Surgical C-Arm X-ray Procedure

Cholangiogram - PA Abdomen Positioning and Central Ray

C-arm being positioned for PA
hip or abdomen.

• PA projection – patient is supine use of image intensifier on top, and the xray tube below.
• Keep intensifier as close to patient as possible to reduce scatter radiation.
• Provide lead aprons or portable shields for all personnel in room.
• Maintain sterile field.
• Auto or manual exposure control
• Use Foot pedal to allow hands free operation by physician of fluoro image as displayed on monitor

C-Arm Lateral Hip

C-arm for lateral hip.

• A Superoinferior projection is obtained.
• Horizontal Central ray, xray tube is position superior, intensifier is inferior
• Ensure maintain the sterile field
• Provide lead aprons or shields to all personnel
• Background exposure field greatest at tube side, operator should stand back away from tube region

Note: Recommended setup is a reversal of this as an inferosuperior because of increased radiation at tube end.