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At least 181 records · Page 10Linked to original sources

Differential diagnosis of anomalous pulmonary venous return. A clinical-roentgenological study.

The paper presents an analysis of the results of clinical and roentgenological examination of 88 patients with anomalous pulmonary venous return (42 females, 46 males), aged 2 weeks to 33 years. This defect has highly diverse anatomical variants. Its most frequent form is partial anomalous drainage (70.5%), while total drainage is much less frequent (29.5%). As regards the return level of the pulmonary veins, the site occurring most frequently is the supracardial one (63%), followed by the cardial (20%), mixed (11%) and infracardial site (6%). The authors compare the findings of X-ray examination with the results of catheterization of the right and left heart, selective angiocardiography (62) and the findings made intraoperatively (82), and assess the value of routine X-ray examination for differential diagnosis of partial and total anomalous pulmonary venous drainage at different return levels.

Adolescent↗

A roentgenological study of the small intestine after different intestinal bypass operations for treatment of morbid obesity.

Twenty-nine patients who had undergone four different types of jejunoileal bypass for obesity were examined roentgenologically after ingestion of barium contrast. Functional intestinal length, blind loop reflux and speed of contrast through the small intestine were recorded. Weight loss was not correlated to any of the mentioned parameters or to operative method. Length of functioning intestine increased and speed of contrast decreased with time after surgery.

Barium Sulfate↗

[Skeletal scintigraphy as an addition to the roentgenological examination in traumatology (author's transl)].

Considering various indications a review was made of 141 scintigraphic examinations for skeletal trauma. It was shown in 122 patients that bone scanning is an important method to help conventional X-ray diagnosis but that it cannot replace it. The alteration of the local metabolic bone processes is reliably indicated; and the limits and possibilities of bone scintigraphy and its use in traumatology are determined. An acute bone fracture can be proven scintigraphically. Errors are possible by the accumulation of 99mTc-activity in the soft tissue or by a negative scan in an early phase. Useful results can also be obtained when the interval from medical evaluation to the time of accident had to be evaluated. There were similarly useful results in the evaluation of fracture healing. Both those groups of cases, however, showed a high percentage of questionable results which brought no further information than the conventional X-ray findings. This is due to the irregular metabolic process at the fracture site and by much scattering in the area. Bone scanning was less informative when loosened metal plates (for osteosynthesis, however, showed a high percentage of questionable results which brought no further information than the conventional X-ray findings. This is due to the irregular metabolic process at the fracture site and by much scattering in the area. Bone scanning was less informative when loosened metal plates (for osteosynthesis, however, showed a high percentage of questionable results which brought no further information than the conventional X-ray findings. This is due to the irregular metabolic process at the fracture site and by much scattering in the area. Bone scanning was less informative when loosened metal plates (for osteosynthesis) or secondary osteomyelitis close to the fracture or the question of a recurrent fracture had to be evaluated. These groups of cases showed a higher portion of questionable results and misinterpretation. Totally, 65.9% correct results of skeletal scintigraphy brought some additional information to the roentgenological examination and were important for the surgeon. However, there were 21.3% questionable results. In 12.8% the interpretation of the bone scan was not correct.

Bone and Bones↗

Aneurysmal bone cysts with emphasis on roentgenologic diagnosis.

This paper was written to bring about an awareness of aneurysmal bone cysts--the etiology, signs and symptoms, and clinical manifestations. Emphasis is placed upon the roentgenologic appearance of bone tumors and the differentiation of aneurysmal cysts from other relatively common bone tumors. Treatment and pathologic interpretation are discussed briefly.

Adolescent↗

[Roentgenological diagnosis of the functioning of the cervical spine (author's transl)].

Basing on literature and 230 own functional examinations of the cervical spine, the author reports on a roentgenological method which satisfies practical requirements. In patients with degenerative and post-traumatic changes, the extent and localisation of the disorders of function and structure of the vertebrae can be determined by this method, enabling discovery of functional disorders in a large number of patients with clinical cervical spine syndrome. X-ray functional testing is shown to be a necessary complement to conventional x-ray diagnosis and clinical examination.

Adolescent↗

[Roentgenological analysis of the mobility of the diaphragm in functional pulmonary disorders (author's transl)].

Analysis of pulmonary function and densitometric examinations were carried out side by side in 41 patients with various types of pulmonary disorders. The results of both examination methods show good correlation and enable the physician to make a definite statement on the type of bronchopulmonary disease in the examined patient. The definite information which can be gained via this specific roentgenologic method justifies its use alongside the methods of pulmonary functional analysis.

Absorptiometry, Photon↗

[Clinico-roentgenological characteristics of stomach cancer in young and old patients].

Under study were 3877 case reports of gastric cancer patients of different age groups. It was noted that the duration of complaints in all age groups is nearly the same, but the diagnostic period in younger patients (18-35 years of age), as a rule, is considerably prolonged due to a supposed non-oncological lesion. Also, young patients show a larger area of invasion and earlier metastases. The recognition of gastric ulcer in due course by an aimed roentgenological examination, using also pneumogastrography, is shown to be effective enough.

Adolescent↗

[Roentgenological and pathological findings in 22 cases of secondary fungus ball of pulmonary aspergillosis].

Twenty-two cases of secondary fungus ball of pulmonary aspergillosis defined by operation were reported. All cases were referred with incorrectly diagnosis to the authors and only 45.3% were correctly diagnosed before operation. The roentgenological and pathological findings were studied. The results show that not familiar with non-typical appearance is the most common cause for incorrect diagnosis.

Adult↗

Evaluation of scintigraphic and roentgenologic studies in Paget's disease under treatment.

Scintigraphic and roentgenological studies in 9 patients, treated for Paget's disease, were evaluated before and during treatment and related to the values of serum alkaline phosphatase. On the initial studies--before treatment--25 lesions were found on both scintigram and roentgenogram. One lesion--proven by biopsy--was only seen on the scintigram. The roentgenograms showed no changes during this period, ranging from 6-16 months, except for one lesion with dubious progression. The scintigrams, carried out using 99Tcm-EHDP, showed both a qualitative and quantitative improvement in 7 cases. The ratios of radionuclide accumulation in Pagetoid bone and normal bone corresponded well with the values of serum alkaline phosphatase. In 4 out of 9 cases, however, the scintigram still demonstrated pathologic uptake of radioactivity, while serum alkaline phosphatase levels had dropped to normal values. It is concluded that bone scintigraphy may be of value for the follow up of patients under treatment for Paget's disease.

Alkaline Phosphatase↗

[Lijenicki Vjesnik and the beginnings of roentgenology in Croatia].

On the example of X-rays discovery, scientific sensibility in Croatia at the turn of the century is presented. The analysis of papers published in Lijecnicki vjesnik in the period 1896-1977 shows the role of this periodical in scientific dissemination of information related to X-rays discovery and development of roentgenology in Croatia.

Croatia↗

[Clinical findings and roentgenological diagnosis of the anomalies in the craniocervial region (author's transl)].

Osseous anomalies of the craniocervical junction may induce grave neurological disturbances and even lead to sudden death in exceptional cases. Therefore a correct diagnosis with painstaking demonstration of the extent of all anomalies must be established. This can be achieved exclusively by roentgenological studies. Clinical symptoms can only provide a lead to the underlying disease. In the present paper, the special problems of the radiology of craniocervical malformations are discussed and illustrated with own observations, which include specimen radiography.

Adult↗

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↗