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PubMed1963

Cinefluorography of the urinary tract in childhood.

Most of the recent investigations of the lower urinary tract have been concentrated on the ureterovesical junction. Studies of 120 children examined by the method of voiding cinecystography and urethrography revealed that vesicoureteral reflux occurred in 22 cases without evidence of a lesion of the urethra, and in six children secondary to lesions of the urethra. Thirteen of the children studied had isolated lesions of the urethra. Urethral lesions encountered in this series of children included stenosis of the external meatus (14 cases), urethral valve (one case), urethral polyp (one case) and urethral stricture (two cases). The main advantages of cinefluorography and television control in this field lie in the fact that all phases of the voiding act can be observed and, when necessary, recorded on a movie film. Motion picture films provide visual evidence of the value of the method.

Child↗

PubMed1975

Comparison of observer performance with 16 mm cinefluorography and 70 mm camera fluorography in coronary arteriography.

Clinical 16 mm cinefluorography and 70 mm camera fluorography were compared in 30 unselected patients undergoing coronary arteriography. Accuracy in detecting coronary arterial stenosis and collateral vessels and in assessing the degree of stenosis was similar with the two techniques. With both methods, there were significant inter- and intraobserver differences in estimating the degree of stenosis. These differences indicate that coronary arteriography is only a semiquantitative method for making decisions about treatment, prognosis and follow-up of patients. The use of more than one observer increases the likelihood that stenotic lesions will be detected. Interobserver variation in detecting collateral circulation is small.

Adult↗

PubMed1976

Portal hypertension changes following selective splenorenal shunt surgery. Evaluation by percutaneous transhepatic portal catheterization, venography, and cinefluorography.

Considerable diagnostic data can be gathered by selectively catheterizing the portal vein and the major tributaries of the splanchnic venous system to evaluate pressure and blood flow. Combined with cinefluorography, this is a superior method for demonstrating the anatomy and hemodynamics of portal hypertension as well as the effects of splenorenal shunt surgery. Thirty-one attempts with a 19 gauge trocar in 17 patients resulted in 28 successful portal entries and 24 successful selective catheterizations. Portal vein pressure, flow, and diameter were less after shunting.

Catheterization↗

PubMed1979

Combined urethrocystometry and cinefluorography in continent and incontinent women.

Intravesical and intra-urethral pressures were recorded in 5 continent women and 10 women with urinary stress incontinence using combined urethrocystometry and cinefluorography. At rest, two types of stress incontinence could be recognized; one involved widening of the proximal urethra and the other did not. Under stress, the proximal urethra was rather mobile in the incontinent women. Artifacts caused by axial movement of the urethral microtransducer were eliminated by fixation of the catheter against the external meatus.

Adult↗

PubMed1980

Long-term follow-up of distal splenorenal shunts: evaluation by arteriography, shuntography, transhepatic portal venography, and cinefluorography.

Eight patients with patent distal splenorenal shunts were studied after a 22- to 36-month interval. Evolution of hemodynamic and anatomical changes was documented by percutaneous transhepatic portal catheterization, cinefluorography using ethiodized oil droplets, transfemoral splenorenal shuntography, and celiac arteriography. Changes included (a) a decrease in the portosystemic venous pressure gradient, (b) an increase in the size of and flow through both the shunt and the hepatic artery, (c) reversal of portal venous flow, (d) marked dilatation of collaterals and diversion of flow from the superior mesenteric vein to the shunt, and (e) an increase in cardiac output.

Cineradiography↗

PubMed1983

Left ventricular volumes and contractility during hemorrhagic hypotension: dimensional analysis and biplane cinefluorography.

Biplane cinefluorography was used to study left ventricular volume and contractility in hemorrhagic hypotension in nine dogs. A blood loss of 42% of the total blood volume caused end-diastolic volume to fall 20% without any change in end-diastolic pressure. There were decreases in cardiac output (63%), end-systolic volume (23%), stroke volume (63%), ejected fraction (27%); and dP/dt DP 40 (47%) during hemorrhage. Without treatment of shock and dP/dt returned to the prehemorrhage level and the ejected fraction increased despite a decrease in end-diastolic volume, indicating a positive inotropic effect. Peripheral vascular resistance decreased after 2 h of hypotension at the same low cardiac output. These data suggest that in the spleen-intact dogs peripheral circulatory failure and not left ventricular dysfunction causes irreversibility in hemorrhagic hypotension.

Animals↗

PubMed1981

Assessing VP function: the lateral still technique vs. cinefluorography.

Thirty consecutive patients with clinical manifestations of velopharyngeal insufficiency were evaluated by the radiographic techniques of 70 mm lateral stills and lateral cinefluorography. The purpose of this study was to make retrospective comparisons between the actual decisions on velopharyngeal competency or incompetency which were originally made on the basis of cinefluorographic findings with those which we believe would have been made from that information obtained from lateral stills alone had the lateral stills been the only radiographic information available. The results of the comparison between the two techniques suggests that one is apt to misdiagnose the presence or absence of velopharyngeal insufficiency on the order of 30% of th time when relying on the lateral still X-ray technique alone. We attribute this potential error rate to the very limited speech sample that can be employed with the lateral still technique. With the increasing number of secondary procedures available for treating VP dysfunction it is our opinion that cine- or videofluoroscopy allows the clinician to examine additional aspects of the patient's palatal function that are as important in the final management decision as simply the identification of closure or the lack of closure of the velopharyngeal sphincter.

Adolescent↗

PubMed1963