Stomach and Duodenum

PA AXIAL PROJECTION • For a sthenic patient, center the IR at Central ray

Image receptor: 14 × 17 inch (35 ×
43 cm) lengthwise
Position of patient
• Place the patient in the prone position.
Position of part
• Adjust the patient’s body so that the
midsagittal plane is centered to the grid.
Digestive System
the level of L2 (Fig. 17-41); center it
higher for a hypersthenic patient and
lower for an asthenic patient. L2 lies
about 1 to 2 inches (2.5 to 5 cm) above
the lower rib margin.
• Shield gonads.
• Respiration: Suspend respiration at the
end of expiration unless otherwise
requested.
• Directed to the midpoint of the IR at an
angle of 35 to 45 degrees cephalad.
Gugliantini1 recommended cephalic
angulation of 20 to 25 degrees to show
the stomach in infants.
Collimation
• Adjust to 14 × 17 inches (35 × 43 cm)
on the collimator.
1
Gugliantini P: Utilitá delle incidenze oblique cau-
docraniali nello studio radiologico della stenosi con-
genita ipertrofica del piloro, Ann Radiol [Diagn]
34:56, 1961. Abstract, AJR Am J Roentgenol 87:623,
1962.

35°-45°

Fig. 17-41 PA axial stomach.

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