ABDOMINAL POSITIONING

Projection

Voltage

Indications

Central Ray
/Point

AP supine (KUB)

70-80

- bowel obstruction ,
neoplasms , calcifications
and ascitis , radiopaque
FB and to asses the
intrabdominal lines and
catheters.

at the level of the

iliac crest.

Evaluation
Criteria

the image
should include
the upper
border of the
pubic
symphysis to
the diaphragm.
The posterior ribs
+ posterior border
of the iliac crest
should be
superimposed.

AP erect

70-80

Air-fluid level ,
accumulation of air under
the diaphragm

Top of the IR at the

level of the axilla
and CP 5 cm
above the iliac
crest.

PA prone

70-80

- bowel obstruction ,
neoplasms , calcifications
and ascitis

iliac crest

lateral

80-90

soft tissue masses ,

umbilical hernia ,
paravertebral area for
possible aneurysms of
aorta or calcifications

iliac crest

Lateral decubitus

70-80

-masses , air fluid levels ,

possible accumulation of
intraperitoneal air (patient
should be on his side for
minimum of 5 minutes.

5cm above the iliac

crest.

the image
should include
the upper
border of the
pubic
symphysis to
the diaphragm.
The posterior ribs

ABDOMINAL POSITIONING
+ posterior border
of the iliac crest
should be
superimposed.

Dorsal decubitus
(R/L ) lateral

70-80

-masses , AF ,
aneurysms of the wall of
artery or veins.
Calcifications of the
aorta , umbilical hernia .

5cm above the iliac the vertebral

crest.
column should be
in the middle.The
ribs , pelvis and
hips should be
equidistant to the
edge of the
radiograph.