
Merrill's Atlas of Radiographic Positioning and Procedures - 3-Volume Set
- 16th Edition - October 19, 2024
- Imprint: Elsevier
- Authors: Jeannean Hall Rollins, Tammy Curtis
- Language: English
- Hardback ISBN:9 7 8 - 0 - 4 4 3 - 1 2 0 4 1 - 1
- eBook ISBN:9 7 8 - 0 - 4 4 3 - 3 4 8 8 0 - 8
Learn and perfect your positioning skills with the leading radiography text and clinical reference! Merrill's Atlas of Radiographic Positioning and Procedures, Sixteenth Edition,… Read more

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Request a sales quoteLearn and perfect your positioning skills with the leading radiography text and clinical reference! Merrill's Atlas of Radiographic Positioning and Procedures, Sixteenth Edition, describes how to position patients properly, set exposures, and produce the quality radiographs needed to make accurate diagnoses. Guidelines to both common and uncommon projections prepare you for every kind of patient encounter. Anatomy and positioning information is organized by bone group or organ system, and coverage of special imaging modalities includes CT, MRI, sonography, radiation therapy, and more. The gold standard in imaging, Merrill's Atlas covers all procedures in the ASRT radiography curriculum and prepares you for the ARRT exam.
- NEW! Respiration heading emphasizes the importance of proper breathing instructions for maximizing image quality
- NEW! Patient positioning photos enhance chapters on the chest, abdomen, pelvis and hip, bony thorax, upper extremity, and lower extremity
- NEW and UPDATED! Additional figures and content in special imaging modality chapters represent current practice, protocols, safety measures, and technology in pediatric imaging, computed tomography, magnetic resonance imaging, diagnostic medical sonography, mammography, molecular imaging, nuclear medicine, and radiation oncology
- UPDATED! Unit values expressed as SI units, with traditional units provided in parentheses, match the format used in imaging technical texts and the ARRT exam
- UPDATED! Gonadal shielding guidelines align with current clinical practice
- UPDATED! Collimation field sizes and image receptor sizes are simplified for enhanced clinical relevance
- STREAMLINED! Rounded decimal values replace fractions throughout the text
- Comprehensive, full-color coverage of anatomy and positioning makes Merrill's Atlas the most in-depth text and reference available for radiography students and practitioners
- Guidelines to each projection include a photograph of a properly positioned patient and information on patient position, part position, respiration, central ray angulation, collimation, kVp values, structures shown, and evaluation criteria
- Diagnostic-quality radiograph for each projection demonstrates the result the radiographer is trying to achieve
- Coverage of common and unique positioning procedures includes chapters on trauma, mobile, surgical radiography, geriatrics, and pediatrics to help prepare you for the full scope of situations you will encounter
- Numerous CT and MRI images enhance comprehension of cross-sectional anatomy and help in preparing for the Registry examination
Radiologic Technology Students
- Instructions for online access
- Title of Book
- Cover image
- Title page
- Table of Contents
- Copyright
- PREVIOUS AUTHORS
- THE MERRILL’S TEAM
- ADVISORY BOARD
- Chapter Content Experts
- PREFACE
- ACKNOWLEDGMENTS
- Volume One
- 1. Preliminary Steps in Radiography
- Neonate (1–30 days)
- Geriatric (68 years old or older)
- Clinical History
- Diagnosis and the Radiographer
- Bowel Preparation
- Patient Clothing, Jewelry, and Surgical Dressings
- Motion and Its Control
- Involuntary Muscles
- Voluntary Muscles
- Preexposure Instructions
- Image Receptor
- IR Dimensions
- IR Dimensions in this Atlas
- Radiographic Positioning and Procedure
- Initial or Routine Procedure
- Common Steps for a Radiographic Procedure
- Accessory Equipment
- Technical Factors
- Foundation Exposure Techniques and Charts
- Adaptation of Exposure Technique to Patients
- Gonad Shielding
- Placement and Orientation of Anatomy on the Image Receptor
- Placement and Direction of the Central Ray
- Source-to-Image Receptor Distance
- Source-To-Image Receptor Distance in this Atlas
- Source-to-Skin Distance
- Collimation of Radiation Field
- Anatomic Markers
- The Radiograph
- Display of Radiographs
- Anatomic Position
- Identification of Radiographs
- Working Effectively With Obese Patients
- Equipment
- Transportation
- Communication
- Imaging Challenges
- Exposure Factors
- 2. General Anatomy and Radiographic Positioning Terminology
- 3. Thoracic Viscera: Chest and Upper Airway
- SUMMARY OF PROJECTIONS
- Anatomy
- Body habitus
- Thoracic cavity
- Respiratory system
- Alveoli
- Lungs
- Mediastinum
- Radiography
- Upper Airway/Soft Tissue Neck
- Chest
- General Positioning Considerations for the Chest
- Breathing Instructions
- Technical Procedure
- Radiation Protection
- Pulmonary Apices
- Lordotic Position
- Oblique Lordotic Position
- Chest
- 4. Abdomen
- Summary of Projections
- Anatomy
- Radiography
- Abdomen
- Recommended Sequence for Abdominal Radiography
- 5. Upper Extremity
- Summary of Projections
- Anatomy
- Hand
- Metacarpals
- Wrist
- Carpal sulcus
- Forearm
- Ulna
- Radius
- Arm
- Humerus
- Articulations
- Fat pads
- Radiography
- Digits (Second Through Fifth)
- General Procedures
- Digits (Second Through Fifth)
- First Digit (Thumb)
- First Carpometacarpal Joint
- First Carpometacarpal Joint
- First Metacarpophalangeal Joint
- AP and PA Thumb
- Lateral thumb
- Oblique thumb
- Hand
- Wrist
- Scaphoid
- Scaphoid Series
- Trapezium
- Carpal Bridge
- Carpal Canal
- Forearm
- Elbow
- Distal Humerus
- Proximal Forearm
- Distal Humerus
- Proximal Forearm
- Radial Head
- Radial Head and Coronoid Process
- Radial Head
- Coronoid Process
- Distal Humerus
- Olecranon Process
- Humerus
- 6. Shoulder Girdle
- Summary of Projections
- Anatomy
- Shoulder girdle
- Clavicle
- Scapula
- Humerus (proximal aspect)
- Shoulder articulations
- Radiography
- Shoulder
- Shoulder
- External Rotation
- Neutral Rotation
- Internal Rotation
- Shoulder Joint
- Glenoid Cavity
- Glenoid Cavity
- Shoulder
- Shoulder Joint
- Scapular Y
- Supraspinatus “Outlet”
- Proximal Humerus
- Glenoid Cavity
- Proximal Humerus
- Intertubercular (Bicipital) Groove
- Acromioclavicular Articulations
- Clavicle
- Scapula
- Coracoid Process
- Scapular Spine
- 7. Lower Extremity
- Summary of Projections
- Anatomy
- Foot
- Phalanges (14)
- Metatarsals (5)
- Tarsals (7)
- Others
- Leg
- Tibia
- Fibula
- Thigh
- Patella
- Knee joint
- Articulations
- Radiography
- Toes
- Toes
- Sesamoids
- Foot
- Longitudinal Arch
- Feet
- Foot
- Congenital Clubfoot
- Congenital Clubfoot
- Congenital Clubfoot
- Calcaneus
- Subtalar Joint
- Ankle
- Mortise Joint17
- Leg
- Medial rotation
- Lateral rotation
- Knee
- AP Projection
- Knees, Weight-bearing
- Knee
- Intercondylar Fossa
- Patella
- Patella and Patellofemoral Joint
- Femur
- With the knee included
- With the hip included
- Lower Extremities
- Long Bone Measurement
- Radiation Protection
- Long Bone Measurement Procedure
- Long Bone Measurement
- Other Long Bone Measurement Techniques
- 8. Pelvis and Hip
- Summary of Projections
- Anatomy
- Pelvis
- Hip bone
- Ilium
- Pubis
- Ischium
- Femur (proximal aspect)
- Articulations
- Pelvis
- Radiography
- Pelvis and Proximal Femora
- Proximal Femora and Femoral Necks
- Hip
- Acetabulum
- Anterior Pelvic Bones
- Ilium
- AP Oblique Projection
- PA Oblique Projection
- 9. Vertebral Column
- Summary of Projections
- Anatomy
- Vertebral column (spine)
- Vertebral curvature
- Typical vertebra
- Cervical vertebrae
- Thoracic vertebrae
- Lumbar vertebrae
- Sacrum
- Coccyx
- Vertebral articulations
- Radiography
- Atlas and Axis
- Cervical Vertebrae
- Flexion
- Extension
- Cervical Intervertebral Foramina
- Cervical Vertebrae
- AP Projection
- Cervical and Upper Thoracic Vertebrae
- Vertebral Arch (Pillars)
- Vertebral Arch (Pillars)
- Cervicothoracic Region
- Thoracic Vertebrae
- Thoracic Zygapophyseal Joints
- Lumbar-Lumbosacral Vertebrae
- L5–S1 Lumbosacral Junction
- Lumbar Zygapophyseal Joints
- AP oblique Projection
- PA Oblique Projection
- Sacroiliac Joints
- Sacrum and Coccyx
- Sacrum
- Coccyx
- Lumbar Intervertebral Joints
- PA Projection
- Thoracolumbar Spine: Scoliosis
- Lumbar Spine: Spinal Fusion
- 10. Bony Thorax
- Summary of Projections
- Anatomy
- Bony thorax
- Sternum
- Ribs
- Bony thorax articulations
- Radiography
- Sternum
- Sternoclavicular Articulations
- Ribs
- Upper Anterior Ribs
- Posterior Ribs
- Axillary Ribs
- Volume Two
- 11. Cranium
- Summary of Projections
- Anatomy
- Cranial bones (8)
- Calvaria
- Floor
- Cranial Bones
- Ear
- Facial Bones
- Articulations of the Skull
- Sinuses
- Skull Topography
- Skull Morphology
- Technical Considerations
- Radiation Protection
- Facial bones (14)
- Skull Radiography
- Skull
- Cranial Base
- Orbit
- Eye
- Orbits
- Facial Bone Radiography
- Facial Bones
- Nasal Bones
- Zygomatic Arches
- Mandibular Rami
- Mandibular Body
- Mandible
- Ramus and body
- Symphysis
- Temporomandibular Articulations
- Mandible and TMJs
- Panoramic Tomography of the Mandible
- Technical Considerations
- Sinus Radiography
- Paranasal Sinuses
- Frontal and Anterior Ethmoidal Sinuses
- Maxillary Sinuses
- Maxillary and Sphenoidal Sinuses
- Ethmoidal and Sphenoidal Sinuses
- 12. Trauma Radiography
- Summary of Projections
- Radiography
- Cervical Spine
- Cervicothoracic Region
- Cervical Spine
- Thoracic and Lumbar Spine
- Chest
- Abdomen
- Pelvis
- Hip
- Skull
- Facial Bones
- Upper Extremity
- Lower Extremity
- Computed Tomography
- Diagnostic Medical Sonography
- Other Imaging Procedures In Trauma
- 13. Contrast Arthrography
- 14. Myelography and Other Central Nervous System Imaging
- Anatomy
- Radiography
- 15. Digestive System: Salivary Glands, Alimentary Canal, and Biliary System
- Summary of Projections
- Anatomy
- Radiography
- Parotid Gland
- Parotid and Submandibular Glands
- Soft Palate, Pharynx, Larynx, and Cervical Esophagus
- Modified Barium Swallow Study
- Team Members
- Esophagus, Stomach, Small Intestine, and Large Intestine
- Technical Considerations
- Esophagus
- Radiation Protection
- Esophagus
- General
- AP or PA projection (see Fig. 15.46)
- Oblique projection (see Fig. 15.52)
- Lateral projection (see Fig. 15.47)
- Stomach
- Gastrointestinal Series
- Contrast Studies
- Stomach and Duodenum
- Superior Stomach and Distal Esophagus
- Small Intestine
- Large Intestine
- Decubitus Positions
- Biliary Tract and Gallbladder
- Percutaneous Transhepatic Cholangiography
- Postoperative (T-Tube) Cholangiography
- Biliary Tract and Pancreatic Duct
- Endoscopic Retrograde Cholangiopancreatography
- Abdominal Fistulae and Sinuses
- 16. Urinary System and Venipuncture
- Summary of Projections
- Urinary System Anatomy
- Urinary System Radiography
- Urinary System
- AP and PA projections
- AP bladder
- Renal Parenchyma
- Nephrotomography
- Other Renal and Urinary Imaging
- Pelvicalyceal System and Ureters
- Retrograde Urography
- Urinary Bladder, Lower Ureters, Urethra, and Prostate
- Urinary Bladder
- Voiding studies
- Male Cystourethrography
- Female Cystourethrography
- Professional and Legal Considerations
- Medications
- Patient Education
- Patient Assessment
- Infection Control
- Venipuncture Supplies and Equipment
- Procedure
- Reactions and Complications
- Documentation
- Venipuncture and IV Contrast Media Administration
- 17. Reproductive System
- Summary of Projections
- Anatomy
- Radiography
- 18. Mammography
- Anatomy
- Radiography
- Breast
- Routine Projections of the Augmented Breast
- Augmented Breast
- Male Mammography
- Routine Projections of the Male Breast
- Image Enhancement Methods
- Breast
- Supplemental Projections
- Ductography (Examination of Milk Ducts)
- Localization and Biopsy of Suspicious Lesions
- Breast Specimen Radiography
- Breast Magnetic Resonance Imaging
- Thermography and Diaphanography
- Conclusion
- 19. Bone Densitometry
- Volume Three
- 20. Mobile Radiography
- Radiography
- Chest
- Abdomen
- Pelvis
- Femur
- Cervical Spine
- Best Practices in Mobile Imaging
- 21. Surgical Radiography
- Surgical fluoroscopic procedures
- Mobile surgical radiography procedures
- Proper Surgical Attire
- Operating Room Attire
- Personal Hygiene
- Dance of the Operating Room
- Proper IR Handling in the Sterile Field
- Enemies of the Sterile Field
- Equipment
- Cleaning of Equipment
- Radiation Exposure Considerations
- Fluoroscopic Procedures for the Operating Room
- Operative (Immediate) Cholangiography
- Chest (Line Placement, Bronchoscopy)
- Cervical Spine (Anterior Cervical Diskectomy and Fusion)
- Lumbar Spine
- HIP (Cannulated HIP Screws or HIP Pinning)
- Femur Nail
- Tibia (Nail)
- Humerus
- Femoral/Tibial Arteriogram
- Mobile Radiography Procedures for the Operating Room
- Cervical Spine
- Thoracic or Lumbar Spine
- Extremity Examinations
- O-Arm Equipment and Basics
- Best Practices in Surgical Radiography
- Definition of Terms
- 22. Pediatric Imaging
- Abdomen, Gastrointestinal, and Genitourinary Studies
- Foreign Bodies
- Airway Foreign Body
- Ingested Foreign Body (Pica)
- Inserted Foreign Body (Polyembolokoilamania)
- Mobile Considerations for Neonatal Intensive Care Unit (NICU)
- Team-based approach
- Elements of an acceptable image
- Neonate soft tissue landmarks
- Neonate nuances
- Portable AP Neonate Chest
- Portable Decubitus Neonate Chest
- Portable Neonate Abdomen
- Portable Decubitus Neonate Abdomen
- Portable Dorsal Decubitus Neonate Chest or Abdomen
- Portable Chest and Abdomen for Line Placement
- Simulation: Practicing in a Safe Environment
- Selected Pediatric Conditions and Syndromes
- Cystic Fibrosis
- Developmental Dysplasia of the Hip (DDH)
- Nonaccidental Trauma (Child Abuse)
- High specificity
- Moderate specificityaaModerate- and low-specificity lesions become high specificity when history of trauma is absent or inconsistent with injuries.
- Low specificity (but common)a
- Childhood Pathologies
- Osteogenesis Imperfecta
- Pathologic Fractures and Benign and Malignant Neoplasms
- Pneumonia
- Progeria
- Scoliosis
- Advances in Technology
- Radiography
- Magnetic Resonance Imaging
- Ultrasound
- Computed Tomography
- Interventional Radiology
- Acknowledgments
- 23. Geriatric Radiography
- 24. Sectional Anatomy for Radiographers
- 25. Computed Tomography
- 26. Magnetic Resonance Imaging
- 27. Vascular, Cardiac, and Interventional Radiography
- Anatomy
- Angiography
- Angiography Procedures
- Cerebral Angiography
- Venography
- Venography
- Percutaneous Transluminal Angioplasty and Stenting
- Abdominal Aortic Aneurysm Endografts
- Transcatheter Embolization
- Vena Cava Filter Placement
- Transjugular Intrahepatic Portosystemic Shunt
- Pharmacologic Thrombolysis and Mechanical Thrombectomy
- Other Procedures
- Nonvascular Interventional Procedures
- Vascular and Interventional Radiology: Present and Future
- Cardiac Catheterization
- Diagnostic Cardiac Procedures
- Interventional Cardiac Procedures
- Congenital Defects
- Electrophysiology (EP)
- Interventional Cardiology: Present and Future
- Best Practices in Vascular, Cardiac, and Interventional Radiology
- Definition of Terms
- Interventional Radiology
- Particulate agents
- Metal coils
- Vascular occluder plug
- Cardiovascular Interventional Radiography
- 28. Diagnostic Medical Sonography
- 29. Nuclear Medicine and Molecular Imaging
- 30. Radiation Oncology
- Addendum A. Summary of Abbreviations, Volume One
- Addendum B. Summary of Abbreviations, Volume Two
- Index
- IBC
- Edition: 16
- Published: October 19, 2024
- Imprint: Elsevier
- No. of pages: 1680
- Language: English
- Hardback ISBN: 9780443120411
- eBook ISBN: 9780443348808
JR
Jeannean Hall Rollins
Jeannean has been teaching in Medical Imaging at Arkansas State University since 1991. In that time, she has served as interim program director, Faculty Senate senator, Faculty Association Secretary, Vice-President of the Arkansas Society of Radiologic Technologists, and numerous committees for the college and university. Additionally, she has been a recipient of the Arkansas State University Board of Trustees Faculty Award for Teaching Excellence and the American Society of Radiologic Technologists (ASRT) Distinguished Author Award. She has numerus national peer-reviewed journal publications and continuously provides presentations at various local, state, and national forums. Jeannean is co-author of Merrill's Atlas of Radiographic Positioning and Procedures, an internationally renowned textbook in medical imaging procedures. Her other scholarly activities focus on providing electronic instructional tools for medical imaging educators
Affiliations and expertise
Associate Professor, Medical Imaging and Radiation Sciences Department, Arkansas State University, Jonesboro, Arkansas, USATC
Tammy Curtis
Dr. Curtis has published several articles in journals, contributed to books, edited and reviewed educational books and products, and developed new products. She is the current author of international radiologic sciences education textbooks. Dr. Curtis has served in offices from secretary to president in her state affiliate and is still active in serving members and students. She holds several memberships with professional organizations and volunteers at national conferences for student competitions and hosting CE lectures for technologists and educators.
Before entering academia, she worked as a radiologic technologist for various healthcare organizations. She continues to visit local clinical sites with current undergraduate students to stay current in the practice field.
Dr. Curtis research interest is emergency preparedness and disaster response and serves on several college committees. She is the current university liaison for La Region 7 Hospital Preparedness Healthcare Coalition.
Affiliations and expertise
Professor and Program Director, Radiologic Sciences and School of Allied Health, Northwestern State University, Shreveport, Louisiana, USA