Anatomical side marker

Last revised by Henry Knipe on 23 Mar 2025

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.

Cases and figures

  • Case 1: side markers
  • Case 2: malpositioned side marker
  • Case 3: fracture hidden by marker
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