Modified technique for the visualisation of C6/C7 in the lateral cervical spine radiography

Introduction: In the Swimmer’s projection, occasionally the C6 and C7 can be visualized superimposed on the thick anatomy of the shoulders. This study aims to explore the technique to demonstrate C1 to C7 in the lateral spine and to improve the diagnostic value in that region. Materials and Methods:...

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Main Authors:	Moey, Soo Foon, Hazri, Najwa Athirah, Che Mohamed, Norfariha
Format:	Article
Language:	English English
Published:	Mashhad University of Medical Sciences 2019
Subjects:	QC Physics R Medicine (General)
Online Access:	http://irep.iium.edu.my/78834/ http://irep.iium.edu.my/78834/1/IJMP-1909-1648%20%28R1%29.pdf http://irep.iium.edu.my/78834/9/IJMP-1909-1648-1-2%20revised%20manuscript%20no%20line%20%281%29.pdf

id	iium-78834
recordtype	eprints
spelling	iium-788342020-02-25T07:32:22Z http://irep.iium.edu.my/78834/ Modified technique for the visualisation of C6/C7 in the lateral cervical spine radiography Moey, Soo Foon Hazri, Najwa Athirah Che Mohamed, Norfariha QC Physics R Medicine (General) Introduction: In the Swimmer’s projection, occasionally the C6 and C7 can be visualized superimposed on the thick anatomy of the shoulders. This study aims to explore the technique to demonstrate C1 to C7 in the lateral spine and to improve the diagnostic value in that region. Materials and Methods: An experimental study was carried out by using a RANDO phantom to obtain the images of the lateral cervical spine. Twelve radiographs were taken using different kVps at different centering points. Two radiographers evaluated the image quality of the radiographs using the modified image quality criteria score sheet adapted from the Commission of European Communities on image quality. A DAP meter was utilized to estimate the entrance surface dose while CALDose_X 5.0 Monte Carlo was used to estimate the effective dose. Results: The findings indicated that a higher centering point at two inches above pinna of the ear can visualize the lower cervical spine; C6/C7 and the cervicothoracic junction (C7/T1). The Kruskal-Wallis test also indicated significant differences (p<0.05) in the image quality at different centering points. However, no significant differences were found (p>0.05) in the ESD between different centering points utilized. The effective dose of the modified technique was found to be lower compared to the Swimmer’s View. Conclusion: The modified lateral technique can be used to replace the Swimmer’s View as it can adequately demonstrate the lower cervical spine; C6/C7 and the cervicothoracic junction with a lower radiation dose while not harming the patient due to movement during positioning. Mashhad University of Medical Sciences 2019-12-30 Article PeerReviewed application/pdf en http://irep.iium.edu.my/78834/1/IJMP-1909-1648%20%28R1%29.pdf application/pdf en http://irep.iium.edu.my/78834/9/IJMP-1909-1648-1-2%20revised%20manuscript%20no%20line%20%281%29.pdf Moey, Soo Foon and Hazri, Najwa Athirah and Che Mohamed, Norfariha (2019) Modified technique for the visualisation of C6/C7 in the lateral cervical spine radiography. Iranian Journal of Medical Physics. (In Press)
repository_type	Digital Repository
institution_category	Local University
institution	International Islamic University Malaysia
building	IIUM Repository
collection	Online Access
language	English English
topic	QC Physics R Medicine (General)
spellingShingle	QC Physics R Medicine (General) Moey, Soo Foon Hazri, Najwa Athirah Che Mohamed, Norfariha Modified technique for the visualisation of C6/C7 in the lateral cervical spine radiography
description	Introduction: In the Swimmer’s projection, occasionally the C6 and C7 can be visualized superimposed on the thick anatomy of the shoulders. This study aims to explore the technique to demonstrate C1 to C7 in the lateral spine and to improve the diagnostic value in that region. Materials and Methods: An experimental study was carried out by using a RANDO phantom to obtain the images of the lateral cervical spine. Twelve radiographs were taken using different kVps at different centering points. Two radiographers evaluated the image quality of the radiographs using the modified image quality criteria score sheet adapted from the Commission of European Communities on image quality. A DAP meter was utilized to estimate the entrance surface dose while CALDose_X 5.0 Monte Carlo was used to estimate the effective dose. Results: The findings indicated that a higher centering point at two inches above pinna of the ear can visualize the lower cervical spine; C6/C7 and the cervicothoracic junction (C7/T1). The Kruskal-Wallis test also indicated significant differences (p<0.05) in the image quality at different centering points. However, no significant differences were found (p>0.05) in the ESD between different centering points utilized. The effective dose of the modified technique was found to be lower compared to the Swimmer’s View. Conclusion: The modified lateral technique can be used to replace the Swimmer’s View as it can adequately demonstrate the lower cervical spine; C6/C7 and the cervicothoracic junction with a lower radiation dose while not harming the patient due to movement during positioning.
format	Article
author	Moey, Soo Foon Hazri, Najwa Athirah Che Mohamed, Norfariha
author_facet	Moey, Soo Foon Hazri, Najwa Athirah Che Mohamed, Norfariha
author_sort	Moey, Soo Foon
title	Modified technique for the visualisation of C6/C7 in the lateral cervical spine radiography
title_short	Modified technique for the visualisation of C6/C7 in the lateral cervical spine radiography
title_full	Modified technique for the visualisation of C6/C7 in the lateral cervical spine radiography
title_fullStr	Modified technique for the visualisation of C6/C7 in the lateral cervical spine radiography
title_full_unstemmed	Modified technique for the visualisation of C6/C7 in the lateral cervical spine radiography
title_sort	modified technique for the visualisation of c6/c7 in the lateral cervical spine radiography
publisher	Mashhad University of Medical Sciences
publishDate	2019
url	http://irep.iium.edu.my/78834/ http://irep.iium.edu.my/78834/1/IJMP-1909-1648%20%28R1%29.pdf http://irep.iium.edu.my/78834/9/IJMP-1909-1648-1-2%20revised%20manuscript%20no%20line%20%281%29.pdf
first_indexed	2023-09-18T21:50:59Z
last_indexed	2023-09-18T21:50:59Z
_version_	1777413767037976576

Modified technique for the visualisation of C6/C7 in the lateral cervical spine radiography

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