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Jonathan Lee
United States
Приєднався 23 вер 2014
Radiography Education - The videos on this channel are primarily featuring radiography students in the laboratory experimenting with various technical factors and positioning in an attempt to discover things that work and things that don't. We aren't expert radiographers, but we are working toward that goal!
NCSRT 2024 Cherokee
This is a brief presentation on radiographic physics. Nothing new here, it's the same information that's in EVERY text book ever written on the subject and easily verifiable. Hopefully this will help students who are preparing for the registry exam!
Переглядів: 58
Відео
My last Radiography Video (at least for now)
Переглядів 232Рік тому
A parting message for all my radiography peeps. Good luck in everything, keep going, don't give up and become the best x-ray technologist you can be! See you all at the hospital.
Advice for beginning students
Переглядів 234Рік тому
A little advice for prospective students and for beginning radiography students. The program is challenging, but YOU can do it! Work hard, help out in clinic as much as you can, be a self-starter and have a POSITIVE attitude! I was very successful as a radiography student by simply closing my mouth and doing what I was told. If you can master those two skills, you're going to go far as a radiog...
pelvic outlet imaging
Переглядів 3,4 тис.2 роки тому
This is a fairly rare examination of the pelvic outlet, which consists of the pubic bones and the ischial bones. This is typically done to search for fractures of the inferior anatomy which are not shown clearly on a regular AP pelvis x-ray due to superimposition. This exam is not often ordered, but it's a good thing to have in your tool box just in case you're called upon to perform it. Most p...
Pelvic Inlet View
Переглядів 2,9 тис.2 роки тому
Students demonstrate the correct positioning and centering for an inlet view of the pelvis. This is a supplemental image sometimes ordered to demonstrate defects in the pelvic brim. The resulting image is elongated, but any fractures will be enhanced.
Markers
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Marker placement in radiography. Depending on the imaging system you are using, your markers may or may not show up if they are outside the collimated field. So try to keep the markers close, but not in the patient's anatomy.
Trauma Cross table hip
Переглядів 2,5 тис.2 роки тому
@x-rayeducation2277 Radiography students practicing cross-table lateral hip for TRAUMA imaging. The affected leg cannot be moved, so don't try to rotate it or abduct it or flex it! Get the UNAFFECTED leg out of the way, then line up for a 45 degree angled shot through the groin area. Shielding can be used, but must not cover any of the anatomy of interest so be careful.
Bilateral frog leg hip x ray
Переглядів 2,8 тис.2 роки тому
Radiography students demonstrate positioning for bilateral frog-leg hip x-ray. Do not perform this exam on any patient with a suspected or confirmed fracture! In another video
AP and lateral hip x ray
Переглядів 4,6 тис.2 роки тому
X-ray students in the lab with a demonstration of AP and "frog leg" lateral hip x-rays. Do not rotate the patient's leg OR attempt to position for a frog lateral if you suspect (or know) that the patient has a fracture.
X ray lab introduction
Переглядів 1182 роки тому
Introduction to the x-ray lab for people interested in enrolling in a radiography program. This is a short video that I show to middle school and high school students to give them a look at the lab and how we make an image using a CR system.
AP pelvis x ray
Переглядів 4,6 тис.2 роки тому
A brief video on AP pelvis positioning. The AP pelvis is the x-ray exam which has the highest repeat rate of any exam! Seems simple enough, but it is very easy to clip anatomy or forget to internally rotate the legs. (internal rotation will bring the femoral necks parallel to the image receptor and hopefully eliminate foreshortening
Chest Critique
Переглядів 2032 роки тому
quick and dirty chest x-ray critique. Is the image any good? If not, what should we do to fix it? This is pretty basic but hopefully will help you decide whether or not to pass your next image.
Film Vs CR imaging
Переглядів 1262 роки тому
This is an experiment we did in the lab to show the difference when exposing traditional FILM vs a typical CR system. With film, any exposure errors are very readily apparent and there is no question as to whether or not an image is over or under exposed. With digital systems, this becomes more of a challenge. Just because an image LOOKS good doesn't necessarily mean that the exposure factors w...
Wrist X-ray Carpal and scaphoid
Переглядів 2,7 тис.2 роки тому
Some additional wrist positioning for views of the scaphoid, carpal tunnel, and medial carpal bones (pisiform, hamate). We will demonstrate axial carpal tunnel view (Gaynor-Hart), Stecher view of the scaphoid with and without ulnar deviation, PA Axial with ulnar deviation, and wrist with radial deviation. Always be sure to shield your patient!
Target interactions with the IR
Переглядів 642 роки тому
This is a more technical video describing the target interactions of x-ray photons with the IMAGE RECEPTORS we use in CR and DR. This video assumes a fair to strong foundation on the part of the student. We're primarily talking here about why we use certain materials for CR and DR imaging plates and why almost all companies that make DR plates use the 2 step process involving a scintillator cou...
Chest X-ray air-fluid levels vs anatomy
Переглядів 2,3 тис.2 роки тому
Chest X-ray air-fluid levels vs anatomy
Failed projection of Townes skull at 5.34. There has never been a reason to include the face, cervical spine and thyroid on a Townes projection. Just reduce the angle by 4 degrees and ensure the collimation is to the brow line. Hopefully you know that changing the tube angle this way only changes the collimation. The foot xray at 11.49 shows the lower leg being needlessly included in the primary beam which doubles the dose and the scatter damage to the radiograph. Ensure you understand the geometry of projections, then use collimation as your guide rather than centring points. 75% of qualified radiographers fail my geometry test ua-cam.com/video/mZPD_gLs5Dw/v-deo.htmlsi=ucP13VwC0Sv-4JFO. Look at my channel for examples of collimation based positioning which will result in you becoming a master of the art rather than someone who completes a task to adequately specifications
Perpetuating the error than began in the 1920s. No one knows were T7 is until after the xray is taken. Obviously, if you do follow the technique, you deliver a needless primary beam dose to the thyroid and mandible. Just collimate accurately to the cassette or less, and then ensure the top of the lungs will appear on the top of the radiograph. It is likely the tutor on this video will fail my x-ray beam geometry test because anyone who is locked into centring points never has to apply geometry principles. ua-cam.com/video/mZPD_gLs5Dw/v-deo.htmlsi=ucP13VwC0Sv-4JFO
A well trained radiographer would not include the skull and shoulder joints on a chest xray. Lack of collimation increases the radiation dose enormously. The problem is in trying to find T7 and using that as a centring point. No one knows where it is, and no one judges the success of a chest xray by finding T7 in the centre. Instead, collimate to the size of the cassette, then use the illuminated field as your only positioning guide.
Stop using rules of thumb to find the centring point. Instead, collimate accurately, then use the illumination of the Light beam diaphragm as your positioning guide. For pelvis, you need the iliac crest on the top of the image. This minimisation of the primary beam is the best way to reduce radiation dose.
How do you ensure the crest is not cut off?
I think bruno in this scene is not so famous, comoared to the "other" scene.
Rip Bruno Ganz
Loved it! Thank you. 😊
If majority of people realize how kind and pro this guy is..he just took the 50 and explained it for expenses..could we get any more this kind of overall humanity these days? I think no...only self centered manners
Can this test detect worms in the stomach?
Thanks for the video ❤
Very lag video. 🤢
sorry about that. We're just radiography students and not very good at video production.
What if someone can't get on their stomach due to back issues?
He didn’t show where the CR ray was cause he didn’t move the camera so we could see the light on the part only a little bit was showing from where he had the camera.
jazakallah khair johnathan
Yesss you’re back!!❤
Ausome bro good content and very nice presentation and good experience kiddos for your effort and please keep posting
I just found the use of many cracked glass dr plates I have.
Is optical density=Absorbance?
Same angulation for women? 40 degrees caudad?
Great info! Thanks for sharing.
how come she didn't drink barium drink?????
how much radiation does this have exam have????
My 'no centring point' method would offset the tube to ensure accurate collimation to the detector, then back to central lock. Knowing the dimensions of the primary beam top to bottom means all I need is the iliac crests on the top of the image so I ensure that happens through palpation or with obese patients, from them indicating where their greater trochanter is. The accurate collimation will also allow exact placement of gonad protection
I would use accurate collimation and put the axial and lateral on a 18x24cm cassette. When the digital age emerged I would do the axial in a standing position to speed up the procedure and improve image quality
There is a rule. Any time radiation misses the cassette, you have used the wrong tube angle. Never use centring points. Always use collimation as your only guide.
As a retired radiographer I have performed this difficult procedure hundreds of times. My recommendation is to set the tube and the cassette in position well before you attempt to raise the opposite let. If you use a 35x43cm focused grid, you will need to angle it to ensure there is no grid cut off. If this sounds illogical, you probably fall into the trap 75% of qualifieds do where there is a fundamental misunderstanding of the geometry of a projection. ua-cam.com/video/mZPD_gLs5Dw/v-deo.htmlsi=e5HMqOBuOfOlomlu. You should be able to collimate well within the limits of the cassette and the skin edge. Not collimating well may triple the radiation dose and that may be significant for people who remain in the xray room as the scatter energy relates to the primary beam energy. I would also use an aluminium wedge filter
A woeful massive unnecessary radiation dose shown at 4.30 with what I consider to be over injection of contrast media. One good idea if you have the opportunity is to use the screening unit erect and at Focus Film Distance using the device as an erect bucky.
Bro nobody palpates the xiphoid lol
For women, it's a little too close to the boobs. Don't want a lawsuit. (Same reason we don't palate the symphysis pubis and ischial tuberosities.)
What about collimating tight and increasing the SID to get both joints, as we do for tib-fib, (even though the IR is on diagonal), would the divergence of the beam include both joints in this case? thanks.
is that danelius miller method?
Yes it is. You can find it described in most positioning text books.
Thanks 🙏🏾 What is the title for the first textbook you have used to illustrate in the video
"Bontrager's guide to radiographic positioning". Available on Amazon.
@@x-rayeducation2277 Thanks 🙏🏾 for your kindness
Where can i download those charts
do a web search for "tube rating charts" and there are a bunch out there. Each tube has its own rating chart. The ones you find in the text book are generic, but useful from a learning perspective.
My favourite Liam Neeson movie.
Help a doctor.i have problem AP SUPINE AND mild lumbar
Entertaining lmao. I hope a lot of the students learned and went on to do well :)
12:38
A great video about y view x-ray. Thanks for this video.
I'm a radtech student and I like your videos very much, it is very entertaining and engaging. I wish you could do more of this so that it can help us more in the future in our clinical lab exams❤❤❤❤
that's sad to know I just discovered your channel 2 days ago and your videos have been helpful for my OSCE exam, you're the best, hope u get us updated.
great tutorial. Respectfully, I would add to make sure a few minutes pass before taking your image. This will allow any small amounts of free air to float up and be seen.
thank you for your comment, and you are correct: it is good to wait a few minutes before taking the image. In reality, when I have done these at the hospital it normally takes multiple helpers and several minutes to get the patient positioned, so usually by then the requisite time has passed. Decubitus views on a large semi-conscious patient can be very difficult to obtain.
Can you explain when should turn on filament and apply KV on x ray tube. Assume filament is preheating current is always present.
If you have a patient who can't cooperate or for some reason (like they're on a vent) is not able to breath hold, then you should "rotor up" and get the filament hot and the rotor spinning, then when it looks like the patient has a breath you make your exposure (apply kV). But normally, you don't need to do this. most systems you can just press the "expose" switch and the system rotors, heats the filament, then makes the exposure as soon as the correct RPM and mA have been reached. Typically just 1-2 seconds start to finish.
Nice video. Thanks for sharing. God bless. ❤❤❤
Labs are never going to be the same without you!!
Can’t wait to see you in clinic Mr. Lee!
You know I'll be back! 🙂
Thanks!
With the oblique, I set the shape of the collimation I want and the angle the sternum will be then the patient stands PA or lies down. I use the central line on the Bucky and the sternal notch to determine where the top of the sternum will be on the tightly collimated radiograph. Always a breathing technique. For the lateral, I will also set my collimation first and my only positioning reference point is the sternal notch. I rotate the collimator to run it parallel to the sternum 2 inches wide. Lean the patient forward or backwards. On more solid builds with muscle and fat, ensure you give enough exposure. Curious about the lateral shown in the video. If it was a true lateral, the humeral head would not be in the image. The fact the other one is not in the image means it wasn't a true lateral. So my technique would reduce the radiation dose to 1/6th in both images.
No last moment collimation to well within the skin edge? That will improve the quality of the image a lot. I use a wedge filter often to even out the exposure. A big grid can be used but not vertically, the angle required to satisfy the focus and geometry. Grid work is often done badly because a mistake has been passed down through the generations to do with angulation and geometry. If you learn it, you can master radiography. If you don't you will be trapped in monotony without the opportunity to produce perfection. ua-cam.com/video/mZPD_gLs5Dw/v-deo.html
This video is the most educational one for me in my field 😮😮❤
Thank you.