The biliary tract: imaging for the 1990s.
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Biomedical subjects
Publications and source records attributed to J F Simeone.
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A case of ganglioneuroblastoma in an adult is presented. The precise localization of the tumor mass with computer assisted tomography aided the planning of radiation therapy. In addition, follow-up scans allowed evaluation of tumor response to both radiation and chemotherapy. The clinical and radiologic characteristics of this unusual tumor are discussed.
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Many diseases of the chest wall, heart, mediastinum, pleura, and lungs can be successfully imaged by CT. Radiotherapy ports can be calculated and transcutaneous biopsies can be monitored. In future, it is conceivable that by studying the numerical data within these areas of diseased and healthy lung it may be possible to more closely correlate pulmonary function with radiographic images. It is hoped that lung volumes extravascular lung water, blood flow patterns, and many more physiological parameters may become open to elucidation by CT.
The latest premortem chest roentgenogram on 17 patients with known metastatic malignant melanoma was examined and the results were compared with the findings in the chest at autopsy. In nine of the 17, disease not visible on the roentgenogram was found at autopsy. Preliminary data would indicate that a significant number of these metastases could have been identified premortem by other radiographic modalities, e.g., tomography.
Many of the diseases of the chest wall, heart, mediastinum, pleura and lungs can be successfully imaged by computerized tomography. Radiation therapy ports can be calculated and transcutaneous biopsies monitored. This paper deals with the many uses that we have had for computerized tomography in assessing diseases within the chest and thorax.
The computerized tomographic examination is routinely performed in the axial plane. However, with several available CT units images in the coronal plane are easily obtained. These images are especially useful in the diagnosis of diseases of the facial bones, sinuses, orbits and parasellar area. This paper describes one year's clinical experience with direct coronal computerized tomography.
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Aperistalsis of the esophagus was demonstrated in six patients with esophagitis. This was observed in reflux, caustic, and infectious esophagitis, and has occurred both as a transient phenomenon with no further sequelae, and as the initial manifestation of involvement in patients who subsequently suffered stricture. Based on biopsy and autopsy specimens in two cases, a possible mechanism of aperistalsis related to the damage to neurons in Auerbach's plexus is postulated. The presence of aperistalsis has been the first significant clue to esophageal inflammation in several cases.
To the previously reported 28 cases of femoral neuropathy caused by a retroperitoneal hematoma in patients on anticoagulant drugs are added two cases in which the diagnosis was made by direct visualization of hematoma of the iliacus muscle by computerized tomography of the abdomen.
The angiographic findings in five cases of tumors at the foramen of Monro are presented. Characteristic changes in the course and configuration of the medial posterior choroidal artery are described.
The simultaneous occurrence of a thymoma and systemic lupus erythematosus (SLE) is reported. Disease state associated with thymoma are reviewed and the possible immunological basis for this spectrum of diseases is discussed. The role of angiography in the diagnosis of thymic tumours is described.
The plain chest film may be critical in deciding whether a seriously injured patient should undergo aortography in order to exclude traumatic aortic rupture. The roentgen findings suggestive of aortic transection reflect the presence of mediastinal bleeding. A left apical extrapleural cap is frequently seen in these patients but heretofore has not been emphasized in the literature.
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