THE ORDER OF THE PROCEDURE
a. Remove artifacts.
b. Measure part.
c. Set control panel.
d. Technical Factors:
Film size 10 x 12" (24 x 30 cm) cassette, CW
Divide film in half CW
Detail screen tabletop.
50 60 kVp range.
f. Patient/Part position: Patient seated at end of table with elbow flexed about 90 degrees
with hand and forearm resting on table.
1. Pronate hand with palmar surface in contact with cassette.
2. Center hand and wrist to half of film.
3. Align long axis of hand and forearm with long axis of portion of film being
4. Spread fingers out slightly.
CR: 1. CR perpendicular to film,
h. SID: 40"
directed to the third MP joint.
four sides to outer margins of
hand and wrist.
2. Minimum 40" SID.
k. Shielding: Place lead shield over patient's lap to shield gonads.
l. Demonstrates: Phalanges, metacarpals, carpals and all joints of the hand in the true PA
position, except for the thumb which is represented as an OBL view.