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The Dreaded BE

The Dreaded BE. Things to know. 4 Views PA, LAO, PA Tilt /Axial, Lateral Rectum. PA or AP. 14 x 17 lengthwise 125 @ 4 (single) Mark Shielding if possible Expiration No collimation. Positioning. Patient supine or Prone on table Align midline of patient with midline of table

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The Dreaded BE

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  1. The Dreaded BE

  2. Things to know • 4 Views • PA, • LAO, • PA Tilt /Axial, • Lateral Rectum

  3. PA or AP • 14 x 17 lengthwise • 125 @ 4 (single) • Mark • Shielding if possible • Expiration • No collimation

  4. Positioning • Patient supine or Prone on table • Align midline of patient with midline of table • No rotation

  5. CR is at level of crest SID 40

  6. Seen on Film • Large intestine • PA transverse with barium • AP transverse with air

  7. RPO/ LPO or RAO/LAO • 14 x 17 lengthwise • 125 @ 4 • Marker • No shielding • No collimation • Expiration

  8. Positioning • Patient is rotated up 35-45 degrees • Place arm nearest table down at side and elevated side arm up in front of head • Can partially flex knee to help movement

  9. CR is at Crest and 1 inch to elevated side SID 40

  10. Seen on Film • LPO/RAO---The right colic flexure and ascending should be open • RPO/LAO---The left colic flexure and descending portions should be open.

  11. AP or PA tilt • 11 x 14 lengthwise • 125 @ 6 • Marker • Expiration

  12. Positioning • Patient Supine or Prone • Arms up or down out of the way • No rotation

  13. CR is 30 -40 degrees cephalad if AP 30-40 degrees caudad if PA SID 40

  14. Seen on Film • Elongated view of the rectosigmoid colon

  15. Lateral Rectum • 10 x 12 lengthwise • 125 @ 64 • Mark • Expiration

  16. Positioning • Roll patient up on left side • Flex knees for support • Move arms up out of the way • No rotation

  17. CR level of ASIS and midway between ASIS and Posterior sacrum SID 40

  18. Seen on Film • Contrast filed rectosigmoid colon

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