Radiography Protocols
© 2013 Radiology Associates of the Fox Valley
Page 1 of 6
Radiography Protocols – Adult
For pediatric protocols, refer to section “Radiography Protocols – Pediatric”.
For Bone Survey examinations, refer to section “Radiography Protocols – Bone Survey”.
If you have a question regarding a radiography protocol, consult with the radiologist on duty. If
no radiologist is available on site, call Centcom at 920 721-9925.
Examination
Abdomen Series
Views (as listed in Bontrager’s Handbook)
Page
AP Abdomen (KUB)
267
and Erect AP Abdomen
268
AC joints
Acromioclavicular (AC) joints
105
Ankle
AP Ankle
126
and Lateral Ankle
130
and AP Mortise
127
Calcaneus
Plantodorsal Calcaneus
123
and Lateral Calcaneus
124
Cervical Spine – routine AP for C1-C2 (Odontoid)
182
and AP Axial for Cervical Spine
185
and Lateral Cervical Spine
188
and Obliques, Cervical Spine
186
Cervical Spine – Trauma Patient in hard collar & on backboard for Lateral, AP, and
Odontoid; once hard collar is removed complete series
taking Obliques, upright Lateral and Odontoid (if not
obtained earlier).
Chest
PA Chest
4
and Lateral Chest
5
Clavicle
AP and AP Axial Clavicle
100
Coccyx
AP Coccyx
210
Lateral Coccyx
213
Elbow
AP Elbow
65
and Oblique Elbow (Internal and External)
68
Lateral Elbow
71
Facial Bones
Facial Bones – PA (Caldwell)
237
and Parietoacanthial (Waters)
236
and Submentovertex (SMV) Skull
227
and Facial Bones – Lateral
233
Femur
AP Femur
158
Lateral Femur
159
Finger – Digits 2 - 5
PA Hand
44
and PA Oblique Finger
35
and Lateral Finger
37
Finger - Thumb
PA Hand
44
and AP Thumb
38
and Lateral Thumb
41
Foot
AP Foot
116
Radiography Protocols
Forearm
Hand
Hands – rheumatoid
Hip - routine
Hip - trauma
Humerus - routine
Humerus - trauma
Knee – routine
Knee - Trauma
Lumbar
Mandible
Mastoids
Nasal Bones
Orbits
(Sinuses + Rhese)
Pelvis
Patella
Ribs
Sacroiliac (SI) Joints
Sacrum
© 2013 Radiology Associates of the Fox Valley
and AP Oblique Foot
and Lateral Foot
AP Forearm
Lateral Forearm
PA Hand
and PA Oblique Hand
and Lateral Hand (“fan” fingers)
PA Hand (Bilateral)
and Bilateral Oblique (Norgaard Method)
AP Pelvis
and Lateral Hip (Nontrauma)
AP Pelvis
and Lateral Hip (Trauma method)
AP Humerus
and Rotational Lateral Humerus
AP Humerus
and Trauma Lateral Huerus
AP Knee
and Lateral Knee
AP Knee
and Lateral Knee
and AP Oblique Knee (Medial and Lateral)
AP (PA) Lumbar Spine
and Lateral Lumbar Spine
and Lateral L5-S1 Lumbar Spine
Mandible – PA
and AP Towne (include mandible)
and Mandible – axiolateral obliques
and Panorex
No routine radiographs (perform CT)
Facial Bones – Parietoacanthial (Waters)
and Nasal Bones - Lateral
PA Paranasal Sinuses (Caldwell)
and Paranasal Sinuses (Waters)
and Lateral Paranasal Sinuses
and Optic Foramina (Rhese)
AP Pelvis
PA Patella
Lateral Patella
Patella – Tangential Projection (Settegast)
AP or PA Ribs
and AP Ribs – Below Diaphragm
and Anterior Oblique Ribs – PA
and Posterior Oblique Ribs - AP
Sacroiliac Joints AP Axial
and Sacroiliac Joints Posterior Obliques (Bilateral)
AP Sacrum
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117
119
62
63
44
46
47
44
49
170
165
170
168
77
78
77
79
136
138
136
138
137
198
200
201
248
221
249
235
245
257
259
256
240
170
145
146
149
25
26
28
29
215
216
209
Radiography Protocols
Scapula
Scoliosis
Shoulder - routine
Shoulder - trauma
Shunt Series
Sinuses
Skull
Soft Tissue Neck
Stent Graft Series
Sternoclavicular joints
Sternum
Tib/fib (Lower Leg)
TMJ
Thoracic/Dorsal Spine
Toes
Wrist - routine
Wrist – Scaphoid
Zygomatic Arches
© 2013 Radiology Associates of the Fox Valley
and Lateral Sacrum (and Coccyx)
AP Scapula
and Lateral Scapula
Scoliosis Series AP Ferguson
AP Shoulder [external rotation]
and Posterior Oblique (Grashey)
and Inferosuperior Axial
AP Shoulder [internal rotation]
and Posterior Oblique (Grashey)
and Lateral Shoulder (Scapular Y Lateral)
AP Towne (Skull)
and Lateral Skull
and PA Chest (overlap exposure with skull)
and AP Abdomen (overlap exposure with chest)
PA Paranasal Sinuses (Caldwell)
and Parietoacanthial (Waters)
and Lateral Paranasal Sinuses
AP Towne
and Lateral Skull (bilateral)
and PA Skull
and Parietoacanthial (Waters)
AP Neck
and Lateral Neck
AP Abdomen (KUB)
and Abdomen Dorsal Decubitus (Lateral)
and Bilateral 30 Oblique Abdomen
No routine radiographs (perform CT)
Oblique Sternum
and Lateral Sternum
AP Leg (Tibia-Fibula)
and Lateral Leg (Tibia-Fibula)
Bilateral tomographs with mouth open & closed
AP Thoracic Spine
and Lateral Thoracic Spine
and Lateral Cervicothoracic Spine
AP Toes
and AP Oblique Toes
and Lateral Toes
PA Wrist
and PA Oblique Wrist
and Lateral Wrist
and [for trauma] PA Wrist – Ulnar Deviation
PA Axial Scaphoid (15° and 25° CR Angles)
Facial Bones – PA (Caldwell)
and Facial Bones – Parietoacanthial (Waters)
and Bilateral Zygomatic Arches – AP Axial
and Zygomatic Arches – Bilateral (SMV projection)
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212
102
103
205
83
89
85
83
89
93
221
223
4
267
257
259
256
221
223
225
236
267
271
20
21
133
134
194
195
189
110
111
113
51
52
55
56
57
237
235
244
241
Radiography Protocols
© 2013 Radiology Associates of the Fox Valley
Page 4 of 6
Radiography Protocols – Pediatric
For any exams not listed here, refer to “Radiography Protocols – Adult” above.
For Bone Survey examinations, refer to “Radiography Protocols – Bone Survey” below.
If you have a question regarding a pediatric protocol, consult with the radiologist on duty. If no
radiologist is available on site, call Centcom at 920 721-9925.
Radiographic
Routines
Name
Abdomen
Series –
routine
survey
Abdomen
Series –
acute
abdomen
Abdomen
Series –
patient can
stand
Abdomen for
imperforate
anus
Bone age
Cervical
Spine
Follow Pediatric Protocol until age:
Bontrager’s Handbook
Description
Page
0 – 6 months
AP Pediatric Abdomen (KUB)
273
0-3 years
AP Pediatric Abdomen (KUB)
and Left Lateral Decubitus
Abdomen
273
270
3 – 16 years
AP Pediatric Abdomen (KUB)
and AP Erect Pediatric Abdomen
273
274
Newborn
Cross-table prone abdomen;
mark anal dimple with nipple
marker
PA Left Hand
AP pediatric lower limb
AP for C1-C2 (Odontoid)
and AP Axial for Cervical Spine
and Lateral Cervical Spine
AP Pediatric Chest
and Lateral Pediatric Chest
Pediatric AP Upper Limb
and Pediatric Lateral Upper Limb
Pediatric AP and Lateral Hips
Pediatric AP Lower Limb
and Pediatric Lateral Lower Limb
AP (PA) Lumbar Spine
and Lateral Lumbar Spine
and Lateral L5-S1 Lumbar Spine
PA Caldwell
and Lateral Skull
44
153
182
185
188
15
17
74
75
178
152
153
198
200
201
225
223
6 months and over
Less than 6 months
13
Chest
3 years
Elbow
0-2 years
Hips/Pelvis
Knee
0 – 2 years
0 – 2 years
Lumbar
spine
Add cone-down at age 13
Skull
0-3 years
Radiography Protocols
© 2013 Radiology Associates of the Fox Valley
Page 5 of 6
Radiography Protocols - Bone Surveys
Examination
Bone Survey - Adult
Bone Survey – Pediatric
Initial Non-Accidental
Trauma: 31 images
Bone Survey – Pediatric
Follow-up NonAccidental Trauma: 17
images
Views (as listed in Bontrager’s Handbook)
Bilateral AP Ribs
Bilateral AP Shoulders
Bilateral AP Humeri
and Bilateral AP Femurs
and AP Pelvis
and AP Towne Skull
and Lateral Skull
and AP Thoracic Spine
and Lateral Thoracic Spine
and AP Lumbar Spine
and Lateral Lumber Spine
and Lateral Cervical Spine
Skull- 4 views
Ribs- AP and both oblique views
Right PA hand
Left PA hand
T spine- AP and lateral
L spine- AP and lateral
AP feet
AP knees
AP ankles
AP Elbows
AP wrists
Right humerus
Left humerus
Right forearm
Left forearm
Right femur
Left femur
Right tib/fib
Left tib/fib
Ribs AP
PA both hands
T-spine AP and lateral
L-spine AP and lateral
AP both feet
Right humerus
Left humerus
Right forearm
Left forearm
Right femur
Left femur
Right tib/fib
Page
25
83
77
158
170
221
223
194
195
198
200
188
Radiography Protocols
© 2013 Radiology Associates of the Fox Valley
Left tib/fib
Bone Survey – Pediatric
Generic Study
(metabolic, neoplastic
issues): 20 images
Skull- 4 views
PA both hands
T-spine AP and lateral
L-spine AP and lateral
AP both feet
Right humerus
Left humerus
Right forearm
Left forearm
Right femur
Left femur
Right tib/fib
Left tib/fib
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