How to Interpret a Chest X-Ray (Lesson 3 - Assessing Technical Quality)

No video

How to Interpret a Chest X-Ray (Lesson 3 - Assessing Technical Quality)

Рет қаралды 480,861

Күн бұрын

A discussion of how to assess the technical quality of a chest x-ray, including assessment of rotation, adequacy of inspiration, and adequacy of exposure/penetration. The consequences for interpretation that each technical liability can lead to is also covered.
Sources for images include Wikimedia Commons and radiologypics.com.

Пікірлер: 86

@StrongMed 5 жыл бұрын

Errata: @12:03, meant to say radiology technologist, not radiology technician. (Sorry, no offense intended!)

@StrongMed 5 жыл бұрын

@zeenat gazi As a very general rule, in US healthcare, technologists usually have more training than technicians (though in common parlance, the words are frequently used interchangeably).

@erickperez1302 7 жыл бұрын

This is the most incredible lecture in Chest X rays I have ever had. Just Beautiful! Thanks SO much!

@menpagnaroat1269 2 жыл бұрын

This is the most incredible lecture in Chest X rays I have ever had. Thanks so much! I will share the knowledge from your lectures to my colleagues here in Cambodia!

@medicineandtravel 3 жыл бұрын

I am loving your lectures on these!!! I am finally learning how to read CXRays!!!

@tiffanytea1778 9 жыл бұрын

I just want to say thank you so much. The way you break down X-ray interpretation, has been helping me for my boards! Thank you again!

@kashzful 3 жыл бұрын

I'm a Radiodiagnosis resident and these videos are soo helpful!

@tegegnlegesse6829 10 жыл бұрын

Sir,you teach me simply,clearly and easily remember able way. thank you very much. Tegegn from Ethiopia.

@acazaam 3 жыл бұрын

Tegegn legesse is amhari name or ormomian ?

@oliverallen5324 5 жыл бұрын

A great series. Worth watching a couple of times.

@icemanaxs 10 жыл бұрын

Happy New Year!! Thank you for an informative and fun 2013, looking forward to 2014, can't wait to learn more from you.

@giobasta6918 9 жыл бұрын

R.I.P= rotation.inspiration.penetration.

@lubondochilekwa 4 жыл бұрын

NICE!

@lexielos4052 7 жыл бұрын

love these lessons! thank you so much!

@mateusfernandes7347 4 жыл бұрын

You are an excellent teacher! Thank you very much!

@mikeb2407 3 жыл бұрын

Thank you for this video! You were incredibly clear. Amazing

@MACNTOSFAM 8 жыл бұрын

To add to PA vs. AP projection, it is to reduce breast tissue dose. Thank you for a great compilation!

@StrongMed 8 жыл бұрын

+Cee Mac Thanks for pointing this out! The difference in radiation dose to the breast between AP and PA views is small, but non-zero. (i.e. the PA view results in less breast irradiation)

@manabtiwari6269 7 жыл бұрын

Thank you sir. These video series are really helpful.

@acsauhaya 9 жыл бұрын

Thank you for the great videos!

@abdulazeez.98 7 жыл бұрын

Thanks for these great videos !

@naganathheble643 7 жыл бұрын

Excellent video & lecture regarding chest radiography

@HannanZikrea 4 жыл бұрын

Thank you so much for such amazing explanation!!

@rajkumar01035 4 жыл бұрын

Than you so much for sharing your knowledge .. these help me a lot of in my clinical practices

@mynameismarsss 9 жыл бұрын

great video. This helps me a lot

@alnaturalle 5 жыл бұрын

great video and instructions

@conrad12able 10 жыл бұрын

Very helpful, thank you.

@lmiketenn 4 жыл бұрын

Fantastic presentation...Thank you doctor...

@mustafamukaram7412 2 жыл бұрын

Thank you, for this nice video explanation .

@kotithella9733 10 жыл бұрын

Happy new year. It's nice and very helpful.Thanks

@niamatullah4442 4 жыл бұрын

Great job sir,,,,, appreciated really

@9872025414 8 жыл бұрын

Awesome, Good thank u much . I appreciate ur explanation u have good knowledge regarding radiology. Dr Ram Singh India

@fredastaire6156 3 жыл бұрын

this is such good information!

@DoctorAmritPandey 6 ай бұрын

Beautifully explained ❤

@surajutmani367 9 жыл бұрын

Excellent video sir!

@jodymbuilu 9 жыл бұрын

informative Thank you Doc.

@shivanisharma-zq4jl 4 жыл бұрын

Great lectures.. Help me alot in clearing all doubts... Thnku so mch sir..

@2003121300 10 жыл бұрын

hi happy new year to you sir.Nice to see u again with video

@isaacheron1607 2 жыл бұрын

Thanks very much sir. This was really helpful.

@MzHazze 10 жыл бұрын

Glad I found your channel. Nice rads channel here

@gangotribanerjee3365 10 жыл бұрын

Superb.Thanks a lot.

@wildernesswarcry4882 Жыл бұрын

Very helpful. Thank you

@dhruthia5783 7 жыл бұрын

Tanx a lot...video is full helpful

@doctoribra86 10 жыл бұрын

thanks dr eric

@drjai1655 7 жыл бұрын

great video

@HafizahHoshni 6 жыл бұрын

Thank youuu so much! 11/11/2017 ✨

@emadbalubaid 9 жыл бұрын

Thank you so much . Great video.. Sir, can you please make videos about haemodialysis and peritoneal dialysis.

@StrongMed 9 жыл бұрын

Hemodialysis and peritoneal dialysis are on my list of topics to cover, but unfortunately, I'm so far behind on viewer suggestions that I can't offer an estimate as to when they'll get posted. Thanks for watching!

@sync3034 3 жыл бұрын

Evaluation of appropriate exposure/penetration is also aided by EI (exposure index) value and the DQE (detective quantum efficiency) of the system. Unfortunately these are not standardized. But having said that I was taught that nothing replaces your eyes when evaluating proper exposure.

@mhamadshawan3944 Жыл бұрын

U are the best thank uuuuuu❤

@nailahusnul7889 4 жыл бұрын

Thank you

@rockernoobsthurein 9 жыл бұрын

Good job

@strongmedicose7288 3 жыл бұрын

Amazing

@ladyheart5147 7 жыл бұрын

Thanks again for another great video. With inadequate inspiration why would the cardiac silhouette and mediastinum appear falsely enlarged? Thanks in advance hopefully I will be able to interpret my chest x-ray after watching these videos.

@praj3111 2 жыл бұрын

During inspiration , diaphragm pulls heart downwards therfore horizontal width is reduced in least inspiration effort

@danielbrowniel 9 жыл бұрын

I used to do mobile xray and I hated seeing these reports confusing rotation with deformities of the chest and spine, In these cases the concept of a "true AP" is ambiguous because there would be independent alignments of the manubrium/ trachea/ spinal direction.. where any radiographic correction would misalign another part.

@niranjangunjan4289 3 жыл бұрын

thank u sir!

@hishamrezk712 4 жыл бұрын

Thanks for the videos .....any videos for general surgery

@StrongMed 4 жыл бұрын

I'm very sorry, but I generally focus on topics that are within my scope of clinical practice as a hospitalist.

@eb3tle 4 жыл бұрын

Thanks Sir

@AmitLathoriya 8 жыл бұрын

sir, will u please recommend me books for studying radiology

@azuhra9744 3 жыл бұрын

What about technical quality (regarding how many ribs should be shown) in expiratory CXR?

@penguiNET 5 жыл бұрын

Hi Dr. Strong, big fan of your channel! Around 8:10, I believe there is an error. The laterality of the humeri are mislabeled, I think. Also, in the CXR inset, it looks to me that the patient's left side is rotated forward, so shouldn't the schematic on the left be opposite? If I understand your lesson, the schematic is demonstrating right forward rotation, so on CXR the spinous process should be closer to the patient's right clavicle on the left of the CXR screen (so confusing!). That is, I believe the schematic and the example CXR @8:10 are showing two separate things: schematic is right forward rotation, while CXR demonstrates left forward rotation?

@jacquesjgsouza4376 5 жыл бұрын

I agree with you Tom Shieh.

@LilDroov 5 жыл бұрын

Was confused about this too. However, think I figured it out- the schematic is also depicting left forward rotation. Imagine the schematic as us looking UP from a person's feet. The person is facing the X-ray film, so it is a PA. Their left side of the body is tilted towards the x-ray film, which is what they're facing, making the spinous processes point to the left and thus be closer to the left clavicle on imaging.

@sararose7812 5 жыл бұрын

same thing i ve noticed and i ve only inversed R and L all will be right

@utkarshdubeyingoogleplus 2 жыл бұрын

You are correct Tom, I noticed it too and was a bit confused and frustrated about the L/R

@fasil2295 5 ай бұрын

Me ALSO CONFUSED

@realzayasosho6362 5 жыл бұрын

Sir Wat about differences in quality btn men n women ,breast position cannot affect technical quality of chest x ray

@mankiratsingh797 4 жыл бұрын

Nice demostration ...sir what software have u used to make the demonstrations??

@StrongMed 4 жыл бұрын

Thanks! I use a combination of Audacity for recording and editing narration, PowerPoint and Photoshop for graphics (occasionally supplemented by Illustrator), Encore for those videos with original music arrangements, and Premiere Pro for animations and to stitch it altogether.

@victorgonzalez2927 3 жыл бұрын

@ 14:10 you say that both are frequently referred to as underexposed, how can that be? The too bright image looks to be underexposed while the too much contrast looks overexposed.

@Harun_Ibrahim_ 6 жыл бұрын

Thanks Eric. My question is; why don't we take AP x-rays in ambulatory? You haven't answered that. Thanks

@StrongMed 6 жыл бұрын

I discuss it in the first 3 min of lesson 5 on the cardiac silhouette, since AP films cause the heart size to appear enlarged. kzfaq.info/get/bejne/mLtggdBor6yupIk.html

@ismailjimmy6944 2 жыл бұрын

Sir please also make a video on CT chest

@Drsparjan 7 жыл бұрын

There is so much technical language

@venkybly 4 жыл бұрын

@alex90811 6 жыл бұрын

gut

@sunilmoktan838 4 жыл бұрын

Would u mind making videos on x ray abdomen plz???

@StrongMed 4 жыл бұрын

Thanks for the great suggestion! I've been meaning to cover abdominal X-rays for a long while, but never got around to it with some many other competing requests. Unfortunately, with the COVID-19 pandemic descending on the US right now, everything else is getting pushed back for a bit.