Articles

Articles are a collaborative effort to provide a single canonical page on all topics relevant to the practice of radiology. As such, articles are written and edited by countless contributing members over a period of time. A global group of dedicated editors oversee accuracy, consulting with expert advisers, and constantly reviewing additions.

410 results found
Article

Thumb series

The thumb series is comprised of a posteroanterior, oblique, and lateral projection. The posteroanterior projection is interchangeably performed anterioposter or posteroanterior depending on mobility. It examines in detail the first metacarpal and its articulations. Thumbs have a vital impact in...
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Tibia and fibula series

The tibia/fibula is comprised of an anteroposterior (AP), and lateral radiograph. The series is often used in emergency departments to evaluate the entirety of the tibia and fibula after trauma.  Indications The tibia/fibula radiographs are performed for a variety of indications including: tr...
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Tibia fibula (AP view)

The tibia fibula AP view is part of a two view series of the entire tibia, fibula, and both the knee and ankle joint.  Patient position the patient may be supine or sitting upright with their leg straighten on the table the foot is in dorsiflexion the toes will be pointing directly toward th...
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Tibia fibula (lateral view)

The tibia fibula lateral view is part of a two view series of the entire tibia, fibula, and both the knee and ankle joint.  Patient position the patient is in a lateral recumbent position on the table the lateral aspect of the knee and ankle joint should be in contact with the table resulting...
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Toes (AP view)

Toes AP view is part of a three view toe series and includes the phalanges and the toe(s) of interest and the distal half of the associated metatarsals. Indications This view evaluates any joint abnormalities such as gout and osteoarthritis and is also useful in determining fractures or disloc...
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Toes (lateral view)

The lateral toe projection is part of the three view series examining the phalanges of any specified toe(s), and distal half of the associated metatarsals. Indications This view evaluates all phalanges of a specified toe(s) for any fractures or dislocation, allowing the establishment of dorsal...
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Toes (oblique view)

The toes medial oblique view is part of the toe series examining the phalange and metatarsals of the foot. Patient position the patient may be supine or upright depending on comfort the affected leg must be flexed enough that the plantar aspect of the foot is resting on the image receptor th...
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Toes series

The toes series is comprised of an AP, AP oblique, and a lateral projection. The series is often utilized in trauma situations. It examines the entirety of the proximal middle and distal phalanges of the foot.  Indications Toe radiographs are performed for a variety of indications including 1:...
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Toes (sesamoid view)

The sesamoid view of the toes is a specialized view examining the sesamoid bones of the first metatarsal. Indications This view provides a better profile of any fractures or dislocation of the sesamoid bones with their articulation at the first metatarsophalangeal joint 1. Patient position t...
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Tracheal bifurcation angle

The tracheal bifurcation angle can have a wide range of normal values in patients and can vary significantly in serial radiographs. It is of poor diagnostic value due to the lack of sensitivity and specificity in identifying the underlying pathology.  Terminology The interbronchial angle is th...
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Transcranial Doppler sonography (ultrasound)

Transcranial​ ​Doppler​ ​(TCD)​, also known as transcranial color-coded duplex sonography (TCCS) is a sonographic study of intracranial structures and blood vessels, used most commonly to identify the hemodynamic state present in the vertebrobasilar circulation and the circle of Willis.  Termin...
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Transesophageal echocardiography

A standard transesophageal echocardiography (TOE, or TEE in US English) is a type of ultrasound using an endoscopic transducer, which is advanced into the esophagus, offering generally superior visualization of the great vessels and posterior cardiac structures than the standard transthoracic ap...
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Triple-rule-out CT

Triple-rule-out CT (TRO CT) angiography may be ordered in the setting of acute chest pain to examine the thoracic aorta and the coronary and pulmonary arteries. The protocol helps exclude life-threatening causes of acute chest pain, especially if atypical, or if alternative causes to acute coron...
Article

Tucked CC views

In the standard CC views posterior tissue may be excluded from the field of view, due to the anatomical attachment to the chest wall restricting mobility of breast tissues. The tucks CC views are useful to depict lesions deep in the posterior portion of the breast, located between 10 and 2 o'clo...
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Ultrasound in practice

Ultrasound is a commonly used imaging tool.  This is a starting page for some general articles about ultrasound in practice in including common pathology and ultrasound techniques.  See also ultrasound (imaging technology)  ultrasound physics
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Upper limb radiography

Upper limb radiography is the radiological investigation of the shoulder girdle, humerus, ulna, radius, carpals and metacarpals of the hand. It is often utilized in the context of trauma to rule out fractures and dislocations. 
Article

Upper limb radiography (pediatric)

Upper limb radiography involves plain film imaging of the shoulder, humerus, ulna, radius, metacarpals and carpal bones in pediatric patients. Depending on the patients' age, the difficulty of the examination will vary, often requiring a specialist trained radiographer familiar with a variety of...
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Urinary system imaging (dual-energy CT)

Dual-energy CT has a number of clinical applications in the assessment of the urinary system particularly in the realm of artefact reduction and material composition Renal stone composition Renal calculi are composed of different substances such as uric acid, calcium phosphate, calcium oxalate...
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Vascular imaging (dual-energy CT)

Dual-energy CT has a variety of clinical applications in vascular imaging, due to the utilization of material decomposition and the ability to reconstruct images at a variety of energy levels. Clinical applications High kVp CT scans have lower contrast than that of lower kVp due to the K-edge ...
Article

Virtual non-contrast imaging

Virtual non-contrast imaging is an image post-processing technique used to create 'non-contrast' images of contrast-enhanced scans via the subtraction of iodine. It is an imaging technique unique to dual energy CT. Clinical applications Virtual non-contrast imaging has the potential to replac...
Article

V/Q scan

V/Q (ventilation/perfusion) scan is a scintigraphic examination of the lung that evaluates pulmonary vasculature perfusion and segmental bronchoalveolar tree ventilation. Indications diagnosis of suspected pulmonary embolism monitor pulmonary function following lung transplant provide preope...
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Windowing (CT)

Windowing, also known as grey-level mapping, contrast stretching, histogram modification or contrast enhancement is the process in which the CT image greyscale component of an image is manipulated via the CT numbers; doing this will change the appearance of the picture to highlight particular st...
Article

World Radiography Day

World Radiography Day (WRD) is an annual event held on 8 November to celebrate the anniversary of the discovery of x-rays by Wilhelm Roentgen, on 8 November 1895, and is organized by the International Society of Radiographers and Radiological Technologists (ISRRT) 1. World Radiography Day occur...
Article

Wrist (carpal bridge view)

The carpal bridge view an additional view to the three view series of the wrist and carpal bones. It is used to assess the dorsal aspect of the scaphoid, lunate and the triquetrum. Patient position the patient is seated alongside the table dorsal aspect of affected wrist is placed on the dete...
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Wrist (carpal tunnel view)

The carpal tunnel view is an axial projection to demonstrate the medial and lateral prominences and the concavity. It can be utilized to investigate potential hook of hamate, pisiform and trapezium factures. Patient position patient stands with the back facing the table palmar surface of hand...
Article

Wrist (clenched fist view)

The clenched fist view is an additional projection used to evaluate suspected widening of the scapholunate interval, often performed bilaterally it is a functional view that requires the patient to clench both hands.  Patient position patient is seated in front of the table  both hands are pl...
Article

Wrist (horizontal beam lateral view)

The horizontal beam lateral wrist view is a modified lateral projection when performing the three view series of the wrist and carpal bones in trauma. It is the orthogonal projection of the PA wrist without any patient movement, making it the most appropriate projection for patients in pain. Pa...
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Wrist (lateral view)

The lateral wrist view is part of a three view series of the wrist and carpal bones. It is the orthogonal projection of the PA wrist. Patient position patient is seated alongside the table the affected arm if possible is flexed at 90° so the arm and wrist can rest on the table abduct the hum...
Article

Wrist (oblique view)

The oblique wrist view is part of a three view series of the wrist and carpal bones. It is not generally performed in follow-up studies unless specifically requested. Patient position patient is seated alongside the table the affected arm if possible is flexed at 90° so the arm and wrist can ...
Article

Wrist (PA view)

The PA wrist view is part of a three view series of the wrist and carpal bones. Although performed PA the view can often be referred to an AP view. Patient position patient is seated alongside the table the affected arm if possible is flexed at 90° so the arm and wrist can rest on the table ...
Article

Wrist (radial deviation view)

The wrist PA radial deviation view is specialized projection employed to better demonstrate the carpal bones that lay on the ulnar aspect of the wrist. Patient position patient is seated alongside the table the affected arm if possible is flexed at 90° so the arm and wrist can rest on the tab...
Article

Wrist radiograph

Wrist radiographs are ubiquitous in the emergency departments. They are commonly performed in the pediatric and elderly populations after a fall on an outstretched hand as well as in patients after higher force trauma. Moreover, they may be performed as part of a skeletal survey looking for meta...
Article

Wrist series

The wrist series is comprised of a posteroanterior, oblique, and lateral projection. The series examines the carpal bones that are consisting of the scaphoid, lunate, triquetrum, pisiform, trapezium, trapezoid, capitate and hamate. It also examines the radiocarpal and distal radiocarpal joint al...
Article

Wrist series (pediatric)

The wrist series for pediatrics often consist of a posteroanterior and lateral view only in order to minimize radiation dose to the patient. Depending on departmental protocols, the oblique view may also be included as a standard view.  Indications trauma with suspected fracture suspected dis...
Article

XCCL view

An XCCL view is a supplementary mammographic view. It is a type of exaggerated cranio-caudal view. It is particularly good for imaging the lateral aspect of the breast.  It is often done when a lesion is suspected on a MLO view but cannot be seen on the CC view. In this view, the lateral aspect...
Article

XCCM view

An XCCM view is a supplementary mammographic view. It is a type of exaggerated cranio-caudal view. It is particularly good for imaging the medial portion of the breast. In this view, the medial portion of the breast is placed forward. A negative 15° tube tilt is suggested. An optimal XCCM view ...
Article

Xenon-127

Xenon-127 is a radiopharmaceutical principally used when a performing VQ scan. It is not a widely used alternative to xenon-133 with the main advantage being a higher proton energy allowing for post perfusion scanning.  photon energy: 203 KeV physical half life: 36.3 days
Article

X-ray artifacts

X-ray artifacts can present in a variety of ways including abnormal shadows noted on a radiograph or degraded image quality, and have been produced by artificial means from hardware failure, operator error and software (post-processing) artifacts.  There are common and distinct artifacts for fi...

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