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On the basis of his own experience and of literary sources, the author reports the present situation of the roentgenologic diagnosis of the pancreas. He evaluates the various examination methods and gives a general description of the typical characteristics of the diseases of the pancreas. In conclusion, he suggests ways for further improvements.
As determined by the Executive council of the American Roentgen Ray Society, the editorship of the American Journal of Roentgenology (AJR) is a time-limited position. This policy allows for the perpetual influx of new ideas and ensures continued dynamism in the leadership of the Journal. The AJR now has a new editor in chief, Lee F. Rogers, M.D., as well as a new office staff and a new home for the editorial office, Winston-Salem, NC. As we look with anticipation to the future of the Journal under the guidance of Lee Rogers, the time is appropriate to reflect on the legacy of journalistic excellence and innovation that Robert N. Berk has left us.
OBJECTIVE: Our aim was to determine the use of advanced technology and archiving and the contribution of countries other than United States in the articles published in the American Journal of Roentgenology (AJR) and Radiology. We analyzed the association of these features with the type of research, the main technical features of the modalities used, and the countries of origin. MATERIALS AND METHODS: We determined the proportion of articles published in 18 randomly selected issues of the AJR and Radiology that required advanced imaging techniques and relied on the analysis of archived data. "Advanced technology" was defined as imaging techniques that serve a purpose other than simple anatomic imaging or that are not widely available because of the high cost of the technology, such as functional imaging and computer programming designed for an individual study or simulation studies. We analyzed the association of these features with the country of origin, the topic, and the methodology used. RESULTS: Sixteen percent of the studies required advanced technology. MR imaging, CT, and sonography were the most frequently used modalities (31%, 27%, and 15% of studies, respectively). Archiving was used in 37% of the studies, and 67% of the original articles were prospective. The articles most commonly originated in North America (67%), Europe (20%), and Asia (12%). CONCLUSION: Only a small percentage of published research studies required advanced technology and approximately one third of the studies used archiving. These results may suggest that other criteria, such as the design of the study, its relevance for daily clinical use, and the originality of the paper, have a major impact on the acceptance of papers in clinically oriented radiology journals.
OBJECTIVE: The objective of this study was to analyze trends in the number of articles from international authors submitted to or published by the American Journal of Roentgenology (AJR) between 1980 and 2002. MATERIALS AND METHODS: More than 5000 articles published by the AJR during three 3-year periods (1980-1982, 1990-1992, and 2000-2002) were categorized by country of residence of the corresponding author, type of article, subject matter and age of patients, organ system, and radiologic technique. Additionally, 6202 manuscripts submitted to the AJR (1991-1992 and 2001-2002) were used to calculate the acceptance rates for the two 2-year periods. RESULTS: The percentage of articles published by the AJR from international authors was 10% (158/1610) in 1980-1982, 25% (441/1788) in 1990-1992, and 37% (602/1624) in 2000-2002 (p < 0.0001). Japanese, South Korean, and German authors achieved the largest increases during the 22 years covered by our research, and Canada had the largest decrease. The increase in international articles at the AJR was accompanied by an absolute decrease in publications from authors in the United States. Nonetheless, during 2000-2002, the acceptance rate for major papers from authors in the United States was 45% and the acceptance rate for foreign authors was 31%. During 1990-1992, the acceptance rates for major papers were 33% and 27%, respectively. CONCLUSION: The contents of the AJR reflect a continually increasing number of international articles during the past two decades.
OBJECTIVE: The objective of this study was to examine the relative influence of manuscript characteristics and peer-reviewer attributes in the assessment of manuscripts. MATERIALS AND METHODS: Over a 6-month period, all major papers submitted to the American Journal of Roentgenology (AJR) were entered into a database that recorded manuscript characteristics, demographic profiles of reviewers, and the disposition of the manuscript. Manuscript characteristics included reviewer ratings on five scales (rhetoric, structure, science, import, and overall recommendation); the subspecialty class of the paper; the primary imaging technique; and the country of origin. Demographic profiles of the reviewers included age, sex, subspecialty, years of reviewing, academic rank, and practice type. Statistical analysis included correlation analysis, ordinal logistic regression, and analysis of variance. RESULTS: A total of 445 reviews of 196 manuscripts were the work of 335 reviewers. Of the 196 submitted manuscripts, 20 (10.2%) were accepted, 106 (54.1%) were rejected, and 70 (35.7%) were rejected with the opportunity to resubmit. Regarding manuscript characteristics, we found that the country of origin, score on the science scale, and score on the import scale were statistically significant variables for predicting the final disposition of a manuscript. Of the reviewer attributes, we found a statistically significant association between greater reviewer age and also higher academic rank with lower scores on the import scale. Reviewer concordance was higher for structure, science, and overall scores than on the rhetoric and import scores. Greater variability in the overall scoring of papers could be attributed to the reviewer than the manuscript, but both factors combined explain only 23% of the total variability. CONCLUSION: At the AJR, manuscript acceptance was most strongly associated with reviewer scoring of the science and import of a major paper and also with the country of origin. Reviewers who were older and of higher academic rank tended to discount the importance of manuscripts.
OBJECTIVE: The purpose of our study was to determine which manuscript reviewer characteristics are most strongly associated with reviewer performance as judged by editors of the American Journal of Roentgenology (AJR). MATERIALS AND METHODS: At the AJR, manuscript reviews are rated by the journal editors on a subjective scale from 1 (lowest) to 4, on the basis of the value, thoroughness, and punctuality of the critique. We obtained all scores for AJR reviewers and determined the average score for each reviewer. We also sent a questionnaire to 989 reviewers requesting specific information regarding the age, sex, radiology subspecialty, number of years serving as a reviewer, academic rank, and practice type of the reviewer. The demographic profiles were correlated with the average quality score for each reviewer. Statistical analysis included correlation analysis and analysis of variance modeling. Reviewer quality scores were also correlated with the scoring of individual reviews and ultimate disposition of 196 manuscripts sent to the AJR during the same period. RESULTS: Responses to the questionnaire were obtained from 821 reviewers (83.0%), for whom quality scores were available for 714 (87.0%). Correlation analysis shows that the quality score of reviewers strongly correlated with younger age (p = 0.001). A statistically significant correlation between quality score and practice type was seen (p = 0.008), with reviewers from academic institutions receiving higher scores. No significant correlation was found between quality score and sex (p = 0.72), years of reviewing (p = 0.26), academic rank (p = 0.10), or the ultimate disposition of the manuscript (p = 0.40). The quality score of the reviewers showed no variation by subspecialty (p = 0.99). CONCLUSION: The highest-rated AJR reviewers tended to be young and from academic institutions. The quality of peer review did not correlate with the sex, academic rank, or subspecialty of the reviewer.
The PTB-suction prosthesis has been studied by a roentgenological technique. There is complete contact between the skin of the stump and the plastic inner surface of the socket. The movement of the stump in the socket is minimal. The displacement of the skeletal stump is reduced to half in the PTB-suction prosthesis, compared with the strap-suspended PTB prosthesis. As a result, the stability between stump and socket is increased, provided that the stump is sufficiently long. Skin sores are avoided. The prosthesis, when adequately fitted, guarantees a good circulation within the stump and a cosmetically favourable fit with a feeling of walking with "a normal leg".
Forty patients were re-examined between 6 months and 15 years (mean 4 years) after excision of a popliteal cyst. Forty-six operations had been performed, including one bilateral cyst and five recurrent cysts. The history was reviewed with respect to the preoperative symptoms, clinical and roentgenological signs, the operative and histopathological findings and the postoperative course. Fifteen operations were followed by wound healing complications or tense swelling of the calf simulating deep venous thrombosis. At clinical follow-up a reccurent cyst was found in 63 per cent of the knees. A simplified follow-up arthrography was performed in all knees, and revealed a cyst-like cavity in all but one knee. The majority of the recurrent cysts displayed irregularities of the wall that had not been seen in the preoperative arthrograms. Despite this high rate of recurrence most of the patients had fewer symptoms from the popliteal space at the time of follow-up than before the operation. as associated knee disorders were present in the majority of patients, popliteal cysts (Baker's cysts) should be regarded and, if possible, treated as secondary to the basic pathological condition of the joint. Only if the knee disorder is not curable and if the symptoms from the popliteal region are troublesome should excision of the cyst and tight closure of the communication with the joint be considered.
The main purpose of this investigation was to extend the work of Huson, Ambagtsheer and Van Langelaan to living subjects. It may thus be regarded as the logical continuation of Van Langelaan's study. The investigation consists of three main parts: In part 1 (Chapter 2), stepwise supination of the tarsus of fixed osteoligamentous preparations (the mode of supination studied by Van Langelaan) was compared with continuous supination. We found that stepwise supination of lower leg foot-preparations differs little from the continuous supination. The speed at which the continuous movement is carried out, and the amount of vertical loading, have only very slight effects. We could discern clearly that the visco-elastic properties of the tissues caused a difference in the paths of the supinating and pronating movements, the hysteresis effect. During this investigation we discovered by coincidence that the input moment to be applied to the tibia to supinate the tarsus by rotation varied greatly from one individual to another. The same was true for the vertical tibial translation during supination. This finding that differently shaped feet also differ in biomechanical behaviour prompted an extra line of investigation with which we attempted to quantify this biomechanical behaviour by measuring moments and recording vertical tibial translations, combining the two and relating them to a new roentgenological classification of the tarsus. The traditional specification criteria were found to be unsuitable. A strong correlation was found to exist between moment (M) and vertical tibial translation (S). Another strong correlation was observed between M and S and the tarsal index it, calculated with the equation (Formula: see text) The index is determined entirely by the relative positions of the talus and calcaneus. Part 2 (Chapter 3) comprises a study of fresh amputation material, as a step in the direction of live material. Two amputated lower legs were analyzed kinematically, according to Van Langelaan and Spoor's photogrammetric method; dynamically, by measuring moments (M) and recording vertical tibial translations (S); and finally by comparing the stepwise and continuous supination and pronation of one specimen (female 29). Each method was applied both to the completely intact specimen and to the dissected osteo-ligamentous preparations. As kinematic parameters we used the helical axes. We calculated both the relative axes (of the movements of one tarsal bone in relation to another) and the absolute discrete axes (of the tarsal bones in relation to the fixed reference system in the test setup) of supination from 0 degree -30 degrees and return.(ABSTRACT TRUNCATED AT 400 WORDS)
201 patients with Crohn's disease underwent air contrast examination of the colon. The Diagnosis was histologically confirmed in each case. Most of the pathological changes of Crohn's disease of the colon are manifested as alterations of the mucosal surface. These changes are excellently demonstrated by the air contrast technique. The roentgenologic findings in colonic Crohn's disease are being discussed as well as cecal deformities and rectal changes. Some conditions that may mimic colonic Crohn's disease are summarized. Finally the advantages and disadvantages with the air contrast technique are given.
In roentgenological examination of 40 patients suffering from diabetes mellitus bone and articular changes were revealed in 65% of cases. They were equally incident in patients of both sexes. These changes did not depend directly on the severity and duration of diabetes mellitus, although they were more frequent in persons with the widespread micro- and macroangiopathies and other complications of this disease. A case of osteoarthropathy occurring in a young patient given no antidiabetic treatment for a period of several years is presented.
The present study deals with the pathologic change of the mandible following radiation therapy for oral cancer, histopathologically and roentgenologically. The results are summarized as follows: 1) As the resorptive change of the cortex and the trabeculae, irregular and bizarre resorption and enlargement of the lacunae were observed, 2) The grade of injury of the osteocytes was described by the percentage of the number of the lacunae, which were empty and in which the nuclei of the osteocytes could not be seen. Consequently these results correspond considerably well with the clinical aspects. 3) Osteophytes in the spongy and compact bone were observed, and also narrowing and plugging of the Haversian canal and the canal of Volkmann with mineral were seen as the sclerotic change. 4) Thickening of the tunica intima, obstruction, disarrangement of the elastic fibers and distruption of the vessels were observed in the inferior alveolar artery, the arterioles, and also occlusion, which gave various appearances, in the vessels within the Haversian canal and the canal of Volkmann was seen. 5) The following four groups, based upon the radiographic change, were classified as: Group I, irregular osteolytic change; Group II, marked osteosclerotic change; Group III, irregular mixture of osteolytic and osteosclerotic change; and Group IV, no remarkable change.
Radionuclide ventriculography (RNV) is a common method to evaluate cardiotoxic effects of drugs applied during chemotherapeutic treatment, whereas thoracic radiographs are used to detect morphologic alterations. Aim of this study was to identify radiographic signs, which correlate with RNV parameters and with RNV image quality. For this study, RNV data of 116 patients receiving chemotherapy acquired during 205 RNV studies (some patients underwent up to 7 follow-up examinations) were correlated to roentgenologic findings assessed by 176 thoracic radiographs. Isolated thoracic radiographic signs of cardiac failure showed only slight correlations to left ventricular ejection fractions measured with radionuclide ventriculography, but the orientation of correlation (positive or negative) could be confirmed well by clinical data. This fact matches clinical experience, that radiographic signs of heart insufficiency can surely predict heart damage only when several of them coincide. By the help of this study it was possible to detect radiographic findings, which are of relevance in patients with suspicion of cardiotoxic damage as side effect of high-dose chemotherapy. The clinical value of several radiologic findings should be reassessed to diagnose cardiac failure in chemotherapy patients.
For understanding up-to-date situation with fibrosis caused by chrysotile-asbestos, the authors conducted X-ray and hygienic studies in 2 enterprises extracting and enriching asbestos--"Tuvaasbest" JSC and "Orenbourgasbest" JSC. Authors followed correlation between diffuse pulmonary changes and length of service, dust load and cumulative exposure dose of respirable fibers. The strongest correlation was demonstrated for dust load. Workers engaged into up-to-date industry extracting and enriching asbestos are diagnosed as having indistinct and moderate roentgenologic types of fibrosis. Examples of dose-effect dependence prove dust load to be informative and expedient integral parameter for hygienic regulation and evaluation of asbestos-containing dust and industrial aerosols doses.
A procedure involving an assessment by marks of the roentgenological examination (of chest organs in children) based on the availability of special equipment and apparatus and on the relative level of the radiation load on the patients and the personnel is proposed. The assessment in marks is determined as a result of an analysis of medical and technical data. Examination procedures demanding additional or special equipment are singled out and a standard series of apparatus and equipment needed for realization of these examinations has been drawn up.
The authors have compared clinical and roentgenological data in 39 patients with the dumping syndrome. It is assumed that the conditions for the dumping syndrome to develop would arise more often after the truncal and proximal vagotomy and following the Billroth-II gastric resection.
Significance and technique of roentgenologic and nuclear medicine methods for evaluation of coronary artery disease and myocardial perfusion are presented. Some routinely used methods in nuclear medicine are briefly discussed concerning the evaluation of left ventricular function.
The roentgenologic signs of free air in the subcutaneous, mediastinal pleural spaces may be indicative of fractures of the trachea and bronchi and injuries to the larynx. While these findings are also present in otherwise uncomplicated rib fracture and following tracheostomy, care must be taken to make sure that the cause of these abnormalities is not an unrecognized bronchial or tracheal rupture.