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radiography, the placement and orientation of anatomy on the image receptor (IR) are critical for producing diagnostic-quality images. Radiographers must ensure that the anatomy of interest is correctly aligned, centered, and oriented to avoid distortion, misrepresentation, or repeat exposures. 📏 Placement of Anatomy on the Image Receptor Centering: The anatomy of interest should be centered on the IR. Example: For chest radiography, the mid-sagittal plane is centered to the IR. Coverage: Ensure the entire region of interest is included (e.g., both joints in long bone imaging). Collimate to the anatomy to reduce scatter and improve image quality. Alignment: The body part, IR, and central ray should ideally be in the same plane. Misalignment leads to distortion or elongation/foreshortening. 🧭 Orientation of Anatomy on the Image Receptor Projection: AP (anteroposterior), PA (posteroanterior), lateral, or oblique depending on the exam. Orientation must match the clinical request and diagnostic need. Anatomical markers: Radiopaque “R” or “L” markers placed before exposure to indicate laterality. Prevents confusion about which side is imaged. Patient positioning: Supine, prone, erect, or decubitus positions affect orientation. Example: Upright chest radiographs reduce heart magnification compared to supine. Image display conventions: Chest radiographs: PA projection displayed as if facing the patient. Extremities: Displayed anatomically correct (e.g., hands with fingers pointing upward). Spine: Displayed with patient’s head at the top of the image. ⚠️ Key Principles Accuracy: Correct placement ensures diagnostic value. Consistency: Standard orientation allows radiologists to interpret images reliably. Safety: Proper positioning reduces repeats and radiation exposure. Communication: Clear labeling and orientation prevent medico-legal errors. #Radiography