Recent Advances in Roentgen Diagnosis

doi:10.1059/0003-4819-64-5-1114

Recent Advances in Roentgen Diagnosis

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Los Angeles, Calif. 90024
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Excerpt

Dr. Leo G. Rigler: This case conference will concern itself with one of the most fascinating chapters in medical history, the development of the use of artificial contrast in roentgen diagnosis. The crude beginnings of this process took place within the very first few months of Roentgen's discovery in early 1896, when investigators first realized that contrast substances would be needed if soft tissues were to be amenable to diagnosis with the new rays. As a test, a metallic sound was placed in the esophagus of a cadaver and adequately demonstrated in the roentgenogram. The following year Walter Cannon, the

Summario in Interlingua

In le curso del passate decennio, le technica del examines roentgenographic ha progredite spectacularmente, super toto con respecto al demonstration del structura vascular de varie organos. Como illustration, cinque casos es presentate in le quales es commentate in detalio le indicationes pro le examine a radios X, le methodos roentgenographic, le constatationes roentgenographic, e le influentia del resultatos del studio roentgenographic super le tractamento del patiente. Nove procedimentos e informationes es includite. Tales es:

1. Morbo obstructive del ventriculo sinistre. Catheterismo arterial per medio de un nove methodo que reduce al minimo le insulto vascular e permitte le exacte localisation e delineation del stenose.

2. Emphysema pulmonar con opacification vascular. Le shunting arterio-venose intrapulmonar esseva demonstrate directemente.

3. Traumatismo acute in ren e hepate. Arteriographia renal e aortographia abdominal, incluse le visualisation del arteria hepatic, demonstrava le ischemia del ren e un clinicamente nonsuspicite ruptura del hepate.

4. Tumor pituitari con acromegalia, demonstrate per venographia de sino cavernose. Un nove technica—le injection in le sinus ineropetrosal—permitteva le exacte delineation del glandula pituitari e rendeva cryotherapia plus practicabile. Le resultatos es describite.

5. Tumor carcinoide del intestino. Un recurrente lesion imponente le necessitate de un extense operation chirurgic rendeva desirabile determinar le presentia o absentia de metastases hepatic que non esseva clinicamente evidente. Le injection selective ad in le arteria hepatic resultava in le visualisation de metastases hepatic con le subsequente reorientation del tractamento del patiente.

Istos es isolate exemplos de numerose nove procedimentos capace a provider informationes vitalmente importante con respecto al correcte manipulation de numerose grave conditiones.

Article and Author Information

This is an edited transcription of an Interdepartmental Clinical Case Conference arranged by the Department of Radiology of the School of Medicine, University of California, Los Angeles, Calif.
- Received February 21, 1966.
- Accepted February 22, 1966.