BRS BASIC RADIOLOGICAL SYSTEM USER MANUAL
Contents
1. RADIOLOGICAL SOLUTIONS j BRS BASIC RADIOLOGICAL SYSTEM USER MANUAL STEPHANIX 54 bis rue Jean Baptiste David 42014 SAINT ETIENNE CEDEX 02 FRANCE cE Este producto ostenta una marca CE de acuerdo con las disposiciones de la Directiva 93 42 CEE del 14 de J unio de 1993 sobre Productos M dicos This product bears a CE marking in accordance with the provisions of the 93 42 EEC MDD dated June 14 1993 BASIC RADIOLOGICAL SYSTEM BRS stephanie STEPHANIX constantly strives to improve its products and therefore reserves the right to deliver without prior notice machines whose characteristics differ from those described here nonetheless these machines are still guaranteed to comply with regulations in force All rights reserved MDU BRS A January 2002 Page 1 1 BASIC RADIOLOGICAL SYSTEM BRS stephand TABLE OF CONTENTS INTRODUCTION coono coccion ii a a cebccnpecbbccnsedbecheecehldnnderaccnees 6 Preliminary nformatiOn omic ARES 6 Explanation iii A da da 6 GENERAL MANIPULATIONS riiseni aia 7 Golumn and SWivelliNg AM ocio an iii adan 7 Cassette Node ci A a 7 Light beam colimator ooooocooconnnncccnnnnncccnnnancccnononcccnn non c cnn nao n cnc eee eee erties ANAKNA ARANAN EERE EAEAN ANARAN ERENER 7 O se occ A E etic danse gues tastes ead dab aaeadaauns E abs sass baa AE E AT 7 CONTROLS OF THE BRS ocio A e A E e 8 LUNGS ANd Ne alt eee ne no ncnc ne ee eee eee rr r ran rr C2. SYSTEM BRS Thoracic spine AP Thoracic spine lateral Lumbar spine AP Lumbar spine lateral All positions Clavicle AP Scapula AP Shoulder AP abducted Scapula lateral Shoulder AP after injury Shoulder lateral after injury Shoulder AP All positions Humerus AP and lateral Humerus AP after injury Humerus lateral after injury All positions All positions Pelvis AP Hit joint AP Hit joint lateral Hit joint lateral if a fracture is suspected Femur AP Femur lateral Femur lateral after injury Leg AP Leg lateral no injury Ankle joint all positions Leg lateral after injury Page 30 30 January 2002 Knee AP Knee lateral no injury Knee lateral after injury Knee intercondylar space Patella axial Foot and toes AP Foot PA oblique Foot lateral Foot AP oblique Heel semi axial MDU BRS A
3. Tell the patient to breath out and hold the breath 2 Expose 3 Tell the patient to breathe normally 5 For infants use a 24 x 30 cm cassette Page 12 30 January 2002 MDUBRSA BASIC RADIOLOGICAL SYSTEM BRS SKULL MATERIAL Cassette 24 x 30 cm with rapid screens POSITION OF THE PATIENT Supine horizontal beam skull lateral Prone vertical beam angled 20 towards the feet skull PA Supine vertical beam angled 20 towards the head skull AP Supine vertical beam angled 30 towards the feet skull semi axial PARAMETERS Adults kV mAs Infants kV mAs OPERATING PROCEDURE from 65 to 75 from 32 to 80 65 20 1 Remove dentures hair grips or anything else in the hair 2 For supine position the patient head should be raised on a foam rubber pad 3 For prone position nose and forehead should be against the table and hands under the chest 4 Expose MDU BRSA January 2002 Page 13 30 ephand BASIC RADIOLOGICAL SYSTEM BRS SINUSES AND FACE MATERIAL Cassette 18 x 24 cm with rapid screens POSITION OF THE PATIENT Sitting erect sinuses and face PA Sitting erect sinuses or face semiaxial or nose PA Sitting erect sinuses face or nose lateral PARAMETERS Adults kV from 70 to 90 mAs from 25 to 50 Infants kV 65 mAs 16 OPERATING PROCEDURE 1 Remove dentures hair grips or anything else in the hair 2 For face PA position the patient nos
4. X ray beam angled at 65 from the vertical position hip joint lateral if a fracture is detected PARAMETERS Adults kV mAs Infants kV mAs OPERATING PROCEDURE from 65 to 75 from 63 to 100 50 12 1 For pelvis AP and hip joint AP turn the feet heels apart and toes together 2 For hip joint lateral no injury turn the patient on the affected side so that the leg is flat on the table 3 Expose Page 24 30 January 2002 MDU BRS A BASIC RADIOLOGICAL SYSTEM BRS stephan FEMUR MATERIAL Cassette 36 x 43 cm divided by two with rare earth screens POSITION OF THE PATIENT Supine femur AP Lying on the right or left side femur lateral no injury Supine horizontal beam femur lateral after injury PARAMETERS Adults kV from 55 to 60 mAs from 12 to 24 Infants kV 46 mAs 10 OPERATING PROCEDURE 1 For femur lateral no injury place the patient with the leg to be X rayed underneath and bend the normal leg 2 For femur lateral after injury place the patient so that the injured leg is nearest to the cassette and bend the uninjured leg 3 Expose MDU BRSA January 2002 Page 25 30 hannt BASIC RADIOLOGICAL SYSTEM BRS KNEE MATERIAL Cassette 18 x 24 cm with rapid screens POSITION OF THE PATIENT Supine knee AP Lying on the right or left side knee lateral no injury Supine horizontal beam knee lateral after injury Supine vertical beam ang
5. damage During transportation and storage the black cap of the H T tank must be neither unscrewed nor removed Crates and packing means made by STEPHANIX cannot be used for other purposes than carriage Page 2 30 January 2002 MDU BRS A BASIC RADIOLOGICAL SYSTEM BRS stephan SAFETY AND PROTECTION X rays are not innocuous and can be dangerous if used badly You must therefore take precautions even when following the instructions in this manual X rays units manufactured by STEPHANIX comply with the strictest safety standards in force throughout the world Europe Japan USA etc They guarantee optimum protection against radiation risks Nonetheless you are handling a unit specifically designed to generate X rays to allow medical diagnosis on a film or using a digital imaging system Consequently despite the inherent safety of our equipment we recommend using conventional commercially available equipment to protect yourself and your patient against scattered radiation risks S The following instructions must be strictly observed Use the smallest possible X ray field Use the shortest possible fluoroscopy time Use the lowest input dose necessary for efficient working Maintain the X ray tube in good condition Keep as far away from the beam as possible During exposure personnel not directly involved with the patient must go behind lead or lead glass shielding Y Should any part of the
6. equipment be damaged it must be repaired or replaced before the equipment is returned to service Y Equipment described herein is unsuitable for operation where and when flammable gasses or vapours are present The user must always electrically disconnect the equipment from the mains before cleaning or disinfecting Y Do not allow water or other liquid to enter the equipment as such liquid may cause short circuits and or some corrosion MDU BRS A January 2002 Page 3 30 hannt BASIC RADIOLOGICAL SYSTEM BRS Y It must be noted that some disinfectants vaporise forming potentially explosive mixtures Should such disinfectants be used the vapours must first be allowed to disperse before the equipment is returned to use SS In addition it is vital that an authorized STEPHANIX distributor carries out the assembly extensions adjustments modifications and repairs Also your radiology unit must be installed in premises that comply with IEC provisions and the standards in force Due care must be taken to prevent injury to the patient Ensure that patient s clothing cannot be trapped in the equipment It is important that the patient hands remain on the tabletop Y It is important that all personnel dealing with X radiation be fully acquainted with the radiation protection In the event of failure to comply with these instructions STEPHANIX shall not be held responsible for the safety reliability and characteristics o
7. shutters of the light beam collimator MDU BRS A January 2002 Page 7 30 hannt BASIC RADIOLOGICAL SYSTEM BRS LUNGS AND HEART MATERIAL CONTROLS OF THE B R S Cassette 36 x 43 cm with rare earth screens POSITION OF THE PATIENT Standing erect chest PA Standing erect chest lateral left or right Sitting erect chest AP Supine chest AP Lying on the right or left side horizontal beam chest lateral decubitus AP or PA PARAMETERS Adults kV mAs Infants kV mAs OPERATING PROCEDURE from 90 to 110 from 2 to 12 70 3 1 Make sure the patient s shoulders are well pressed forward 2 Tell the patient to breathe in deeply and hold the breath 3 Expose 4 Tell the patient to breathe normally 5 For infants use a 18 x 24 cm cassette support the head and the legs and lie the infant on its back Page 8 30 January 2002 MDUBRSA BASIC RADIOLOGICAL SYSTEM BRS stephanie RIBS MATERIAL Cassette 36 x 43 cm with rare earth screens POSITION OF THE PATIENT Standing or sitting erect left and right oblique ribs oblique AP Supine right or left oblique ribs oblique AP PARAMETERS Adults kV from 60 to 80 mAs from 20 to 60 Infants kV 70 mAs 2 OPERATING PROCEDURE 1 Ask the patient to raise its arms 2 Tell the patient to breathe in deeply and hold the breath 3 Expose 4 Tell the patient to breathe normally MDU BRS A January 2002 Page 9 30 e
8. 19 30 nia BASIC RADIOLOGICAL SYSTEM BRS HUMERUS MATERIAL Cassette 35 x 43 cm divided by two with rapid screens POSITION OF THE PATIENT Supine humerus AP and lateral Sitting erect humerus AP after injury Sitting erect humerus lateral after injury PARAMETERS Adults kV from 55 to 70 mAs from 8 to 25 Infants kV 50 mAs 4 OPERATING PROCEDURE 1 For supine position rotate the arm outwards palm of the hand facing up for a first picture and angle downwards for the second picture 2 For sitting erect humerus AP the patient s forearm should be at right angle to the cassette holder 3 For sitting erect humerus lateral the patient s forearm should be against the cassette holder 4 Expose Page 20 30 January 2002 MDU BRS A ELBOW MATERIAL BASIC RADIOLOGICAL SYSTEM BRS Cassette 18 x 24 cm with rapid screens POSITION OF THE PATIENT Sitting with the arm in supine position elbow AP Sitting elbow lateral Sitting with the arm in supine position elbow AP semi flexed after injury PARAMETERS Adults Infants OPERATING PROCEDURE kV mAs kV mAs from 50 to 60 from 6 to 10 45 4 1 For elbow AP the palm of the patient s hand should be facing up 2 Expose MDU BRSA January 2002 Page 21 30 nia BASIC RADIOLOGICAL SYSTEM BRS FOREARM MATERIAL Cassette 24 x 30 cm with rapid screens POSITION OF THE PATIENT Sitt
9. BASIC RADIOLOGICAL SYSTEM BRS SACRUM LUMBOSACRAL JUNCTION AND SACROILIAC JOINTS MATERIAL Cassette 24 x 30 cm with rapid screens POSITION OF THE PATIENT Supine vertical beam angled towards the head at 10 for men and 15 for women PARAMETERS Adults Infants OPERATING PROCEDURE kV mAs kV mAs from 85 to 95 from 63 to 160 75 63 1 Tell the patient to hold the breath 2 Expose 3 Tell the patient to breathe normally Page 18 30 January 2002 MDUBRSA BASIC RADIOLOGICAL SYSTEM BRS CLAVICLE SCAPULA AND SHOULDER JOINT MATERIAL Cassette 24 x 30 cm with rapid screens POSITION OF THE PATIENT Supine vertical beam angled 20 towards the head clavicle AP Supine scapula Sitting erect scapula lateral Supine vertical beam angled 10 towards the feet shoulder AP Supine shoulder AP abducted Sitting erect shoulder AP after injury Sitting erect shoulder lateral after injury PARAMETERS Adults kV mAs Infants kV mAs OPERATING PROCEDURE from 60 to 75 from 40 to 120 55 from 6 to 20 1 Put a pillow under the head for each supine position 2 For scapula lateral position raise the arm with the hand behind the head 3 For supine shoulder AP position place a pillow under the normal shoulder and turn the patient so that the shoulder to be X rayed lies flat on the table 4 Expose MDU BRSA January 2002 Page
10. CONDITIONS It is the responsibility of the user to ensure that the government regulations respecting installation and operation of the equipment are observed Incorrect operation or failure of the user to maintain the equipment in accordance with the schedule of maintenance relieves STEPHANIX or his agent from all responsibility for consequent non compliance damage injury defects and or other malfunction The installation and equipment must not be used if any mechanical electrical or radiation emitting component is defective or if the procedures described in the schedule of maintenance have not been carried out Changes and additions to the equipment may only be carried out by STEPHANIX or by third parties expressly authorized by STEPHANIX to do so Such changes must comply with local regulations and accepted standards of good practice In case the power lines do not meet the specifications given in section A Pre installation of the Service Manual the BRS cannot reach its maximum performance and the standard use cannot be guaranteed Technical files diagrams parts list measurement procedure and so on of the Basic Radiological System are available on request to STEPHANIX CARRIAGE CONDITIONS Goods travel at owner s risk No contest shall be taken into account unless written reservations have been made on the consignment note face to face to the carrier upon receipt of the goods in case of apparent loss or
11. ETA Ena Eiaa 8 FRIDS ueno alada 9 ADO MEN suicida ilatina diia het edad n 10 Urinary tract SUVy iia di 11 Urinary bladder and inner pelvis ui i 12 SUI aiii T E E ii 13 SINUSES AMIA ac daa 14 Mandible ccoo ridad ida inicio Dada 15 Cervical spine eee 16 Thoracic and lumbar SPIN eee cece ee eeecce cece ee ee cece eeeae cece eeeesecaaeaeeeeeeesesecaaeaeeeeesesesecaeaeeeeeeesesscneeaeeeeeees 17 Sacrum lumbosacral junction and Sacroiliac joints 2 0 eee ee eeee cece cnet ee eeeaeeeeeeeaeeeeeeaeeeeeeneeeeeeaas 18 Clavicle scapula and shoulder jOint c ccccceceeeseeeneeececeeeeeeeeceeeaeeeeeeeedseceaeaeeeeeeeeeeeenieaeeeeeeeeeeeees 19 HUMETUS iia A eE ESA AE A theres ate laa 20 EIDOW aiin aana aa raid irradia atadas 21 FORO 11 Era E A caved E E E A E E A E A E 22 Wrist hand and fingers ccccceceeeeeecee cece cece eeceaeceeeeeeesceacaeeeeeeeseseceacaeeeeeeseeesecenaeceeeeessscsiaeeeeees 23 Pelvis and NiP TONS isonsensniea ie adn 24 FEMUR ainena Hata le E E E E E ae E andes aE 25 ANC E EEA A AA E A A EE 26 E e E EE A E E A E AT T E E A neat eh aa eaten hee E E E TE 27 POLARIS E Da 28 TABLE scrire Aa AR AARAA ARAARA AAAA AAAA TRAA 29 The CE mark on the system indicates that the unit is in compliance with the European Directive 93 42 CEE of the 14 06 93 concerning the medical devices Original language of document FRENCH MDU BRS A January 2002 Page 1 30 ie BASIC RADIOLOGICAL SYSTEM BRS GUARANTEE
12. STEM BRS CO nar CERVICAL SPINE MATERIAL Cassette 18 x 24 cm or 24 x 30 cm with rapid screens POSITION OF THE PATIENT Sitting erect cervical spine PA Sitting erect cervical spine lateral Sitting erect cervical spine oblique Supine vertical beam angled 15 towards the head cervical spine AP Supine horizontal beam cervical spine lateral PARAMETERS Adults kV from 65 to 75 mAs from 50 to 100 Infants kV 65 mAs 32 OPERATING PROCEDURE 1 Remove dentures hair grips or anything else in the hair 2 For cervical spine PA position tell the patient to place the chin against the cassette holder 3 Tell the patient to hold the breath 4 Expose 5 Tell the patient to breathe normally Page 16 30 January 2002 MDUBRSA BASIC RADIOLOGICAL SYSTEM BRS stephan THORACIC AND LUMBAR SPINE MATERIAL Cassette 35 x 43 cm divided by two with rare earth screens POSITION OF THE PATIENT Supine thoracic or lumbar spine AP Lying on the left or right side thoracic or lumbar spine lateral Supine horizontal beam thoracic or lumbar spine lateral PARAMETERS Adults kV from 65 to 80 mAs from 63 to 120 Infants kV 65 mAs 40 OPERATING PROCEDURE 1 For lumbar spine AP the patient s knees should be bent so that the back is flat on the table 2 Tell the patient to hold the breath 3 Expose 4 Tell the patient to breathe normally MDU BRSA January 2002 Page 17 30 Nan d
13. e should touch the cassette holder face vertical 3 For face semiaxial position tell the patient to open the mouth as widely as possible and place the chin against the cassette holder and tilt the patient s head back 45 4 Expose Page 14 30 January 2002 MDUBRSA BASIC RADIOLOGICAL SYSTEM BRS MANDIBLE MATERIAL Cassette 18 x 24 cm with rapid screens POSITION OF THE PATIENT Sitting erect mandible PA Sitting erect mandible oblique lateral Supine vertical beam angled 30 towards the feet mandible AP Lying on the right or left side vertical beam angled 30 towards the head mandible oblique lateral PARAMETERS Adults kV mAs Infants kV mAs OPERATING PROCEDURE from 65 to 75 from 25 to 63 65 16 1 Remove dentures hair grips or anything else in the hair 2 For mandible PA position tell the patient to open the mouth as widely as possible and place the forehead and nose against the cassette holder 3 For mandible oblique lateral position tilt the head inwards 15 so that the head and shoulder rest against the cassette holder patient sit with the side of the head to be X rayed nearest to the cassette holder 3 For mandible AP position tell the patient to open the mouth as widely as possible 4 For lying position in mandible oblique lateral position tilt the patient head 15 towards the table 5 Expose MDU BRSA January 2002 Page 15 30 Ae BASIC RADIOLOGICAL SY
14. f the machine Your distributor will be pleased to help you with the initial use of your unit and to answer any subsequent questions you may have Page 4 30 January 2002 MDU BRS A BASIC RADIOLOGICAL SYSTEM BRS stephan NOTE TO THE USER You have just purchased a Basic Radiological System We congratulate you on your choice and are sure you will be fully satisfied with its use and diagnostic capabilities STEPHANIX radiology units offer high quality and advanced technology We recommend reading the user s manual carefully before using your unit to become familiar with its operation and make the most of its performance Keep this manual in a safe place so that you can easily refer to it in the future Thank you for placing your confidence in STEPHANIX MDU BRS A January 2002 Page 5 30 hannt BASIC RADIOLOGICAL SYSTEM BRS INTRODUCTION PRELIMINARY INFORMATION The B R S system has been design by the WHO in order to comply with a need for a small equipment easy to use and to manipulate for operator having a little knowledge in X ray units and techniques The B R S system can be used with different X ray generators from STEPHANIX N 32 HF N 32 HFM N 32 HFR N 40 HF N 50 HF This manual explains shortly how to manipulate the B R S system and gives a range of basic radiological techniques sufficient to enable 90 of the problems diagnosable through radiography to be routinely examined Concern
15. horizontal axis on the up and down mechanism A big washer with indication of the rotation angle is attached to the swivelling arm A manual brake situated on the front of the up and down mechanism is used to block the rotation movement CASSETTE HOLDER The cassette holder is situated in the opposite position to the X ray tube and contain a fixed grid To insert a cassette inside pull the handle situated on the front of the tray and put the cassette between the blocking parts which are also used to centre the cassette LIGHT BEAM COLLIMATOR Light An halogen lamp can be switch on by pressing the button on the front of the collimator An integrated timer allows to switch off this light after around 30 seconds in order not to overheat the collimator and the lead shutters Lead shutters the X ray beam can be reduced to the size of the cassette inserted in the cassette holder by turning the two buttons situated in front of the collimator in the appropriate direction Coloured indications for positioning the shutters are also indicated on the cassette holder X RAY TUBE The X Ray tube is auto centred on the cassette holder on the opposite side In some cases it might be necessary to rotate the tube head in order to use the X Ray beam on an other system like a wall Bucky or a fluoroscopy stand It is possible to do it just by rotating the tube head in the right direction Adjustment of the surface of the beam can be made using the lead
16. ing the X ray generator the operator will have to refer to the relevant manual Since films X ray cassettes and screens vary the exposure required for each examination must be adjusted to local conditions by a fully qualified radiographer X ray technologist when the machine is installed If the film cassette screens combination is changed readjustment of the exposure will be necessary for the best results When used by trained radiographers techniques more complex than those shown in this manual can de carried out with the basic radiological system serving the particular needs of specialists in various fields of medicine EXPLANATIONS ERECT standing or sitting up SUPINE lying on the back PRONE lying on the stomach OBLIQUE turned a little usually at a 40 angle LATERAL lying with the side close to the cassette AP antero posterior PA postero anterior Page 6 30 January 2002 MDU BRS A BASIC RADIOLOGICAL SYSTEM BRS stephan GENERAL MANIPULATIONS COLUMN AND SWIVELLING ARM Up and down movement the swivelling arm can go up and down just by pushing it in the right direction the up and down movement is fully counter balanced by a counterweight inside the column A manual brake situated behind the column on the up and down mechanism can be used to block the movement to the right position Rotation movement the swivelling arm is fully counter balanced and can rotate in the vertical plane around its
17. ing with the arm in supine position forearm AP Sitting forearm lateral Sitting with the arm in prone position and the elbow flexed forearm PA after injury PARAMETERS Adults kV from 50 to 60 mAs from 4 to 12 Infants kV 45 mAs 3 OPERATING PROCEDURE 1 For forearm AP the palm of the patient s hand should be facing up 2 For forearm lateral the thumb should be uppermost 3 For forearm PA the palm of the patient s hand should be facing down 4 Add 15 kV if the arm is in a plastter 5 Expose Page 22 30 January 2002 MDUBRSA BASIC RADIOLOGICAL SYSTEM BRS WRIST HAND AND FINGERS MATERIAL Cassette 18 x 24 cm or 24 x 30 cm with rapid screens POSITION OF THE PATIENT Sitting wrist PA Standing or sitting wrist lateral Sitting hand PA and oblique Standing finger lateral PARAMETERS Adults kV mAs Infants kV mAs OPERATING PROCEDURE from 40 to 46 from 4 to 10 40 2 1 For wrist PA the hand should be straight with the palm facing down 2 For wrist lateral the thumb should be uppermost 3 For a finger lateral extend the finger to be X rayed horizontally 4 Expose MDU BRSA January 2002 Page 23 30 hannt BASIC RADIOLOGICAL SYSTEM BRS PELVIS AND HIP JOINTS MATERIAL Cassette 36 x 43 cm or 24 x 30 cm with rare earth screens POSITION OF THE PATIENT Supine pelvis AP Supine hip joint AP Supine hip joint lateral no injury Supine
18. led 30 towards the head knee intercondylar space Standing patella axial PARAMETERS Adults kV mAs Infants kV mAs OPERATING PROCEDURE from 52 to 58 from 12 to 24 46 10 1 For knee lateral no injury place the patient with the leg to be X rayed underneath and bend the normal leg 2 For knee lateral after injury place the patient so that the injured leg is nearest to the cassette and raise the uninjured leg so that it is higher than the cassette 3 For intercondylar space place the cassette under the knee on a firm support 18 20 cm high 4 For patella axial place the cassette on top of the cassette holder on a stool 5 Expose Page 26 30 January 2002 MDU BRS A BASIC RADIOLOGICAL SYSTEM BRS LEG MATERIAL Cassette 36 x 43 cm divided by two or 18 x 24 cm with rare earth screens POSITION OF THE PATIENT Supine leg AP Lying on the right or left side leg lateral no injury Supine horizontal beam leg lateral after injury Sitting on the table ankle joint internal oblique and AP Sitting or lying on the table ankle joint lateral and external oblique PARAMETERS Adults kV mAs Infants kV mAs OPERATING PROCEDURE from 52 to 54 from 8 to 12 46 6 1 For leg lateral no injury place the patient with the leg to be X rayed underneath and bend the normal leg 2 For leg lateral after injury if there are splints on the injured leg leave them o
19. n and bend the uninjured leg 3 Expose MDU BRSA January 2002 Page 27 30 ephand BASIC RADIOLOGICAL SYSTEM BRS FOOT AND TOES MATERIAL Cassette 24 x 30 cm with rare rapid screens POSITION OF THE PATIENT Supine vertical beam angled 10 towards the head foot and toes AP Lying on the right or left side foot lateral Sitting on the table vertical beam angled 10 towards the head foot AP oblique Prone foot PA oblique Supine vertical beam angled 30 towards the head heel semi axial PARAMETERS Adults kV from 42 to 50 mAs from 6 to 10 Infants kV 40 mAs 4 OPERATING PROCEDURE 1 For foot and toes AP bend the patient s leg so that the foot rests flat on the table 2 For heel semi axial the foot should be kept flexed by means of a sling held by the patient 3 Expose Page 28 30 January 2002 MDU BRS A BASIC RADIOLOGICAL SYSTEM BRS stephanit TABLE Chest PA Standing or sitting erect ribs oblique AP Chest lateral Supine ribs oblique AP Chest AP Chest AP Chest lateral decubitus Abdomen AP Urinary tract AP Abdomen PA Bladder and inner pelvis Abdomen lateral decubitus Skull lateral All positions Skull PA Skull AP Skull semi axial Mandible PA Cervical spine PA Cervical spine lateral Mandible oblique lateral Cervical spine oblique Mandible AP Cervical spine AP Mandible oblique lateral Cervical spine lateral MDU BRSA January 2002 Page 29 30 ie BASIC RADIOLOGICAL
20. phand BASIC RADIOLOGICAL SYSTEM BRS ABDOMEN MATERIAL Cassette 36 x 43 cm with rare earth screens POSITION OF THE PATIENT Supine abdomen AP Standing erect abdomen PA Lying left and right side abdomen lateral decubitus PARAMETERS Adults kV from 75 to 85 mAs from 40 to 120 Infants kV 70 mAs 25 OPERATING PROCEDURE 1 Press the patient s abdomen against the cassette holder 2 Tell the patient to breath out and hold the breath 3 Expose 4 Tell the patient to breathe normally 5 For infants use a 24 x 30 cm cassette hold the child hanging by the upper arms Page 10 30 January 2002 MDU BRS A BASIC RADIOLOGICAL SYSTEM BRS URINARY TRACT SURVEY MATERIAL Cassette 36 x 43 cm with rare earth screens POSITION OF THE PATIENT Supine urinary tract AP PARAMETERS Adults kV mAs Infants kV mAs OPERATING PROCEDURE from 65 to 75 from 75 to 180 70 20 1 Tell the patient to breath out and hold the breath 2 Expose 3 Tell the patient to breathe normally 5 For infants use a 24 x 30 cm cassette MDU BRSA January 2002 Page 11 30 hannt BASIC RADIOLOGICAL SYSTEM BRS URINARY BLADDER AND INNER PELVIS MATERIAL Cassette 24 x 30 cm with rare earth screens POSITION OF THE PATIENT Supine vertical beam angled 20 toward the feet PARAMETERS Adults kV from 65 to 75 mAs from 75 to 180 Infants kV 70 mAs 20 OPERATING PROCEDURE 1
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