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RP: ¾ in. anterior & ¾ in. superior to EAM SS: Dorsum sellae, tuberculum sellae, anterior &
CR: Perpendicular posterior clinoid processes through frontal bone
SS: Superimposed anterior & posterior clinoid above ethmoidal sinuses
processes; dorsum sellae
C.) OPTIC CANAL/FORAMEN
TOWNE METHOD
PP: Supine; OML/IOML & MSP perpendicular to RHESE METHOD
IR; PARIETO-ORBITAL OBLIQUE
RP: 2.5-3 in. above glabella PROJECTION
CR: 30o caudad (OML ┴); 37o caudad (IOML ┴) PP: Prone; affected orbit closest to IR; zygoma,
SS: Sellar region nose & chin against IR (3-pt Lower Landing); AML
Dorsum sellae, tuberculum sellae & anterior perpendicular to IR; MSP 53o angle to IR
clinoid processes through occipital bone RP: Affected orbit closest to IR
above shadow of foramen magnum (30o CR: Perpendicular
caudad) SS: Optic canal/foramen (inferior & lateral quadrant
Dorsum sellae & posterior clinoid processes of orbital shadow)
w/in shadow of foramen magnum (37o PAZAM: Prone; Affected orbit against IR;
caudad) Zynoch; AML ┴; MSP 53o to IR
Symmetric petrous pyramid
RHESE METHOD
HAAS METHOD ORBITO-PARIETAL OBLIQUE
PA AXIAL PROJECTION PROJECTION
PP: Prone; MSP & OML perpendicular to IR; PP: Supine; affected orbit away from IR; AML
forehead & nose against the table; IR center 1 in. to perpendicular to IR; MSP 53o angle to IR
nasion RP: Inferior and lateral margin of uppermost orbit
RP: 1.5 in. below inion (entrance); 1.5 in. superior CR: Perpendicular
to nasion (exit) SS: Magnified optic canal/foramen
CR: 25o cephalad to OML Increased radiation dose to lens of eye
SS:
Dorsum sellae & posterior clinoid processes ALEXANDER METHOD
w/in shadow of foramen magnum ORBITO-PARIETAL OBLIQUE
Symmetric petrous pyramid PROJECTION
ER: For obtaining image of sellar structures (DS & PP: Erect/supine; IR 15o angle from vertical; MSP
PCP) w/in FM on hypersthenic & obese patients 40o to IR; AML perpendicular to IR
RP: Inferior and lateral margin of uppermost orbit
PA PROJECTION CR: Perpendicular
PP: Prone; forehead & nose against IR; MSP & SS: Optic canal/foramen
OML perpendicular to IR
RP: Glabella
CR: 10o cephalad
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THE END
“BOARD EXAM is a matter of PREPARATION. If
you FAIL to prepare, you PREPARE to fail”
04/01/14
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