Tag Archives: thoracic

Thoracic Spine AP
4
Feb

Overview

The AP thoracic spine radiograph evaluates vertebral bodies and alignment across the thoracic region. The patient is positioned upright or supine with the detector centered to the thoracic spine. This view complements lateral imaging for comprehensive assessment.

Technique

Center the detector to include T1 to T12 and use appropriate exposure to penetrate the thorax. Ensure the patient is not rotated and immobilize to reduce motion. Use scoliosis or oblique views when indicated for specific pathology.

Clinical Indications

AP thoracic spine is indicated for trauma back pain and suspected vertebral lesions. It helps detect compression fractures and metastatic disease. CT and MRI provide detailed evaluation for complex pathology.

Image Assessment

Assess vertebral body height alignment and look for lytic or sclerotic lesions. Evaluate rib articulation and costovertebral joints for associated injury. Correlate with lateral views for comprehensive interpretation.

Thoracic Spine Lateral
4
Feb

Overview

The lateral thoracic spine radiograph profiles vertebral body heights and intervertebral disc spaces to detect compression fractures and kyphosis. The patient is positioned true lateral with arms elevated to clear the thoracic region. This view is sensitive for anterior wedge compression and alignment abnormalities.

Technique

Center the detector to include the thoracic spine and ensure true lateral alignment with minimal rotation. Use appropriate exposure and immobilize the patient to reduce motion. Consider full spine imaging for scoliosis assessment.

Clinical Indications

Lateral thoracic spine is indicated for trauma back pain and suspected compression fractures. It helps evaluate sagittal balance and vertebral body collapse. MRI is used for spinal cord and soft tissue assessment when indicated.

Image Assessment

Measure vertebral body heights and assess for anterior wedge deformity and kyphotic angulation. Evaluate disc spaces and posterior element alignment. Report findings and recommend advanced imaging for neurologic compromise.