Radiographic Positioning: Radiographic Positioning of an ACBE

AIR CONTRAST BARIUM ENEMA (ACBE)

SUPPLIES: Air Contrast Bag with 500 cc of heavy barium (Polibar).

VIEWS:
K.U.B. (Scout) * CHECK WITH RADIOLOGIST BEFORE CONTINUING*
Right Lateral Decubitus
Left Lateral Decubitus
Cross Fire Lateral Recto-Sigmoid Area
PA
AP 30 degree Cephalic
PA 30 degree Caudal
AP
RPO 45 degrees
LPO 45 degrees
Post Evac

ALL FILMS ON 14 X 17, EXCEPT RECTUM VIEWS, 10 X 12 FILMS. ALL FILMS TAKEN ON EXPIRATION.

Prelim K.U.B.
1. Patient supine
2. Bucky
3. 40" SID
4. Center at crest

Right Lateral Decubitus
1. Patient recumbent in right lateral position.
2. Horizontal beam
3. Grid
4. Center to iliac crest.
5. 40" SID
6. Center beam to grid.

Left Lateral Decubitus
Positioned the same as Right Lateral Decubitus except patient is on left side.

PA
1. Patient prone
2. Bucky
3. 40" SID
4. Center at crest.

AP 30 Degree Cephalic (Up-Shot)
1. Patient supine
2. Central Ray: angled 30 degree cephalic, center to ASIS
3. Bucky
4. 40" SID
5. To demonstrate sigmoid colon.

PA 30 Degree Caudal (Down-Shot)
1. Patient is prone
2. Central Ray: angled 30 degree caudal, center to ASIS
3. Bucky
4. 40" SID
5. To demonstrate sigmoid colon.

AP
1. Patient supine
2. Bucky
3. 40" SID
4. To demonstrate transverse colon and flexures.
5. Center to iliac crest.

RPO
1. Patient recumbent in a 45 degree RPO position.
2. Bucky
3. 40" SID
4. To demonstrate splenic flexure
5. Center at crest

LPO
1. Patient recumbent in a 45 degree LPO position.
2. Bucky
3. 40" SID
4. To demonstrate hepatic flexure.
5. Center at crest

Lateral Rectum Cross-Fire
1. Patient prone
2. Horizontal beam
3. Grid (10 x 12)
4. 40" SID
5. Film to include Recto-Sigmoid area.
6. *Deflate balloon on enema tip before exposure.
7. Center midaxillary plane midway between ASIS and posterior sacrum.

Post Evac
Position the same as Scout.

*110 KVP should always be used on adults.
** 90 KVP should always be used on infants.
***Always check films with Radiologist before patient is allowed to evac.