Systematic radiographic technical evaluation (mnemonic)

Changed by Ammar Haouimi, 28 Dec 2020

Updates to Article Attributes

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Systematic radiographic technical evaluation is an important aspect to evaluative, effective radiography. It is the process of assessing a radiographic image to ensure it meets a high level of diagnostic standard. Two mnemonics are commonly used when assessing a radiographic image:

  • PACEMAN
  • IMAACREAP

Although the use of plain radiographic technical evaluation seems overtly academic, radiographers will subconsciously go over a checklist like this after every examination.

Mnemonics

PACEMAN
  • P: positioning
  • A: isthe anatomical area covered adequately 
  • C: collimation present
  • E: exposure is within range 
  • M: marker present and correct
  • A: aesthetics
  • N: name is correct 
IMAACREAP
  • I: identification, ensuring correct patient was imaged
  • M: markersare present and correct
  • A: anatomy of interest is assessed and adequately covered  
  • A: artefactsartifacts are noted/assessed for
  • C: collimation present
  • R: relative position to the central beam (centring)
  • E: exposure is within range
  • A: is any additional imaging required (repeat, supplementary views)
  • P: is pathology present that requires specialised projections i.e. horizontal beam hip
  • -<strong>A: </strong>artefacts are noted/assessed for <strong> </strong>
  • +<strong>A: </strong>artifacts are noted/assessed for <strong> </strong>

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