The American journal of roentgenology, radium therapy and nuclear medicine (1906) (14757802735)

Identifier: americanjournalo10ameruoft (find matches)

Title: The American journal of roentgenology, radium therapy and nuclear medicine

Year: 1906 (1900s)

Authors: American Radium Society American Roentgen Ray Society

Subjects: Radiotherapy X-rays

Publisher: Springfield, Ill. C.C. Thomas

Contributing Library: Internet Archive

Digitizing Sponsor: Internet Archive

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nd duodenum are done in the • Read at the Midwinter Meeting of the Eastern Section of The .American Roentgen Ray Society, .\tlantic City, X. J.. Jan. 25-27 1923- Diagnosis of Obscure Abdominal Lesions 541 erect posture and anteroposteriordirections. Both diaphragms are investi-gated for position, shape, and moNcment.Obliqueobser\ation is also doneintheerectposture, noting any deviation from normal.If any abnormal condition is noted, aseries of six plates is made in the erectposture. The patient is then lowered into theprone position, where further fluoroscopic of the anatomical situation of the lesions.(2) Establishment of the pathologicalentity of the condition if possible. It wasfound that the localization of the anatom-ical site was not so difficult; and if that is allwe can obtain, it will be of great value tothe surgeon, giving him the line of attack,and indicating whether an Intra- or extra-peritoneal route IS ad\isable; oiten, indeed,with a conser\atIve surgeon, resigning the

Text Appearing After Image:

Fig. I. No.89056. Roentgenological diagnosis: carcinomaof pancreas. Autopsy: carcinoma of pancreas. examination and palpation are done, with aseries of ten 62 X 82 ind two 11 X 14plates. The right oblique is then assumed, whenscreen work Is again carried on, and ifdeemed necessary, a series of five plates ismade here. In the earlier attempts to differentiatethese conditions, the pneumoperitoneummethod was carried out; but we foundthat, as far as we were concerned, moreInformation could be obtained by theroutine method, with less discomfort andcertainly much less risk to the patient. In making the observations, two definitegoals were kept In \Iew: (i) Localization Fig. 2. No. 78621. Roentgenological diagnosis: carci-noma of pancreas. Surgical findings: carcinoma ofpancreas. case before unnecessary and fruitlessexploration has been undertaken. If we recall the comparatively few organslying in the upper abdomen, it will be seenhow quickly tumor formation will giverise to filling defects

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1906

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