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PubMed2000

Use of roentgenography and magnetic resonance imaging to predict meniscal geometry determined with a three-dimensional coordinate digitizing system.

To evaluate and improve on the procedures used by a tissue bank in selecting donor menisci for transplantation, this study was designed to fulfill four objectives: (a) define and quantify a set of independent parameters for describing the geometry of the medial and lateral menisci, (b) determine how well the sizing protocol of the tissue bank (i.e., two transverse roentgenographic measurements obtained from the injured knee or six transverse magnetic resonance imaging measurements obtained from the contralateral knee) predicts the four standard transverse parameters of the menisci, (c) determine if including one additional transverse roentgenographic measurement for each compartment improves the ability of roentgenograms to predict transverse meniscal parameters, and (d) determine if five magnetic resonance imaging measurements at three different meniscal cross sections of the contralateral knee predict the 15 standard cross-sectional parameters of the meniscus in the injured knee. A laser-based, noncontacting three-dimensional coordinate digitizing system was used to determine surface coordinates from which menisci were reconstructed in a computer. For each reconstructed meniscus, four parameters in the transverse plane and five cross-sectional parameters in each of three regions (i.e., anterior, middle, and posterior) were defined, yielding a set of 19 standard parameters to describe the geometry. Through a correlation analysis, these standard parameters were shown to be largely unrelated to one another, thus confirming that the parameters form an independent set describing the three-dimensional geometry of the menisci. The two roentgenographic measurements were poor predictors of transverse standard meniscal parameters, predicting only one of four standard parameters for the medial meniscus and none of four standard parameters for the lateral meniscus with coefficients of determination greater than or equal to 0.5. Including one additional roentgenographic measurement to the tissue bank protocol increased the number of standard transverse parameters predicted to three of four for the medial meniscus and two of four for the lateral meniscus. Magnetic resonance imaging was better than roentgenography for predicting the three-dimensional meniscal geometry. The transverse measurements from magnetic resonance imaging predicted three of four standard transverse parameters for the medial meniscus and all four for the lateral meniscus. With the addition of the cross-sectional measurements by magnetic resonance imaging, seven of 15 standard cross-sectional parameters were predicted for both the medial and lateral menisci. Assuming that a successful clinical outcome depends on how well an allograft matches the size and shape of the original meniscus, magnetic resonance imaging rather than roentgenography should be used for allograft size-matching by tissue banks.

Adult↗
PubMed1995

Distal radioulnar joint subluxation and dislocation diagnosed by standard roentgenography.

The use of standard lateral roentgenography for diagnosing distal radioulnar joint (DRUJ) subluxation and dislocation was investigated. Using a wrist support, bilateral standard lateral roentgenograms of the wrist were obtained in 42 patients with normal wrists and in 56 patients with a unilateral wrist injury. In normal wrists the difference between the radioulnar distance in the right and the left wrist did not exceed 4 mm when the difference in the pisoscaphoid distance was less than 3 mm. Of the 36 patients with wrist injury whose difference in pisoscaphoid distance was less than 3 mm, 15 had a radioulnar distance of 5 mm or more, and computed tomography (CT) confirmed DRUJ dislocation in 14. Concordance between lateral roentgenograms and CT was present in 33 of 36 patients (92%). These results demonstrate the value of a standardized technique for bilateral lateral roentgenography in diagnosing DRUJ subluxation and dislocation.

Adolescent↗
PubMed1980

Pathogenesis of renal failure due to aminoglycosides and contrast media used in roentgenography.

The etiology of acute renal failure has changed in recent years due to the recognition of drug nephrotoxicity as a more common cause. In this communication we emphasize recent information concerning the pathophysiology of nephrotoxic acute renal failure produced by aminoglycoside antibiotics and the contrast media used in roentgenography. The aminoglycosides are excreted primarily by glomerular filtration; however, net tubular reabsorption and renal parenchymal accumulation do occur. The exact mechanism of uptake is not clear, but the luminal membrane seems primarily involved. The pathogenesis of nephrotoxicity, although probably linked to cortical accumulation, is complex since experimental animals recover from gentamicin-induced renal failure despite continued administration of the drug. Knowledge of the precise cellular mechanisms of injury awaits further studies. Histologic damage is usually limited to proximal tubular necrosis and, clinically, the renal failure is nonoliguric. Although reports of the contrast media used in roentgenography producing acute renal failure have increased, the pathogenesis is unclear. Evidence supporting various theories is reviewed.

Acute Kidney Injury↗
PubMed1999

The value of chest roentgenography in the diagnosis of pneumothorax after thoracentesis.

PURPOSE: We sought to assess the yield of chest roentgenography for the detection of pneumothorax among hospitalized patients with pleural effusion who have undergone diagnostic or therapeutic thoracentesis. SUBJECTS AND METHODS: We performed a prospective study of 506 thoracentesis procedures in 370 patients. After the procedure, each operator filled out a note recording patient data and the characteristics of the thoracentesis. A chest radiograph was performed within 12 hours after the procedure in all patients. RESULTS: Eighteen (4%) pneumothoraces occurred in 17 patients, 9 (2%) of which required chest tube drainage. Of the 488 patients without symptoms, only 5 (1%) developed a pneumothorax, only 1 of which required chest tube drainage. By contrast, of the 18 patients with symptoms, 13 developed a pneumothorax, 8 of which required chest tubes. There were two independent predictors of pneumothorax: presence of symptoms (odds ratio [OR] = 250; 95% confidence interval [CI]: 65 to 980) and male gender (OR = 5.4; 95% CI: 1.9 to 69). CONCLUSIONS: Among the symptom-free patients in our sample, the risk of developing pneumothorax with clinical consequences was so low that the practice of routine chest roentgenography may not be justified.

Chest Tubes↗
PubMed2003

Exogenous lipoid pneumonia: serial chest plain roentgenography and high-resolution computerized tomography findings.

Between May 1988 and July 2002, six patients with pneumonia due to diesel, animal, or vegetable oil aspiration were admitted to Kaohsiung Medical University Hospital. The purpose of this study was to demonstrate distinctive radiographic findings of oil-induced lipoid pneumonitis on initial serial chest roentgenograms and high-resolution computerized tomography (CT) scans. Initial chest roentgenograms (n = 6), CT scans (n = 6), and roentgenography and CT follow-up studies were analyzed retrospectively by two chest radiologists and two surgeons, focusing on the pattern and distribution of parenchymal abnormalities. The most common location was the right middle lobe, followed by the right lower lobe, the left lower lobe, and the lingular lobe. Follow-up chest roentgenograms (n = 6) showed complete disappearance of the parenchymal lesions in only one patient and partial decrease in the extent of lesions in five patients. Lipoid pneumonia presents non-specific findings on chest roentgenography. It is commonly located in both lower and the right middle lobes. On high-resolution CT, the lesions appear most commonly as areas of consolidation, ground-glass attenuation mixed with paving pattern, and poorly defined nodules.

Adult↗
PubMed1992

Autotraction stress roentgenography for demonstration anterior and inferior instability of the shoulder joint.

A form of stress roentgenography is presented for the diagnosis of anterior and inferior shoulder instabilities. Stress is induced by anterioinferior traction concentrated on the shoulder during extension of the flexed hip, when patients hold their legs on the side being examined, with both hands. The anterior and inferior shifts of the humeral head in relation to the glenoid fossa then are measured from anteroposterior and modified axillary roentgenograms. This method was employed in 16 shoulders with recurrent anterior dislocation, 11 recurrent anterior subluxations, nine multidirectional instabilities, and 19 control shoulders. Mean anterior translations were 3 mm and 5 mm, and inferior translations were 7 mm and 10 mm for the control and recurrent dislocation groups, respectively. There were statistically no significant differences between those groups. In the recurrent anterior subluxations, the corresponding translations were of a completely different order, 21 mm and 19 mm, respectively, allowing the distinction from the controls and recurrent anterior dislocations in most cases. The shifts found in multidirectional instabilities, averaging 27 mm and 26 mm, respectively, were significantly greater than for the recurrent subluxations, but the differences were not great enough for accurate differential diagnosis in individual cases. Autotraction stress roentgenography of the shoulder may be of use in the diagnosis of recurrent anterior subluxations and anteroinferior multidirectional instabilities. It also gives good general views of the looseness of the glenohumeral joint.

Adolescent↗
PubMedDate not supplied

[The use of odontograms and panoramic roentgenography in personal identification].

Study of dental root surfaces prompted the authors to add to the routine odontogram 28 more maxillary surfaces and 22 mandibular surfaces, this making a total of 210 diagnostic signs. Employment of amplified panoramic roentgenography permitted the authors to detect specific features of the dental cavity, root canals, periodontal fissure structure, the presence of caries and its complications, inflammatory and systemic involvement, injury to the jaws and teeth. Visual examination of dental status and application of panoramic roentgenography will help improve forensic medical personal identification.

Adult↗
PubMed1992

Ultrasonography versus roentgenography in suspected cases of cholecystolithiasis.

The present study was carried out to evaluate the relative merits of ultrasonography and roentgenography in 50 cases of suspected cholecystolithiasis. The accuracy rate with roentgenography (plain X-ray abd, OCG and IVC) in the diagnosis of cholecystolithiasis was 92.5% where as it was 95% with ultrasonography. Oral cholecystography should be done in patients with normal ultrasound examination if the symptoms are strongly suggestive of cholecystolithiasis.

Bile Duct Diseases↗
PubMedDate not supplied

[Development of systems for digital fluorography and roentgenography on the basis of x-ray image intensifiers (XRII)].

A comparative review of characteristics of digital detectors for fluorography and roentgenography. Modern digital detection systems on the basis of X-ray image intensifiers (XRII) were demonstrated to be superior in terms of both X-ray image parameters and radiation safety of patient. Specifications of a new detection system for fluorography and roentgenography available from SpektrAP Ltd. (Russia) were described.

Radiographic Image Enhancement↗
PubMed1989

[Roentgenography and real-time ultrasonography in the diagnosis of pulmonary and mediastinal lesions].

A correlative study of 65 proved cases with pulmonary or mediastinal lesions was made between roentgenography, ultrasonography and a part of surgically removed specimens. It included 41 cases of intrathoracic spherical lesions, 20 cases of mediastinal lesions and 4 cases of pneumonia. The result suggested that ultrasonography is a useful and feasible adjunct in the diagnosis of the intrathoracic lesions. Many of these lesions were suitable to ultrasonography, which may be helpful in determining the nature and location of them. In this preliminary study different ultrasonographic characteristics were found between adenocarcinoma and squamous cell carcinoma, perhaps being correlated with homogeneity of the texture of these tissues. However, a small deep lesion or a small central necrosis may not be detected by ultrasonography. For such a lesion it must be combined with roentgenography to improve the diagnostic accuracy.

Adenocarcinoma↗
PubMedDate not supplied

[Standardization of examinations in maxillofacial roentgenology. I. Standardization of methods in intraoral roentgenography].

Typical errors in teeth roentgenography reproduced in experiment, indicate that considerable disproportional distortions of images of anatomical structures which are decisive for radiodiagnosis, may occur in these cases. These distortions influence the accuracy of assessment of the condition of periapical tissues, marginal parts of the alveolar process, cavity sizes, and the actual end of the root of the canal. Standardization of intraoral roentgenography is based on a strict position of the patient's head, angle of inclination and alignment of a tube. Specialized P3-1 film should be used. Its processing should strictly correspond to the instructions of a manufacturing factory otherwise the quality of an image is deteriorated and an effective equivalent dose on the vital organs is increased.

Humans↗
PubMed1978

Detection of pericardial effusion by chest roentgenography and electrocardiography versus echocardiography.

To determine the sensitivity and specificity of chest roentgenography and electrocardiography in the detection of pericardial effusion, echocardiography was used as the diagnostic standard. Chest roentgenograms and electrocardiograms of 124 patients, 57 of whom had pericardial effusion, were read without knowledge of the echocardiographic interpretation. The sensitivity of roentgenographic diagnosis was low (20%), as was that of diagnosis from decreased voltage on the electrocardiogram (26%). The specificity of the chest roentgenogram was 89% and that of the low-voltage electrocardiogram 97%. The high specificity of the low-voltage electrocardiogram may have been due in part to the exclusion of obese and emphysematous subjects from the study. When cardiomegaly detected roentgenographically or a low-voltage electrocardiogram or both were considered as evidence of pericardial effusion, sensitivity improved to 82% but specificity declined to 29%. It is concluded the chest roentgenography and electrocardiography are unsatisfactory as screening investigations for the detection of pericardial effusion.

Echocardiography↗
PubMed1978

[Plain roentgenography findings of congenital heart disease (author's transl)].

Plain roentgenography of congenital heart disease in newborn is subject to narrow diagnostic limitations. The cardiac abnormalities should preferably be classified according to haemodynamic criteria. In most cases the diagnostic information is restricted to the statement whether the malformation detected plain roentgenography is associated with normal, increased or decreased pulmonary perfusion. Most cardiac abnormalities occur in conjunction with a more or less pronounced cardiomegaly, and only the tetralogy of Fallot, tricuspid atresia, and total anomalous pulmonary venous drainage are associated with a heart of normal or only slightly enlarged size. Configurations which are considered as being typical of congenital heart disease are only seen in the tetralogy of Fallot and in tricuspid atresia (wooden shoe deformity) on the one hand, and in the transposition of the great arteries and the truncus arteriosus on the other eggshaped heart). Differentiation between these malformations of the heart is sometimes possible via the position of the aortic arch. The factors mainly responsible for the development of cardiac insufficiency during the first few days of life should be the coarctation of the aorta and the hypoplastic left-heart syndrome.

Aortic Coarctation↗
PubMed1981

Evaluation of Eustachian tube function by contrast roentgenography.

Contrast roentgenography and cineroentgenography were carried out on nine patients with perforated eardrums to reveal the opening process of the Eustachian tube and its pumping-like clearance function in human beings. The results were as follows: (1) the tubal lumen opens along the cartilaginous part of the tube owing to the outward displacement of its lateral wall; (2) the pumping function of the tube consists in two phases: accumulation of the fluid in the tube by tensor contraction and discharge of the fluid by tensor relaxation.

Cineradiography↗
PubMed1987

Pulmonary aspiration studied by radionuclide milk scanning and barium swallow roentgenography.

We have examined the use of radionuclide milk scanning to detect aspiration and have compared the clinical features of patients with demonstrated aspiration with those of patients in whom aspiration was not demonstrated. One hundred twenty children underwent radionuclide milk scanning for three different clinical indications, namely, respiratory tract symptoms (n = 56), gastroesophageal (GO) reflux (n = 20), and near-miss sudden infant death syndrome (SIDS) (n = 44). Ninety-eight (82%) of the 120 patients had a GO reflux demonstrated on the radionuclide milk scan. The incidence of aspiration was high in the respiratory (23%) and near-miss SIDS groups (20%) but low in the GO reflux group (5%). Only four of the 19 patients with an aspiration-positive scan had an aspiration-positive barium swallow film. The clinical symptoms and signs of those patients with aspiration-positive results were not significantly different from those of patients in whom aspiration was not demonstrated. We conclude that radionuclide milk scanning is more sensitive than barium swallow roentgenography in detecting aspiration; however, the clinical significance of such aspiration is undetermined. In view of the high incidence of GO reflux demonstrated in the absence of aspiration by the use of radionuclide milk scanning, the sole finding of GO reflux in a child with respiratory tract symptoms should not be taken as presumptive evidence that aspiration is contributing to those symptoms.

Adolescent↗
PubMed1990

Asbestos-related lesions of the pleura: parietal plaques compared to diffuse thickening studied with chest roentgenography, computed tomography, lung function, and gas exchange.

Lung function tests, tests of working capacity with gas exchange, and computed tomography (CT) with density measurements with the patient supine and prone were performed in 23 males with asbestos-related bilateral pleural lesions. Two had pulmonary asbestosis grade 1/0 or more; all the others had normal lung parenchyma. On x-ray, the pleural lesions were divided into plaques involving only the parietal pleura There was a and diffuse pleural fibrosis of various degrees involving the visceral pleura. There was a good correlation between the findings at plain chest roentgenography and CT, but more lesions were seen on the CT scan. However, a few pleural plaques seen on conventional films were not observed at CT. Individuals with plaques had slightly lowered lung function compared to reference subjects. Bilateral diffuse pleural fibrosis was associated with a marked decrease in pulmonary function. The two patients with radiologically evident pulmonary asbestosis were found in this group. Decreased lung function was also observed in subjects with pleural fibrosis of only grade 1 (involving less than one fourth of the hemithorax) and a normal exercise capacity. The study shows the importance of differentiation between various asbestos-related pleural lesions.

Adult↗
PubMed1975

Cephalometric roentgenography for nonhuman primates utilizing a surgically implanted head positioner.

Cephalometric roentgenography in nonhuman primates requires more precise head positioning than that afforded by commonly used ear rod techniques. A standard cephalometric headholder was therefore modified and a technique was developed to implant an attachment that permit precise positioning of the head in all three planes of spce. This method has been used in 36 animals, and at 35 months postsurgery the implants have remained stable and tissue compatiblity is generally excellent. Roentgenograms obtained with this technique offer a high degree of accuracy in documenting growth changes and response to orthodontic treatment.

Animals↗
PubMed1981

Radiological patterns of truncus arteriosus in plain roentgenography.

15 cases of persistent truncus arteriosus in infants and children were subjected to roentgenographic examination by the authors via plain frontal and profile roentgenography of the thorax. In infants (12 patients) the left midzone section is concave or straight, especially in the lower part. This aspect is typical of this congenital anomaly if it is associated with active pulmonary hypervascularisation. Cases without pulmonary hypervascularisation are very difficult to diagnose safely. In 7 profile roentgenographs 3 retrosternal enlarged areas were seen soon after birth. In children of 2 to 6 years of age, cardiac dilatation with a right-side aortic arch and pulmonary hypervascularisation are very typical. In children over 6 years of age we observed an Eisenmenger's syndrome with a retrosternal enlarged area. According to the authors' experience, a combination of a right-side aortic arch associated with pulmonary hypervascularisation must be considered highly typical.

Abnormalities, Multiple↗