Radiographic images of the skull are performed historically when it is necessary for the clinician to view the cranium, facial bones, or jaw bones. Routine skull radiography prior to the advent of computed tomography (CT) was the mainstay of most emergency department protocols for trauma evaluation prior to 1980. Conventional skull radiography for patients who presented with trauma or clinical indications was performed before or in conjunction with CT to rule out fractures and the potential of intracranial hemorrhage. Although the utilization of skull radiography as a clinical tool to determine pathology or the presence of trauma has dramatically decreased since the early 1980s, it is still very important for the radiographer to be able to perform the various projections and views essential to assist the clinician in a diagnosis, should the need arise.
After reading this article, the participant should be able to:
- Identify the cranial and facial bone anatomical structures.
- Understand the clinical indications deemed appropriate to perform skull radiography.
- Describe the routine and specialty projections utilized to perform skull radiography and appropriate exposure techniques.
- Identify tools that can assist the radiographer in performing skull radiography.
Categories: Digital Radiography, X-ray/Radiography/Fluoroscopy