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Biomedical subjects

G J Griffiths

Publications and source records attributed to G J Griffiths.

54 records · Page 3Linked to original sources
PubMed1981

Per rectal ultrasound in the investigation of prostatic disease.

Primary prostatic disease is usually assessed by digital palpation of the prostate. This method lacks objectivity and has been shown to be inaccurate, especially in the staging of primary prostatic cancer. This paper describes the investigation of 200 subjects using per rectal ultrasound. Of 70 patients with histological evidence of carcinoma of the prostate, 96% were correctly diagnosed ultrasonically and 87% correctly diagnosed by digital palpation. Of the 37 patients with ultrasonic evidence of a capsular breach, only 65% were diagnosed as such by digital palpation. A study of 10 cadaver specimens confirmed the accuracy of per rectal ultrasound as a technique for staging primary prostatic cancer . The ultrasonic appearances of the prostate, seminal vesicles and bladder base are described. Per rectal ultrasound is acceptable to patients, and its use is recommended in all cases where accurate assessment of primary prostatic cancer is required.

Adult↗
PubMed1981

A comparison between digital examination and per-rectal ultrasound in the evaluation of the prostate.

Three hundred and fifty-two patients have been examined by per-rectal ultrasound and histological confirmation of the diagnosis was obtained in 242 cases. Per-rectal ultrasound compared favourably with digital palpation both as a method of diagnosing prostatic cancer and also as a method of staging a primary tumour. Confirmation of the accuracy of this technique as a method of staging was gained by a study involving the use of cadaver material. Repeat examinations on patients with prostatic carcinoma have shown that per-rectal ultrasound is an ideal method for monitoring response of the primary tumor to treatment.

Humans↗
PubMed1980

Economy of Carbon and Nitrogen in Nodulated and Nonnodulated (NO(3)-grown) Cowpea [Vigna unguiculata (L.) Walp.].

The response of non-nodulated cowpea (Vigna unguiculata (L.) Walp. cv Caloona) to a wide range of NO(3) levels in the rooting medium was studied 40 days after sowing by in vitro assays of plant organs for NO(3) reductase (EC 1.6.6.1) and analyses of root bleeding (xylem) sap for nitrogenous solutes. Plants fed 1, 5, 10, 20, and 40 millimolar NO(3) showed, respectively, 64, 92, 94, and 91% of their total reductase activity in shoots and 34, 30, 66, 62, and 58% of the total N of their xylem sap as NO(3). These data, and the absence in the plants of significant pools of stored NO(3), indicated that shoots were major organs of NO(3) assimilation, especially at levels of NO(3) (10 to 40 millimolar) that maintained plant growth at near maximum rates. Partitioning and utilization of C and N were studied in nodulated, minus NO(3) plants and non-nodulated plants fed 10 or 20 millimolar NO(3), the levels of NO(3) which gave rates of growth and N assimilation closest to those of the symbiotic plants. The conversion of the C of net photosynthate to dry matter was similar in nodulated plants (67%) and NO(3)-grown plants (64%), but greater proportions of photosynthate were translocated to below ground parts of nodulated plants (37%) than of NO(3)-fed plants (23 to 26%). Greater photosynthate consumption by nodulated roots was associated with proportionately greater root growth and respiration and 2-fold greater export of C in xylem than in the NO(3)-fed plants. Theoretical considerations suggest that the elevated CO(2) output of nodulated roots was due not only to CO(2) loss associated with nodule function, but also to a much greater nonassimilatory component of respiration in the supporting root of the nodulated plant compared to roots of the NO(3)-fed plants. Data are compared with previously published information from other legumes.

Journal Article↗
PubMed1980

Observer variation in assessing renal scarring.

To examine the extent of variation between experienced observers in recognizing renal scarring, 60 intravenous urograms from schoolgirls with bacteriuria were presented separately to three radiologists with a major interest in the radiology of the urinary tract. Observers were asked to state whether scarring was "absent", "doubtful" or "present" at each of three sites in each kidney: the poles and the midportion. The proportion of overall agreement, i.e. the proportion of coincident opinions, was 86% to 89%. Results were also analysed by using the kappa statistic, which corrects for agreement due to chance. Kappa values ranged from 0.67 to 0.73. These values indicate higher levels of inter-observer agreement than those recorded for many other radiological examinations and are much greater than those noted by others for inter-observer variation in the recognition of renal scarring in urograms in adults. The likely explanations for these high levels of agreement are discussed. Observers disagreed about the extent of scarring in one-third of cases. Studies of the prevalence of scarring should take account of observer variation and should be based on judgments by more than one experienced observer.

Adolescent↗
PubMed1979

Diagnosis and staging of prostatic cancer by transrectal ultrasonography. A preliminary study.

Sixty men (7 normal, 53 with prostatic disease) underwent transrectal ultrasonic scanning of their prostates in order to assess the technique and evaluate its reliability in the detection and staging of prostatic cancer. The prostatic capsule was clearly seen in 58 men; non-integrity of the capsule occurred only in those with proven cancer (17 cases). An ultrasound diagnosis of cancer was made for 32 of 33 men with proven disease and it was shown that ultrasound demonstrated anterior perforations of the capsule in 6 out of 18 men with tumours that had been judged by rectal palpation to have been confined to the prostate. It is concluded that transrectal ultrasound is a promising technique of imaging the prostate, particularly in relation to selection of patients for biopsy and for checking staging of cancer carried out by digital assessment of the prostate.

Adult↗
PubMed1978

The phlebographic demonstration of venous thrombosis occurring during the treatment of scoliosis.

The application of plaster casts to the trunk plays an important part in the management of severe scoliosis. The edge of these casts may impair venous drainage from the limbs and predispose to thrombosis, as in the three illustrative cases. A further case shows the possibility of a pelvic halo ring device causing similar venous compression. Steps should be taken to prevent this venous impingement from occurring, both at the time of case application and afterwards.

Adolescent↗
PubMed1978

Radiological features of vascular compression of the duodenum occurring as a complication of the treatment of scoliosis (the cast syndrome).

The application of a body cast or the surgical correction of scoliosis is occasionally associated with acute obstructive vascular compression of the duodenum. The clinical and radiological manifestations observed in 10 such patients are described. All cases manifested abdominal distension and vomiting, while epigastric pain was present in 50%. Plain radiographs of the abdomen demonstrated duodenal distension with little gas in the remainder of the bowel in three cases. Barium studies in nine patients demonstrated an intact mucosal pattern and a duodenum dilated proximal to the site where the superior mesenteric vessels crossed it. All cases recovered with non-operative treatment which included nasogastric suction, intravenous fluids, change in position, particularly nursing in the prone position, and, occasionally, cast removal. The obstruction may sometimes persist or recur and then duodenojejunal side-to-side anastomosis is the surgical procedure of choice. The term "cast syndrome" is a misnomer as vascular compression of the duodenum may also occur in patients who are undergoing treatment for scoliosis without the use of a body cast.

Adolescent↗
PubMed1977

The radiology of the hip joints and pelvis in cerebral palsy.

Thw radiological appearances found in the pelvis and hip joints in 79 patients with cerebral palsy, aged 5--16 years, have been studied. These findings have been recorded and correlated with the clinical severity and distribution of the disease. Subluxation of the hip joints was found in 14% and dislocation in a further 6%. Spasticity was the predominant neuromuscular handicap in 69 out of 79 cases (88%). The acetabular angle and femoral neck shaft angle were related to the degree of migration of the femoral head. The acetabular angle, iliac angle, iliac index and femoral neck shaft angle were all significantly increased in the deranged group. In the dislocated group, the mean neck-shaft angle was 154 degrees. When the degree of spasticity was asymmetrical, there was a striking relationship between the laterality of the spasticity and the laterality of the deranged hip, pelvic obliquity and increased acetabular angle. A typical teardrop-shaped femoral head was seen in 48% spina bifida occulta of the lower lumbar and sacral spine in 32% and pseudoarthrosis in 3.8%. No ectopic calcification or ossification of soft tissue was noted. An awareness that these children are at risk from subluxation and dislocation of the hip and the importance of early diagnosis and treatment are emphasised.

Adolescent↗
PubMed1977

The significance of an air oesophagogram visualised on conventional chest radiographs.

Air may occasionally be seen outlining the entire oesophagus on conventional chest radiographs, this being referred to as an air oesophagogram. The reported causes of this radiological sign are reviewed. The chest radiographs of 24 cases of scleroderma with oesophageal involvement, and 29 cases of achalasia, have been studied. An air oesophagogram was seen in three cases (12.5%) of scleroderma and three cases (10%) of achalasia, without an oesophageal air fluid level and with air in the gastric fundus. An air oesophagogram has not been previously described in achalasia. The significance of this sign, which was found to occur in advanced scleroderma and in early achalasia, is discussed.

Adult↗
PubMed1976

Loss of renal tissue in the elderly.

Eighty-eight kidneys obtained at necropsy from normotensive subjects aged over 50 years were examined histologically and by post-mortem pyelography and angiography. Moderate or severe scarring was present in 50%. Its distribution and the absence of calyceal deformity make pyelonephritic scarrig unlikely. Its extent was related to the severity of change in the renal vessels, but not to age. On pyelograms, scarring was difficult to distinguish from fetal lobation. Kidneys with the most severe histological changes in the vessels tended to show the most marked angiographic distortion, though in general the two techniques examine different parts of the renal vascular bed. Total renal area and "cortical" area, measured from the angiograms, were not significantly correlated with age, thouth both tended to be smaller in older subjects. These dimensions, particularly cortical area, were significantly correlated with vascular changes, being smallest when vessels were most markedly affected. Results suggest that the loss of renal tissue which occurs in the elderly, particularly selective loss of cortex, is more closely related to events in the renal vasculature than to age itself.

Age Factors↗
PubMed1976

Roentgenologic aspects of spinal involvement by primary and metastatic Ewing's tumor.

Twenty-six patients with Ewing's tumor were studied. The spine was involved in eleven patients; the clinical and roentgenologic features of these are described. Four patients had primary Ewing's tumor of the spine; one showed uniform sclerosis of a single vertebra, a hitherto unreported finding. Two showed bone destruction; one showed no bone change on plain radiographs but there was complete obstruction on myelography. Two developed spinal metastases and died shortly afterwards. One patient is alive and well eight and a half years later. Seven patients had metastases to the spine from a non-spinal Ewing's tumor. All had neurologic complications. Plain radiographs showed no bone change in five; however, a paraspinal mass or an extra-dural mass shown on myelography, were relatively common. The mean survival time following spinal involvement was four months (range 1-12 months). No correlation was evident between the site of the primary lesion, the method of treatment, and the development of spinal metastases.

Adolescent↗
PubMed1975

Estimation of renal size from radiographs: is the effort worthwhile?

The weight of renal substance was measured in normal kidneys obtained at necropsy after removal of fat from the renal sinuses. This fat fo-med an average of 5 percent of the total renal weight, increasing only slightly with age. The weight of renal substance was correlated with measurements of length, width, depth and area obtained from radiographs. The best estimate of renal weight was made by using length alone. The effect of rotation of the kidney on its radiographic dimensions was also assessed. At the angles at which kidneys lie in the body, the longitudinal dimensions are less affected by small changes in rotation than the transverse dimensions. However, rotation within the range of arc normally found in the body may cause apparent diminution length of 1 cm or more.

Adipose Tissue↗