BaE POSITION OF PART CR DIRECTED STRUCTURES

INCLUDED/ BEST
SEEN
AP Supine, MSP IR AP proj of entire
centered to IR level of contrast-filled large
iliac crest intestine.
PA Prone, MSP centered IR PA proj of entire
of IR @ level of I.C. contrast-filled large
intestine; AP or PA
erect may be used to
demons.
double-contrast
flexures.
PA Axial Prone, MSP centered 30-40 caudad to PA axial proj of
of IR @ level of midline @ level of sigmoid colon;
symphysis pubis ASIS angulation opens the
length of the S-
shaped colon.

*alternative AP Axial,
CR directed 30-40
cephalad.
BaE POSITION OF CR DIRECTED STRUCTURES
PART INCLUDED/ BEST
SEEN

RAO PA obl. IR Right PA oblq proj of

35-45°centered to the colon, demons
IR @ level of iliac ascending colon &
crest hepatic flexure.

*alternative: LPO

LAO PA obl. 35-45° IR Left PA obla proj of the

centered to IR @ colon, demons
level of iliac crest descending colon &
splenic flexure
alternative: RPO

LAT Lat recumbent, IR L or R lat proj

MCP especially for rectum &
centered to grid, IR sigmoid
centered @ level of area.
ASIS

LAT Lat recumbent, (AP Horizontal and Air rises to provide

decubitus or PA), MSP and (upsidedown T double-contrast
(R&L) centered to upright symbol) to IR delineation
grid @ level of IC. to IR of walls of colon;
both decubitus are
routinely
performed.
PROJECTION/POSITION PP/CR/RP

FLETCHER’S MODIFICATION LAO position with 30-35 degrees body

obliquity, CR 30-35 degrees cephalad 2 inch
superior to the ASIS, rectosigmoid colon

CHASSARD-LAPINE MODIFICATION Demonstrates anterior and posterior surfaces

of the lower portion of the large bowel and
permits the coil of the rectosigmoid color to
be projected free from overlapping. Done in
pre and post evacuation when patient has
good sphincter control

ROBIN’S MODIFICATION (L) Lateral, Best Single View of the

rectosigmoid w/o overlapping

BILLING’S MODIFICATION Supine, 35-45 degrees cephalad to ASIS;

prevent overlapping loop & no seperated
colon

OPPENHEIMER’S MODIFICATION Supine, CR 12 degrees caudally for

rectosigmoid

TRENDELENBURG POSITION For rectosigmoid, 15-25 degrees table tilt