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X-Ray Images the Pelvis

You have a request for a radiological examination of the pelvis. You have the assistance of additional personnel if required. You will need a properly equipped X-ray exposure room with various sizes of film in cassettes, sand bags, lead shielding, letter makers, and various positioning sponges.

1.  Select the required view(s) based on the request.

2.  Gather the necessary materials and supplies.

a.  Sandbags.

b.  Lead apron/gonadal shielding

c.  Letter markers

d.  Calipers

3.  Prepare the patient

a.  Bring the patient into the X-ray room.

b.  Ensure the patient is dressed in a gown, if necessary.

(1)  Ensure foreign objects are removed from the patient as needed

(2)  Ensure the patient's clothing is removed as needed.

(3)  Use a drape sheet to cover the patient as needed.

c.  Explain the procedure if applicable.

d.  Assist the patient onto the X-ray table.

4.  Measure the body part through the entry-exit site of the central ray.

5.  Set the control panel.

a.  Consult the technique chart.

b.  Set the appropriate mAs and kVp on the control panel.

6.  Select the proper size cassette.

NOTE: Use a 14'' X 17'' cassette.

7.  Place the cassette in the bucky crosswise.

8.  Position the overhead tube.

a.  Set the tube angle perpendicular to the film.

b.  Set the source to image receptor distance (SID) to 40 inches (101cm).

c.  Center the tube to the cassette.

d.  Adjust the cone field to full field coverage.

9.  Position the patient for the AP pelvis view.

a.  Place the patient supine with the midsagittal plane perpendicular to and over the centerline of the table.

b.  Extend the lower extremities.

c.  Rotate the feet and legs medially to form a 15 degree angle with table.

d.  Place the iliac crest 2" below the upper edge of the cassette.

10.  Immobilize the body part by placing sandbags against both feet.

11.  Place the appropriate letter marker on the cassette.


13.  Make the exposure

14.  Tell the patient, "RELAX AND BREATHE NORMALLY," and remove immobilization.

15.  Develop the exposed film with the patient identification for processing.


David L. Heiserman, Editor

Copyright   SweetHaven Publishing Services
All Rights Reserved

Revised: June 06, 2015