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Comprehensive Guide to BE Radiographic Techniques

Learn about the essential techniques for Barium Enema (BE) imaging, including PA, AP, lateral rectum views, positioning, shielding, and more to ensure accurate results. Get detailed instructions and tips for performing BE radiography effectively.

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Comprehensive Guide to BE Radiographic Techniques

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Presentation Transcript

  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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