What is the recommended source-to-image distance for an anteroposterior (AP) projection of tibia and fibula?

The recommended source-to-image distance (SID) for an anteroposterior (AP) projection of the tibia and fibula is 40 inches (102 cm). This distance is critical for maintaining image quality and minimizing distortion during radiographic procedures.

Using a SID of 40 inches strikes a balance between adequate exposure and practical imaging workflow. At this distance, the resultant radiograph achieves optimal detail of the anatomical structures while providing sufficient coverage of the area being examined. This distance helps reduce magnification of the bones and enhances the clarity of the joint spaces and surrounding soft tissue.

Choosing an appropriate SID is essential for producing high-quality images, as it influences factors such as patient dose, image resolution, and overall diagnostic utility. A distance that is too long or too short may lead to image distortions or require adjustments in exposure settings, which can complicate the imaging process and potentially obscure important diagnostic details.