X-RAY AND MRI OF SPINE FOR PHYSIOTHERAPIST

MODULE-1

INSTRUCTOR:
DR. MD. AMINUL HOQUE RASEL,PT
BSPT (DU), MSCPT (DU,PART-2), MKT
CLINICAL PHYSIOTHERAPIST,
DEPARTMENT OF PHYSIOTHERAPY,

CRP,SAVAR, DHAKA-1343
 CONTENTS

• Basic Radiology
• History
• Method
• Module 1 contents
- Xray of spine
- Xray of knee and shoulder joint
- MRI of spine
- Ultrasound reading
 BASIC TERMINOLOGY
• Radiology-
•  X-ray radiography-using X-rays, gamma rays, or similar ionizing radiation to view
the internal form of an object.
•  Magnetic resonance imaging (MRI)- MRI does not involve X-rays or the use of 
ionizing radiation
• Ultrasound -  sound waves with frequencies higher than the upper audible limit of
human hearing
•  Computed tomography (CT)- CT scanners use a rotating x-ray tube .
• Positron emission tomography (PET)- 18F-FDG is commonly used to detect 
cancer
HISTORY OF CONVENTIONAL RADIOLOGY
 BASIC INFORMATION

• Proper term for an image on x-ray film is a radiograph. There are four densities
on a radiograph. They are from black to white: gas, fat, water, bone and foreign
body.
COLOR RECOGNITION

Gas-black
Fat- Dark gray
Fluid/Water- Light gray
Bone – White
Foreign body- Brightest white
TYPES OF FILM

• Lateral view
• A-P view
• P-A view
• Oblique View
PLAIN FLIMS OF
LUMBER
SPINE,LATERAL
VIEW,1,PEDICLES;2SP
INOUS PROCESS;
3,FACET
JOINT;4,VERTEGRAL
BODY;5, DISC SPACE.
NOTE HOW THE THE
HEIGHT OF THE DISC
SPACES INCREASES
FROM L1 TO L5 WITH
THE EXCEPTION OF
THE L5-S1 DISC SPACE
WHICH IS NORMALLY
NARROWED THAN
THE ONE ABOVE.
 PLAIN FILMS
OF NORMAL
LUMBER
SPINE,
FRONTAL
VIEW.1,PEDIC
LES, 2,
SPINOUS
PROCESS; 3
FACET JOINT;
4,
TRANSVERSE
PROCESS
 ABNORMAL RADIOLOGICAL
CONDITION

• Spondylosis • Spondylolysis • Spondylolysthesis

RETROLISTHESIS
BODY FRACTURE
Life Experience
Diffuse idiopathic skeletal hyperostosis (DISH), also
referred to as Forestier disease
 WHAT WE LEARN

• What will be the next