentially move both condyles and still be in them situation... but with that mindset angling caudal will do the same thing in the reverse to both condyles. Too much of an angle will make that happen but 3-7 degrees is the sweet spot.
@Samson-dn4eo9 ай бұрын
how to do a trauma shoulder y view in a gurney.
@gabys919710 ай бұрын
Would you do an angle on an x table lateral?
@4Kxray10 ай бұрын
Good question! It all depends on patient position. You can angle the IR and tube on cross tables so no angle is needed and sometimes I find myself doing a up/cephalad angle if they cannot rotate their leg in.
@gabys91977 ай бұрын
Coming back because im struggling in clinic with this, specially cross table post op knee replacement. Our ortho surgeon wants a true lateral. We always shoot lateromedial. Now would you do a caudad angle if theyre unable to turn their leg in since its lateromedial?@@4Kxray
@nicolassilva172910 ай бұрын
Thank you for making this video ❤
@SolomonLupiya11 ай бұрын
😅
@user-ej4nk7un7r11 ай бұрын
Absolutely ingenious
@andiiii806 Жыл бұрын
More pls sir
@4Kxray Жыл бұрын
Any suggestion on the next video? Would love some ideas!
@thevoiceharmonic Жыл бұрын
The Waters projection should not expose the cervical spine or mandible and should not show the whole skull. This reduces the dose while improving image quality by minimising scatter damage to the image
@4Kxray11 ай бұрын
Very true! This was the only image I was able to locate at the time for the example.
@thevoiceharmonic11 ай бұрын
It is a pity that bad radiography has become standard practice in universities and tutors in hospitals and on line. I have presented papers at national conferences in Australia in 1988 and 2016 about the error in geometry believed by radiographers. The truth is that tube angulation only changes collimation. kzbin.info7X7gZEUveDc?si=SkUxTc2BZaoTpiK0@@4Kxray
@thevoiceharmonic Жыл бұрын
If you positioned the patient with their head stuck out like that, you have the cervical spine at an angle of 45 degrees to the base of the skull. The atlanto-axial joint needs to be in a decent orientation. Posture should be standing to attention with the chin tucked down. Remember that there are some patients where it is incredibly easy to produce an odontoid projection perfectly and there are others where it is impossible to produce due to anatomical variations. I don't use centring points, only accurate collimation. For example, I collimate the thyroid of a lateral cervcial spine. To see my lowest dose technique, please watch my video. kzbin.info/www/bejne/kJTZeWRngsuai9Esi=WgEeF1atFVYXRnFb
@thevoiceharmonic Жыл бұрын
We are dealing with the geometry of the projection - the relationship between focus, bone, and collector. Give up using centring points as they mean little and teach you how to make the same mistakes over and over. Do you know what happens to the geometry if the tube is angled? Only the collimation changes. Only 25% of qualifieds, 5% of students and 95% of radiologists pass my geometry test. kzbin.info/www/bejne/h4O3aKqmhL-godEsi=_ITM7u2ez3uuOFA7. Without understanding it, mastery of radiography is not possible. It is like the difference between a fast food cook and a master chef. To master anything, the mind has to engage with the foundation knowledge and logic.
Thank you for doing this video. I have a question. How can you manipulate the X-ray tube to mimic external or internal rotation for a cross table lateral (shooting mediolateral or lateromedial)when the patient CAN NOT move?
@4Kxray Жыл бұрын
That is a very good question! Think of trauma views as shooting pool/billiards. Sometimes you have to angle the cue stick in different ways to get the ball in the pockets. Same with the xray tube. You often times have to have the tube in a cross table position but angle the tube up (towards the celling) When doing this you may also angle your IR to match. Remember for every 1" of OID you need to compensate by adding 7 inches more SID to avoid the magnification. It's also a good idea to cheat by tricking the patient with your wording. I the patient cannot rotate their leg inwards tell them to rotate/turn their body (in an oblique'ish) position. I say "I need you to turn on your left hip slightly and don't worry your leg will stay in the same position, I will help you". Its usually only 10 degrees needed. Hope this helps!
@m.francis2774 Жыл бұрын
@@4Kxray thank you kindly for responding.
@zerozero5027 Жыл бұрын
Very nice 👍 been looking for this thanks….
@RED-ZONE11 Жыл бұрын
Hello, how are you? I have a question, please, what are the materials that x-rays cannot penetrate
@4Kxray Жыл бұрын
Xray cannot penetrate items with a high atomic number such as lead (82). Hope this help!
@thevoiceharmonic Жыл бұрын
There is no material that cannot be penetrated by xrays. Lead doesn't stop much if it is 0.1mm thick, but lead 1mm thick will stop a lot of xrays, and 10mm thick will stop almost all. Then again, there are low energy xrays that are more easily stopped, and high energy ones that are more able to penetrate anything.
@aridelisbido3094 Жыл бұрын
Thank u. Amazing explanation
@tamarlove1110 Жыл бұрын
Thank you!
@LonjeMarie7 Жыл бұрын
Thank you 🙏🏾
@andrearatkovic4048 Жыл бұрын
I always instruct techs to put mediolatetal or lateromedial on all x-tables.
@4Kxray Жыл бұрын
Great suggestion, wish that would be mandatory!
@sksar93 Жыл бұрын
Thank you
@destinieh07 Жыл бұрын
Really liked this!
@4Kxray Жыл бұрын
Thank you!
@jefftroy4518 Жыл бұрын
when will the robot Radiographer's be inaugurated?
@4Kxray Жыл бұрын
Good question! I think someone will always need to control the robot.
@rune90552 жыл бұрын
This video was incredible helpful, just what I've been looking for. Only suggestion on the last section "x-ray images" is to announce if whether those lateral knee images were medial-lateral Projection or x-table Lateral-medial projection. This is a Great video.
@4Kxray2 жыл бұрын
Thank you for the comment and suggestion!
@hopechristinefaithbardoqui4232 жыл бұрын
nice :)
@rayrayram59452 жыл бұрын
Great video, thank you!
@meritakoxhaj2013 жыл бұрын
You’re saying that at 90 degree dose is higher than when standing at the foot. I thought that the best place to stay is 90 degree from the patient. I’m a student and I’m getting kind of confused.
@4Kxray3 жыл бұрын
See this video for more info kzbin.info/www/bejne/eX-miWuPYqmAgrs
@4Kxray3 жыл бұрын
This image will help clarify photos.app.goo.gl/d1sqX78mShhKeJj48
@meritakoxhaj2013 жыл бұрын
@@4Kxray interesting values in the picture. Never have read or heard that info before. Thank you!