摘要:

I think we all know from our personal lives that love is not necessarily based on understanding. I suspect this is very much the case with our Institute. Who really knows what it is, how it works, what it is trying to do. There are the annual reports—one of which we have approved earlier this evening. But how many of us have really read and fully understand all that is contained within it? Let alone what might be hidden between the lines. Similarly with the various annual accounts. Quite correctly we trust our Honorary Treasurer and the accounts to watch over our interests. Provided the rate of change of annual subscription is not too large, and that the final balance is more or less made, I suspect we don't bother too much about the finances.

DOI:10.1259/0007-1285-57-681-B37

出版商:The British Institute of Radiology    

年代:1984

数据来源: WILEY

摘要:

The strength of the Institute lies in the way in which it provides a forum in which different disciplines, including industry, can generate new ideas and discuss new developments. Two successful diagnostic meetings which occurred not very far apart were responsible for the choice of subject for this address. First, there was an excellent day organised with the Hospital Physicists' Association on digital imaging, and then, a month or two later, a stimulating evening meeting organised by the late Sir Howard Middlemiss on radiology in underdeveloped countries. At this meeting, reported in the present issue of the Journal, speakers from the World Health Organisation described a simple Basic Radiographic System capable of being used by health workers with very little training in surroundings with limited facilities. The juxtaposition of these two meetings, looking to the future in such different directions, led naturally to the questions—Who needs high technology? And how much? Where is diagnostic radiology going?Diagnostic radiologists use expensive machinery which is increasingly the target of epidemiologists, health economists and health care research workers, who see large sums of money being spent on equipment, the benefit of which to patients is by no means always obvious. It is not surprising that at a time of rapidly decreasing resources our professional judgement about the need for imaging having an increasingly large slice of the cake is rightly called into question.

DOI:10.1259/0007-1285-57-681-765

出版商:The British Institute of Radiology    

年代:1984

数据来源: WILEY

摘要:

The irritable hip syndrome, otherwise known as transient synovitis or observation hip, is a characteristic symptom complex of hip or knee pain, limp and spasm, usually acute in onset. Resolution without long-term sequelae is the typical clinical course, although Perthes' disease can present with similar features. Metaphyseal abnormalities alone following irritable hip syndrome have not been previously described. This paper reports two patients who suffered focal growth arrest of the proximal femoral metaphysis following the irritable hip syndrome without evidence of epiphyseal damage.A boy aged 2 years and 8 months presented with acute onset, left irritable hip with no history of local trauma or recent infection. Radiology of the left hip showed a 2 mm increase in width of the medial joint space and metaphyseal irregularity (Fig. 1A). A blood count showed a slight leucocytosis (WCC 13.7), with an ESR of 13. The condition settled over the next seven days without antibiotics and at that time the blood count was repeated and showed a return to normal (WCC 7,000; ESR—12).Hip arthrography was normal. The child remains well clinically but serial radiographs during the next 18 months showed progression of the central metaphyseal defect with a clear zone of demarcation some distance from the metaphysis followed by new bone formation and consolidation. (Figs. 1B, c). There is, after two years, residual shortening of 1 cm (acetabular-trochanteric distance) and widening of 0.4 cm of the femoral neck compared with the contralateral, normal side.

DOI:10.1259/0007-1285-57-681-773

出版商:The British Institute of Radiology    

年代:1984

数据来源: WILEY

摘要:

This volume is the third in a series of atlases of pathological computed tomography. Written mainly by Belgian and French radiologists, it covers the neck, thorax, spine and musculo-skeletal system.

DOI:10.1259/0007-1285-57-681-778-a

出版商:The British Institute of Radiology    

年代:1984

数据来源: WILEY

摘要:

AbstractFour instances of lymphography complicated by hepatic oil embolism are presented. The subsequent computerised tomography appearances can be misleading: the oily contrast medium mimics hepatic calcification and this may be mistakenly thought to indicate calcified hepatic metastases. The correct diagnosis will become apparent if a history of lymphography is sought, and it is important to realise that, even on conventional radiography, hepatic oily contrast medium may remain visible for several months. Computerised tomography is a much more sensitive indicator of the presence of oily contrast medium in the liver, so the absence of detectable oil on conventional radiography is unhelpful. The mechanisms which are thought to lead to hepatic oil embolism are discussed because recognition of the circumstances leading to hepatic oil embolism and appreciation of the associated findings will provide further clues to the correct diagnosis.

DOI:10.1259/0007-1285-57-681-779

出版商:The British Institute of Radiology    

年代:1984

数据来源: WILEY

摘要:

This multi-author textbook of body CT consists of fifteen chapters. The first is devoted to basic physical principles and includes interesting sections which reflect recent advances in scanner technology, for example, multiplanar reconstruction, digital scout films, and dynamic and gated cardiac scanning. There is also a useful section on the effect of iodine contrast enhancement.The main part of the text covers most aspects of body CT but it is a pity that the larynx, pharynx and paranasal sinuses have been omitted. The text conforms to a standard approach in each chapter whereby technique of examination and anatomy are followed by a description of abnormal conditions. Each topic is discussed in considerable detail and the text is easy to read and well illustrated.

DOI:10.1259/0007-1285-57-681-783

出版商:The British Institute of Radiology    

年代:1984

数据来源: WILEY

摘要:

Echocardiography has advanced from the unidimensional (TM) technique of the early 1970s to the two-dimensional and pulsed Doppler techniques of the early 1980s. The author reviews the major entities dealt with by cardiac ultrasound; the strength of this book lies in its organisation and presentation. The introductory chapter covers structure identification, transducer positions, cardiac view planes and some applications of pulsed Doppler echocardiography.

DOI:10.1259/0007-1285-57-681-784-a

出版商:The British Institute of Radiology    

年代:1984

数据来源: WILEY

摘要:

AbstractAn open, non comparative study of cervical myelography in 68 adult patients using iohexol (Omnipaque) containing 300 mg I/ml is reported. Satisfactory visualisation was achieved in all cases. Minor adverse effects occurred in 13 patients (19%); they were headache (8), neck or back pain (3), vomiting (3), nausea (1), dizziness (1) and nystagmus (1) and were of minor degree in most and moderate in a few, lasting more than 24 hours in only one patient. EEG performed in 39 patients before and 24 h after the myelogram showed no seizure activity or significant change. Iohexol is a very satisfactory drug for all types of myelography.

DOI:10.1259/0007-1285-57-681-785

出版商:The British Institute of Radiology    

年代:1984

数据来源: WILEY

摘要:

Every radiologist is faced with the difficulty of keeping abreast of recent developments in a rapidly changing specialty. Books such as “Modern Trends” and “Recent Advances” are helpful in encapsulating information on technical advances in imaging techniques, the changing relationships between various techniques and the way they modify established diagnostic and therapeutic practice, for a wide audience.

DOI:10.1259/0007-1285-57-681-788-a

出版商:The British Institute of Radiology    

年代:1984

数据来源: WILEY

摘要:

AbstractCervical myelography may be performed with non-ionic contrast media either by direct cervical puncture or by lumbar puncture with run-up of the contrast medium. In this prospective study of 300 cervical myelograms using iopamidol (130 by direct puncture and 170 by lumbar puncture), we have shown that the run-up technique causes no more side effects than direct puncture technique and films of equivalent diagnostic quality are obtained. A sub-group of 80 patients had EEG examinations before and after myelography, plus a lateral skull film taken at the end of the myelogram to assess the amount of contrast medium that had entered the skull. More EEG abnormalities were found in those patients examined by direct puncture and significantly more contrast medium had entered the skull in this group. Run-up myelography therefore results in less intracranial spill and so less potential for cortical irritation. In view of the EEG abnormalities, anticonvulsant premedication is discussed, and we now give phenytoin to all patients having cervical myelography with iopamidol. We consider that cervical myelography can be adequately and more safely performed by lumbar puncture technique but, to optimise patient safety, should be performed by a radiologist experienced in neuroradiology.

DOI:10.1259/0007-1285-57-681-789

出版商:The British Institute of Radiology    

年代:1984

数据来源: WILEY