Accreditation: This course is accredited by ASRT - an approved continuing education provider of ARRT.
Release Date: 11/25/2017
Expiration Date: 12/1/2020

A Review of Conventional Skull Digital Radiography Positioning and Techniques

George Tsoukatos, BPS, RT(R)*

*Medical Imaging Consultant, Radiology Support Services, Germantown, NY

Address correspondence to: George Tsoukatos, BPS, RT(R), Radiology Support Services, PO Box 215, Germantown, NY 12526. E-mail:
Disclosure statement: The author reports having no significant financial or advisory relationships with corporate organizations related to this activity.



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.

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