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NEET MDS Lessons
Radiology

1. Postero-Anterior (PA) View of Skull

  • Head Position: Centered in front of the cassette; canthomeatal line parallel to the floor. For cephalometric applications, the canthomeatal line is 10° above the horizontal, and the Frankfort plane is perpendicular to the film.
  • Projection of Central Ray: Passes posterior to anterior, perpendicular to the film.
  • Important Features:
    • Used to examine the skull for disease, trauma, and sinuses.
    • Best for viewing the coronoid process; a PA view with a 10° tilt is called the Caldwell projection.

2. Lateral Skull or Cephalometric View

  • Head Position: Left side of the face near the cassette; midsagittal plane parallel to the film.
  • Projection of Central Ray: Directed towards the external auditory meatus, perpendicular to the film and midsagittal plane.
  • Important Features:
    • Assesses facial growth.
    • Reveals soft tissue profile.
    • Surveys skull and facial bones for disease and trauma.

3. Water's Projection

  • Head Position: Sagittal plane perpendicular to the film; chin raised so the canthomeatal line is 37° above horizontal.
  • Projection of Central Ray: Passes through the maxillary sinus.
  • Important Features:
    • Also known as Occipito-mental projection (variation of PA view).
    • Best for demonstrating zygoma fractures, paranasal sinuses, and nasal cavity.
    • Shows the position of the coronoid process between the maxilla and zygomatic arch.

4. Submentovertex (SMV) View

  • Head Position: Head and neck extended backward; vertex of the skull at the center of the cassette.
  • Projection of Central Ray: Directed towards the vertex of the skull.
  • Important Features:
    • Also called BASE, FULL AXIAL, or JUG HANDLE VIEW.
    • Best for viewing the base of the skull and zygomatic arch fractures.
    • Contraindicated in patients with cervical spondylitis.
    • For viewing zygomatic arches, exposure time is reduced to one-third of that used for the skull.

5. Reverse Towne's View

  • Head Position: Canthomeatal line oriented 25-30° downward.
  • Projection of Central Ray: Directed towards the occipital bone.
  • Important Features:
    • Frankfort plane vertically oriented and parallel to the film.
    • Best for viewing condylar neck fractures.
    • Condyles are better visualized if the patient opens their mouth widely.

6. Lateral Oblique Mandibular Body Projection

  • Head Position: Tilted towards the side being examined; mandible protruded.
  • Projection of Central Ray: Directed towards the first molar region.
  • Important Features:
    • Demonstrates the premolar and molar region.
    • Best for viewing the inferior border of the mandible.

7. Lateral Oblique Mandibular Ramus Projection

  • Head Position: Tilted towards the side being examined; mandible protruded.
  • Projection of Central Ray: Directed posteriorly towards the center of the ramus.
  • Important Features:
    • Often used for examining third molar regions of the maxilla and mandible.
    • Provides a view of the ramus from the angle to the condyle.

Age Groups and Radiographs

  • Age 2:

    • Anterior IOPA's: 2
    • Posterior IOPA's: 4
    • Bitewings: 2
    • Total Films: 12
  • Age 8:

    • Anterior IOPA's: 8
    • Posterior IOPA's: 4
    • Bitewings: 2
    • Total Films: 14
  • Age 8 (another entry):

    • Anterior IOPA's: 8
    • Posterior IOPA's: 8
    • Bitewings: 2
    • Total Films: 20

Summary of Total Films by Type

  • Anterior IOPA's:

    • Age 2: 2
    • Age 8: 8
    • Age 8 (another entry): 8
    • Total Anterior IOPA's: 18
  • Posterior IOPA's:

    • Age 2: 4
    • Age 8: 4
    • Age 8 (another entry): 8
    • Total Posterior IOPA's: 16
  • Bitewings:

    • Age 2: 2
    • Age 8: 2
    • Age 8 (another entry): 2
    • Total Bitewings: 6

Overall Total Films

  • Total Films for Age 2: 12
  • Total Films for Age 8 (first entry): 14
  • Total Films for Age 8 (second entry): 20
  • Grand Total Films: 12 + 14 + 20 = 46

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