For PA hand, the phantom was supine on the table, so we just got the flat panel detector and put it underneath the right hand. Placing the anterior side of the hand touching the flat panel detector. We placed the central ray at the 3rd metacarpophalangeal (MCP) joint by centering the PA hand with the crosshairs of the flat panel detector. The central ray would enter through the posterior side of the right hand and exit the anterior side. We put the SID at 40” and put the right marker on the lateral side of the hand by the wrist. We initially had the field of view at 8x10 but we collimated in, having the whole hand and part of the wrist included in the field of view.

For Lateral Ankle, the phantom was supine on the table, so we just rotated the right foot laterally while also placing the flat panel detector beneath the right foot, having the lateral side of the right foot touching the flat panel detector. We placed the central ray at the medial malleolus by centering the ankle with the crosshairs of the flat panel detector. The central ray would enter the medial side of the right foot and exit the lateral side of the foot. We put the SID at 40” and put the right marker on the field of view, outside of the anatomy of interest including 1/3 of the tib-fib and the heel of the foot to the 5th base of the metatarsal.

For AP knee, the phantom was supine on the table, so we got the flat panel detector and put it inside the table bucky. We aligned the bucky to the tube. We rotated the right leg 3-5º medially to place the right knee at a true AP, with sponges to keep position. Then we placed the central ray ½” below the apex of the patella by centering the knee crease with the crosshairs. The central ray would enter the anterior side of the right knee and exit the posterior side. We put the SID at 40” and put the right marker on the lateral side of the right knee with the field of view at 10x12 portrait, including about two inches past both sides of the joints.

For AP shoulder, the phantom was supine on the table, so we got the flat panel detector and put it inside the table bucky. We aligned the bucky to the tube. We then placed the central ray 2” distal mid-clavicle by centering the crosshairs with the same centering point. The central ray would enter the anterior side of the right shoulder and exit the posterior side. We put SID at 40” and put the right marker above the right humeral head with the field of view at 10x12 landscape, including the shoulder girdle and proximal humerus. 

For PA axial clavicle, we had to turn the phantom prone. We then got the flat panel detector and put it inside the table bucky. We then angled the tube 20º caudal and aligned the bucky to the tube. Next, we placed the central ray mid-clavicle. The central ray would enter the posterior side of the left clavicle and exit the anterior side. We put the SID at 40”and put the left marker above the left humeral head with the field of view at 10x12 landscape, demonstrating the entire clavicle.

For AP hip, the phantom was supine on the table, so we got the flat panel detector and put it inside the table bucky. We aligned the bucky to the tube. We placed the central ray 1-2” medial from the ASIS and 3-4” distal from the ASIS by centering the crosshairs with crease/bend of the hip, while also rotating the right foot medially 15-20º to place the femoral neck at a true AP.  The central ray would enter the anterior side of the right hip and exit the posterior side. We put SID at 40” and put the right marker on the lateral side with the field of view at 10x12 portrait, demonstrating the hip joint and the greater trochanter in profile.

For AP oblique ribs, the pahntom was supine on the table, so we got the flat panel detector and put it inside the table bucky. We aligned the bucky to the tube. We then rotated the mannequin towards the right while placing 45º sponge underneath its left side, putting the mannequin in an RPO position. We then set the field of view at 14x17 portrait and used it as a guide to place our central ray at T7 while having 1.5” of light above the right shoulder. The central ray would enter the anterior side of the axillary portion of the ribs and exit the posterior side of the axillary portion. We also put SID at 40” and put the right marker on the lateral side by the right shoulder where the 1.5” of light is, demonstrating the upper right axillary ribs.

For PA axial cranium (Caldwell), the phantom was supine on the table, so we had to put him on the stretcher seated erect. We then placed the flat panel detector inside the wall bucky. We put him in PA position by placing his forehead and nose on the wall bucky while also placing the OML perpendicular to the bucky. We made sure to place the center where the crosshairs meet on the bucky to the nasion of the mannequin. We put SID at 40” and angled the tube 15º caudal. Then we aligned the tube to the wall bucky. The central ray would enter through the posterior side of the cranium and exit the anterior side which would be the nasion. We set the field of view at 10x12 portrait and put the right marker on the right side where there was light, and it will demonstrate the frontal bone and 1/3 of the petrous ridges on the lower orbits.

For AP L-Spine, the phantom was supine on the table, so we got the flat panel detector and put it inside the table bucky. We aligned the bucky to the tube. We placed the central ray 1.5” above the iliac crest and placed the horizontal crosshair at midsagittal plane. The central ray would enter the anterior side of the lumbar spine and exit the posterior side. We put SID at 40” and put the right marker underneath the mannequin on right side with the field of view at 14x17 portrait, demonstrating T11-L5 and proximal sacrum.

For lateral chest, the phantom was supine on the table, so we had to put him on the stretcher seated as erect as possible by placing a thick sponge behind him. We then placed the flat panel detector inside the wall bucky. We put SID at 72” and put the field of view at 14x17 portrait. We placed the central ray at T7 and placed the horizontal line midcoronal plane. We made sure there was 1.5” of light above the shoulders to make sure we were centered correctly, while also including the left marker in the light. Then we aligned the wall bucky to the tube and rested the mannequin’s arms on the chest bar by the wall bucky. The central ray would enter the lateral right side of the chest and exit the lateral left side of the chest. Lateral chest will demonstrate entire lung field from apices to costophrenic angles and from sternum to posterior ribs.