Citation, DOI, disclosures and article data
Citation:
Bell D, Anatomical side marker. Reference article, Radiopaedia.org (Accessed on 26 Mar 2025) https://doi.org/10.53347/rID-208247
Disclosures:
At the time the article was last revised Henry Knipe had the following disclosures:
- Micro-X Ltd, Shareholder (past)
These were assessed during peer review and were determined to
not be relevant to the changes that were made.
View Henry Knipe's current disclosures
An anatomical side marker, also known as a side marker or orientation marker, is the label on a medical image denoting which side of the body it is.
Historically in radiography, the side marker was a physical marker placed by the radiographer at the side of the patient so that it would be captured on the radiograph during x-ray exposure. Increasingly nowadays it is a digital marker added to the image at the time of processing.
These markers are a key patient safety feature and may result in fatal consequences if they are incorrectly placed 4. Despite their clear importance, several studies have demonstrated that they are sometimes placed incorrectly or often not at all 2,3,5.
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1. Chung L, Kumar S, Oldfield J, Phillips M, Stratfold M. The Use of Anatomical Side Markers in General Radiology: A Systematic Review of the Current Literature. J Patient Saf. 2022;18(1):e115-23. doi:10.1097/PTS.0000000000000716 - Pubmed
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2. Chung L, Kumar S, Oldfield J, Phillips M, Stratfold M. A Clinical Audit of Anatomical Side Marker Use in a Pediatric Medical Imaging Department: A Quantitative and Qualitative Investigation. PLoS One. 2020;15(11):e0242594. doi:10.1371/journal.pone.0242594 - Pubmed
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3. Aakre K & Johnson C. Plain-Radiographic Image Labeling: A Process to Improve Clinical Outcomes. J Am Coll Radiol. 2006;3(12):949-53. doi:10.1016/j.jacr.2006.07.005 - Pubmed
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4. Finnbogason T, Bremmer S, Ringertz H. Side Markings of the Neonatal Chest X-Ray: Two Legal Cases of Pneumothorax Side Mix Up. Eur Radiol. 2002;12(4):938-41. doi:10.1007/s003300101067 - Pubmed
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5. Fuller M. Side Marker Creep: Have Radiographers Changed Their Side Marker Habits? J Med Radiat Sci. 2016;63(3):143-4. doi:10.1002/jmrs.181 - Pubmed
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