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AP erect abdomen X-ray positioning (infant)

One of the routine abdomen views. The patient stands, the beam passes front to back (AP), straight on to the receptor, and the centring point is the umbilicus.

By the ScanFlo Editorial Team · Updated

In this section · X-ray positioning

X-ray positioning/Abdomen

Still being checked: a radiographer is reviewing this guide. If your department does it differently, follow your department.

Patient position

Erect. A parent holds the child up by the upper arms, back against the bucky; holders wear lead aprons and gloves.

Centring & collimation

Central ray

AP

Centre: the umbilicus.

Beam: AP, perpendicular to the receptor.

Collimate: diaphragm to symphysis

Distance, receptor & grid

SettingValueNotes
SID110 cm
Receptor24 × 30 cmportrait
PlacementErect (wall) buckyGrid in
AngulationNonePerpendicular to the receptor

Marker & breathing

  • Marker: anatomical side marker on the side being examined, clear of anatomy
  • Breathing: No breathing instruction needed.

Exposure by patient size

Treat these as a starting point. Your detector, your generator and the patient in front of you will all move the numbers.

Patient sizekVmAs (chart)mAs (DR default)
XS703.21.25
S7052
M706.32.5
L70104

These start from a classic film-screen chart (70 kV, 10 mAs at 140 cm) and are adjusted for a digital detector at 110 cm. The DR column is what ScanFlo's console suggests; each step up or down changes the mAs by about a quarter.

Image quality checklist

  • The whole abdomen from diaphragm to symphysis is included.
  • Holders' hands outside the field.
  • The anatomical side marker is visible, correct and clear of the anatomy.
  • Collimation borders are visible on all sides, no wider than the area requested.

Faults & how to fix them

FaultCauseFix
Diaphragm cut offCentring lowCentre at the umbilicus and open the field upward.

Common questions

Where do you centre for an abdomen AP erect (infant) X-ray?
The centring point is the umbilicus.
What distance and beam angle does an abdomen AP erect (infant) need?
110 cm from the tube to the receptor. The beam passes front to back (AP), straight on to the receptor.
What size receptor, and do you need a grid?
Use a 24 × 30 cm receptor, portrait, in the wall bucky. A grid is needed.
Where does the lead marker go?
anatomical side marker on the side being examined, clear of anatomy.
What goes wrong most often on an abdomen AP erect (infant)?
Diaphragm cut off. Usual cause: centring low. The fix: centre at the umbilicus and open the field upward.

Try it in ScanFlo: the ScanFlo XR X-ray Room, coming soon, lets you set up a abdomen ap erect (infant) in a 3D room and score your positioning. See ScanFlo XR →

Written by the ScanFlo team from everyday radiographic practice.

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