THE ORDER OF THE PROCEDURE
a. Remove artifacts.
b. Measure part.
c. Set control panel.
d. Technical Factors: Film size: 1. 10 x 12" (24 x 30 cm) cassette, CW.
2. Divide film in half CW.
3. Detail screen tabletop
4. 50-60KVP 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 on cassette and align long axis of hand and forearm
to long axis of portion of film being exposed.
2. Center hand and wrist to half of film.
3. Rotate entire hand and wrist laterally 45 degrees and support with
a radiolucent wedge or step block as shown so all digits are
separated and parallel to film.
g. CR: perpendicular to film,
directed to the second MP joint.
four sides to outer margins of
hand and wrist.
k. Shielding: Place lead shield over patient s lap to shield gonads.
l. Demonstrates: Phalanges, metacarpals, carpals and all joints in the OBL position.