AP Oblique Femoral Necks – Frog Leg (explanation)

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EVALUATION CRITERIA

The following should be clearly shown:

_ Evidence of proper collimation

_ No rotation of the pelvis, as evidenced by a symmetric appearance

_ Acetabulum, femoral head, and femoral neck

_ Lesser trochanter on the medial side of the femur

_ Femoral neck without superimposition by the greater trochanter; excess abduction causes the greater trochanter to obstruct the neck.

_ Femoral axes extended from the hip bones at equal angles

(Frank et al. Merrill’s Atlas of Radiographic Positioning and Procedures: 3-Volume Set, 12th Edition. Mosby, 022011. pp. vol1-343 – vol1-344).

“Frog-Leg” AP Oblique Femoral Necks

•Patient position

–Supine

•Part position for bilateral

–No rotation of pelvis

•ASIS equal distance from table top

–Flex hips and knees

–Draw feet up as much as possible

–Abduct thighs equally and maximally

–Place soles of feet together for support

•Center IR 1˝ (2.5 cm) above pubic symphysis

•CR for bilateral

–Perpendicular to MSP at level 1˝ (2.5 cm) above pubic symphysis

•Collimated field

–Size of IR

Some more   Hip (AP, Unilateral Frogleg & Lat) –  Bil Frog Hips & AP Pelvis

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    KLAS: New Wave of PACS Replacements is Coming said:
    December 4, 2011 at 2:01 pm

    Nearly one in six hospitals and health systems over 1,000 beds reported that they have plans to replace their picture archiving and communication system (PACS), according to a new KLAS report that indicates that a new wave of replacements is ahead.

    “These large hospitals and health systems are seeking more innovative technology and deeper strategic partnerships for imaging,” said Ben Brown, KLAS medical imaging general manager. “I think that the industry will see a wave of replacements starting in the largest hospitals that will eventually sweep over smaller hospitals as well.”

    Providers report that their vendors, for the most part, are performing very well in the PACS market, according to KLAS, with most either maintaining or improving on customer satisfaction since last year. DR Systems, Philips, Carestream, McKesson, and Fuji customers are the most excited about their current solution-and are more likely to recommend their PACS to another facility than users of other systems, the report found. In large hospitals, Cerner, Sectra, GE PACS-IW, Siemens, and Agfa customers report that they are more likely to say they have plans to move on.

    Not only are providers looking at performance within radiology when making selections, but they also are examining how well PACS vendors work with their EMR. In the study, KLAS found that Allscripts sites work well with Sectra and Cerner sites work well with Fuji PACS. Epic shops have good success with both McKesson and Philips PACS. McKesson EHR hospitals work nicely with Fuji PACS as well as DR Systems. Meditech shops succeed with many vendors, including DR Systems, McKesson, Philips Fuji, Sectra and Merge. Siemens PACS typically performs well with Siemens Invision/Soarian sites.

    “PACS vendors need to be savvy enough to talk with a CIO about things that matter at the hospital or health system level, such as scalability, interoperability, and accessibility,” Brown said.

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