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At least 181 records · Page 10Linked to original sources
PubMed1980

[Late results of conservative treatment of congenital dislocation of the hip--over twenty-five years follow-up observation and statistical analysis of roentgenograms (author's transl)].

The present study was based on the findings of 87 cases of CDH (132 joints) published by Prof. Igari and his colleagues in 1960. All these patients had been treated with conservative methods between 1935 and 1952. The average age at the time of the first follow-up examination was 11 years. Fortunately in 1978, after an average follow-up of 29 years (range 25 to 39 years), the author was able to reexamine 59 (90 joints) of the original 87 cases. The average age of the patients reexamined in 1978 was 31 years. In addition, 18 cases (26 joints) of CDH which were not treated and reached the age over 18 years were studied for comparison. The following observations were made: 1) Of the 90 joints examined, 18 joints (20.0%) showed normal findings in the roentgenograms. Twenty (39.9%) of the 59 cases were healed from a clinical standpoint. 2) The measurements which were taken at school age (1960), especially acetabular angle, approximate-acetabular-quotient, C.E. angle and acetabulum-head-quotient had a statistical correlation with those of the present reexamination. 3) Joints with a well-developed acetabulum at school age, even those with slight deformities of the femoral head and neck, were found to have become congruous by middle age. 4) The femoral head growth in untreated dislocated joints was poorer than the femoral head growth in joints which received conservative methods. The following conclusions were made: 1) The results of the reexamination were poorer in patients above 30 years of age than in patients under 29 years of age. However, it cannot be said without reserve that the results become poorer with an increase in patients' ages. The progrnosis is dependent on the time when treatment was started and the degree of displacement. 2) In patients who were treated on late stage the acetabulum seems to have developed poorly. The severity of the deformity of the femoral head and neck is related to the degree of displacement. 3) The disturbance of the femoral head nucleus during the treatment period gives some influences on the growth of acetabulum and femoral concentration, making its prognosis poorer. 4) The acetabular angle and C.E. angle at the end of treatment had a prognostic value. Joints with an acute acetabular angle (above 31 degrees) at the end of treatment should be treated with surgical methods.

Adult↗
PubMed1981

Value of roentgenograms in the diagnosis and prognosis of carcinoma of the stomach.

Roentgenograms of the chest and abdomen of 102 patients with proved carcinomas of the stomach were studied regarding diagnosis, dissemination, resectability and survival. The three main signs looked for were changes in tone, distortion of fundic gas bubble and an increase in the fundus to lung base distance. Positive diagnoses were reached in 78.4 per cent of the patients with carcinoma in the upper part of the stomach but in only 29.4 per cent of all patients being studied. Of 29 patients with positive diagnostic criteria for proximal gastric growth, 24 had distant metastases, resection being possible in only seven; 27 did not survive beyond three months. Of eight patients with negative diagnostic criteria for carcinoma of the proximal part of the stomach, only one patient had proved distant metastases, four had regional lymph nodes involved and all were amenable to resection. Five have survived for more than two years postoperatively.

Gastrectomy↗
PubMed1995

[Evaluation of operative corrigent degree of scoliosis by improved Cobb's angle degree of preoperative suspensive roentgenogram].

To achieve best operative result in correction of scoliosis, and avoid complications of the nerve system due to excess correction, we compared the statistical results of modified Cobb's degree of preoperative suspensive roentgenogram and operative corrigent degrees of 331 patients with scoliosis, including 219 with idiopathic scoliosis. The modified Cobb's degrees of the whole group was 20.15 +/- 9.41 in suspension, the operative corrigent degree was 35.34 +/- 13.05, and the operation-suspension difference was 14.62 +/- 11.02. Referring to idiopathic scoliosis, it was 21.79 +/- 8.39, 37.44 +/- 11.82, 15.58 +/- 9.91 respectively. And the statistacal study was performed according to scoliosis type, involved segments, curvature degree, and ages. The parameters were very helpful in the evaluation of currigent effect before operation.

Adolescent↗
PubMed1977

Accuracy of roentgenograms of the chest in metastases to the lungs.

The findings on roentgenographic and tomographic examination of the chest were compared in 63 instances of suspected pulmonary metastases. These were further compared with the findings at thoracotomy in 41 instances. Of the 60 patients, 30 had soft tissue or bone sarcomas and 30 had carcinomas arising from colon, ovary or breast, and it also included five with malignant melanoma. Three patients with sarcomas had more than one thoracotomy. The diagnosis of pulmonary metastases by roentgenography of the chest was correct in 60 of 63 instances. Tomograms showed more lesions in 14 of 33 instances of sarcomas and 14 of 30 instances of carcinomas. Thoracotomy revealed even more lesions than were detected by tomography in 21 out of 26 instances with sarcomas and eight of 15 instances of carcinomas. Of the 37 patients with a solitary metastasis detected on roentgenograms of the chest, 22 were found to have additional lesions on the tomograms, 11 of 16 sarcomas and 11 of 21 carcinomas. At thoracotomy, however, nine of ten patients with a single metastasis from sarcomas were found to have even more lesions, while, in patients with carcinomas, tomograms were found to be accurate. Routinely, prior to major ablative operations for sarcomas and before excision of pulmonary metastases, it is suggested that tomography be carried out.

Adolescent↗
PubMed1996

Interpretation of fracture follow-up roentgenograms: is a second opinion routinely necessary?

To determine whether a second interpretation of follow-up roentgenograms is necessary in fracture management, we analyzed 300 fracture follow-up visits to two orthopaedists with regard to the efficacy of obtaining a radiologist's interpretation of the follow-up films. Fracture management decisions were made at the time of the visit without the benefit of the radiologist's interpretation of the films. Both the clinic note and the radiologist's official report of the x-ray films were independently compared by two "blinded" physician observers. Major discrepancies were defined as those warranting an alteration of treatment plan. Only one major discrepancy was found, judged by both observers to be an incorrect interpretation by the radiologist. No major discrepancies were found in the treating physician's interpretation. The maximal prevalence of discrepancy was less than 1%. We conclude that the need for a second interpretation of routine fracture follow-up x-rays is questionable from the standpoint of quality of care.

Diagnosis, Differential↗
PubMed1997

[Peripheral carcinoid tumor of the lung presenting as a solitary mass shadow on a chest roentgenogram and diagnosed by CT-guided percutaneous needle biopsy].

A 59-year-old woman was referred to our clinic because a solitary mass shadow (2.5 cm in diameter was seen in the left lower lung field on a chest roentgenogram. Transbronchial biopsy via a fiberoptic bronchoscope did not yield a definitive diagnosis. Examination of a specimen obtained by CT-guided percutaneous needle biopsy revealed that the tumor consisted of small cells proliferating in a solid, tubular, pseudoglandular, and follicular pattern, which suggested the diagnosis of carcinoid. A left lower lobectomy was performed, and several hilar and mediastinal lymph nodes were also removed. The tumor cells did not show pleomorphism of nuclei, mitotic activity, or necrosis. Grimelius and immunohistochemical stains for chromogranin. A, neuron-specific-enorase, synaptophysin, and serotonin were positive. These findings confirmed the diagnosis of carcinoid CT-guided percutaneous needle biopsy can be useful for the diagnosis of peripheral carcinoid and other peripheral lung tumors.

Biopsy, Needle↗
PubMed1998

[A resected case of a bronchiolo-alveolar cell carcinoma of the lung accompanying pneumonia-like shadow on chest roentgenogram].

A 67-year-old female was admitted to our hospital because of pneumonia-like shadow on chest roentgenogram with persistent cough and sputum of 4 months duration. Diagnosis as lung cancer was delayed more than 4 months. She showed fever and inflammatory reactions. Antibiotics were effective to inflammatory reactions, but not effective to pneumonia-like shadow. Transbronchial lung biopsy was useful for the diagnosis. Right lower lobectomy was performed. In this case, tumor extents were limited within one lobe. Tumor cells did not invade blood and lymphatic vessels, and extrathoracic metastases were not detected. The prognosis of bronchiolo-alveolar cell carcinoma was determined by intra-pulmonary tumor extent. Based on a comparison with the outcome of unresected cases, bronchiolo-alveolar cell carcinoma limited within one lobe should be surgically resected.

Adenocarcinoma, Bronchiolo-Alveolar↗