DxImg 1. Midterm information By: Jeff Binder. Quality Control. Performed first (usually by the tech) ABCs Anatomy: Is entire region of anatomy on the film Bone: Search for signs of patient motion. Big white lines and small white lines.
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By: Jeff Binder
Imaging is for documentation NOT education
Every xray must be interpreted to reach a diagnosis or conclusion
ALWAYS do an exam prior to taking xrays
A written interpretation of the study
Part of the patients permanent record
Signed and dated by the individual doing the interpretation
All radiographic studies must be interpreted to reach a diagnosis or conclusion
Body (also called Findings)
Impression (also called Conclusion)
Recommendations (when applicable)
Name and address of the clinic or individual who is creating the report
Joe Bob’s MRI clinic
15 s. main street
Chesterfield, MO 63017
Patient’s full name
Date of birth (sometimes patient age is listed also)
Medical record number (or patient number)
This is optional. If the interpreting Doctor is supplied with the technique for each film he/she can list them in this area.
Some doctors list these on special views in case they need to be repeated at a later date.
This is where the doctor will list everything he finds through the ABCs method.
This is the description of findings. There is no diagnosis here. Basic facts about the film and findings are listed.
EX: “A geographic lucency is seen in the proximal right tibia measuring 2.1 centimeters in diameter.”
A short, concise list of important radiologic finding and diagnoses based on previous narrative descriptions (body).
List them from most importance to least
Avoid long lists
Medical diagnoses and terminology should be used
Very critical as a percentage of Doctors will not read the full report.
EX: “Condroblastoma in right proximal tibia”
Intramembranous: Adding bricks to a house
Enchondral: Framework of a house
Adding layers of bone
Initiated by proliferation of mesenchymal cells
Flat bones developed by this (skull, pelvis)
No preformed cartilage
Used for BONE REPAIR
Increases WIDTH of bone
Formed by primary ossification centers
Use non-ossified matrix as framework
Osteoblasts and osteoclasts form and become embedded
Cell death is followed by ossification
Increases LENGTH of bone
Epiphysis: articular surface, produces and supports articular cartilage
Apophysis: attachment site for ligaments and tendons (trochanters, tuberosities, tubercles)
Metaphysis: Most metabolically active, focus for disease and trauma, indolent blood flow (very slow, stagnant blood)
Diaphysis: Shaft of long bones, act as lever, 50/50 cortical and medullary bone