A busy orthopedic clinic performs mostly extremities with consistent part thickness but varying pathology, using a newer generator with APR selections by anatomy and size. The manager wants consistent density with minimal operator calculation across technologists. Which technique chart approach should the physicist recommend for this fixed-anatomy workload?

Anatomically programmed radiography stores optimal fixed kVp for each body part to preserve consistent contrast and pairs it with mAs adjusted for measured thickness or size selection, which reduces operator variability while maintaining density across a predictable extremity workload. Variable-kVp technique increases penetrating power as thickness grows while holding mAs stable, which widens latitude but shifts contrast and requires more judgment, suiting departments without APR rather than a standardized clinic seeking uniformity. Fixed-mAs for every patient ignores thickness and pathology differences and would produce under- or overexposed images. Memory-based estimation without a chart provides no standardization, violates quality control, and increases repeats, failing the manager requirement for consistency across technologists.