{"title":"[Superior venacavography at the patient's bedside].","authors":"J Gagnon, G Hudon, M Boulanger","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Acute onset of superior vena cava syndrome in critically ill patients, hours after cardiac surgery, needs angiographic documentation without delay in order to proceed with appropriate treatment. Bedside diagnostic venacavography was done for two patients in the surgical intensive care unit with a simple and safe method using a central venous catheter already in place.</p>","PeriodicalId":76034,"journal":{"name":"Journal of the Canadian Association of Radiologists","volume":"36 2","pages":"152-4"},"PeriodicalIF":0.0,"publicationDate":"1985-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"15133548","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
P Roy, P Robillard, C L'Homme, E Li, F W Eng, C A Diehl, D D Shaw
{"title":"Iohexol: a new, nonionic agent in adult peripheral arteriography.","authors":"P Roy, P Robillard, C L'Homme, E Li, F W Eng, C A Diehl, D D Shaw","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The safety and efficacy of iohexol, a new nonionic contrast agent, were compared with a diatrizoate (Renografin-76) in a double-blind, parallel study of peripheral arteriography by femoral puncture in 60 patients. Extra-large field serial peripheral arteriography was used and a posterior tibial nerve block was applied to all patients in the study. Similar changes in blood chemistry were observed following the injection of iohexol and diatrizoate but these changes did not require corrective measures. Significantly more patients complained of a sensation of severe heat after receiving diatrizoate (38%) than after the injection of iohexol (10%) (p = 0.001). Four patients in the diatrizoate group experienced one or more adverse reactions, including mild urticaria. Only mild nausea was reported by a single patient in the iohexol group. Overall, 100% of the studies were diagnostic but more of the radiographs taken after the injection of iohexol were rated excellent than after the injection of diatrizoate.</p>","PeriodicalId":76034,"journal":{"name":"Journal of the Canadian Association of Radiologists","volume":"36 2","pages":"113-7"},"PeriodicalIF":0.0,"publicationDate":"1985-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"15132826","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Hodgkin's disease complicating pregnancy.","authors":"E Tawil, J P Mercier, A Dandavino","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>We report our experience in the management of 12 patients with Hodgkin's disease associated with pregnancy. Three patients presented in the first trimester; pregnancy was interrupted in two. They are alive and well after 8, 14 and 16 years of follow-up. Two patients presented in the second trimester; they elected to continue their pregnancies and both died from progressive disease, one of them having refused therapy. The remaining seven patients in the third trimester continued pregnancy; they are all alive after five to 11 years of follow-up and one is alive with active disease. Two patients received radiotherapy during pregnancy. Both had normal outcomes of pregnancy and no fetal abnormalities were found. There is no evidence to suggest that either pregnancy affects the course of Hodgkin's disease or that Hodgkin's disease affects pregnancy. General rules as to how to proceed in patients with Hodgkin's disease complicated by pregnancy are described.</p>","PeriodicalId":76034,"journal":{"name":"Journal of the Canadian Association of Radiologists","volume":"36 2","pages":"133-7"},"PeriodicalIF":0.0,"publicationDate":"1985-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"15132830","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Computed tomography and the lung: review of anatomic and densitometric features with their clinical application.","authors":"G P Genereux","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The lung scan findings in 22 normal patients (9 men, 13 women; mean age 39.3 years) obtained using a GE CT/T 8800 scanner have been analyzed. Central arteries and veins can be distinguished on the unenhanced scan by following their course from the hilum on sequential scans, by identifying their relationship to bronchi, or by their vertical or horizontal orientation in the upper and lower lobes. However, arteries cannot be distinguished from veins in the lung periphery. The center of the lung (medulla) harbors \"trunk\" arteries, veins, bronchi and an alveolar meshwork while the periphery (cortex) is characterized by small vessels (1-3 mm) perpendicularly oriented to the pleural surface. Attenuation densities from the right lung at the aortic arch, carina and above the right hemidiaphragm were obtained followed by systematic analysis of various parameters including the mean anterior and posterior cortical and medullary attenuation density, anterior and posterior mean lung density, total mean lung density for each slice and the entire right lung, and the anteroposterior gradients. Different attenuation densities and gradients will be obtained using other models of scanners. The evidence suggests that the medulla is a \"reservoir\" zone, capable of accommodating increased blood flow under appropriate conditions. Clinical application of these parameters to the diagnosis of diffuse lung disease is illustrated.</p>","PeriodicalId":76034,"journal":{"name":"Journal of the Canadian Association of Radiologists","volume":"36 2","pages":"88-102"},"PeriodicalIF":0.0,"publicationDate":"1985-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"15009156","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Resolution of myositis ossificans in a hemophiliac.","authors":"C L Coblentz, W P Cockshott, R F Martin","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Hemophilic myositis ossificans at the site of previous hemorrhage is a well recognised entity. A phenomenon, not previously described, is gradual absorption of a well corticated heterotopic bone over a period of five-and-a-half years. We here report this happening in a patient.</p>","PeriodicalId":76034,"journal":{"name":"Journal of the Canadian Association of Radiologists","volume":"36 2","pages":"161-2"},"PeriodicalIF":0.0,"publicationDate":"1985-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"15133552","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
B H Gross, K F Gerke, K K Shirazi, W M Whitehouse, F L Bookstein
{"title":"Estimation of patient age based on plain chest radiographs.","authors":"B H Gross, K F Gerke, K K Shirazi, W M Whitehouse, F L Bookstein","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Patient age is an essential part of a clinical history, but it is not always provided by referring physicians. We assessed the ability of four radiologists with different levels of expertise (first-year resident to professor emeritus) to predict patient age based on postero-anterior and lateral chest radiographs from 171 patients. All four were able to predict age with a mean error of less than 15 years, but there were statistically significant differences among them. Surprisingly, observer experience did not correlate with accuracy of patient age estimation. While many factors probably operate, the estimation of patient age relies heavily on \"gestalt.\"</p>","PeriodicalId":76034,"journal":{"name":"Journal of the Canadian Association of Radiologists","volume":"36 2","pages":"141-3"},"PeriodicalIF":0.0,"publicationDate":"1985-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"15132832","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Congenital left superior vena cava with absent right superior vena cava: a cause of progressive mediastinal widening.","authors":"G L Weisbrod, T R Todd","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>We wish to report a patient with the rare anomaly of congenital left superior vena cava and absent right superior vena cava. This became apparent on chest radiographs by the development of a left mediastinal \"mass\" over a one-year period. The role of contrast-enhanced computed tomographic scanning in the detection of venous anomalies is stressed.</p>","PeriodicalId":76034,"journal":{"name":"Journal of the Canadian Association of Radiologists","volume":"36 2","pages":"155-7"},"PeriodicalIF":0.0,"publicationDate":"1985-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"15133550","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Acute bilobar collapse secondary to endobronchial metastatic seminoma.","authors":"J A Cooper, D S Kapp, H A Swett, J Loke","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>We report here a patient with tracheal and endobronchial metastatic seminoma who presented with acute respiratory failure with right upper and middle lobe collapse. Diagnosis of the etiology of the atelectasis was made by fiberoptic bronchoscopy. Radiation therapy caused a marked reversal of the atelectasis.</p>","PeriodicalId":76034,"journal":{"name":"Journal of the Canadian Association of Radiologists","volume":"36 2","pages":"166-7"},"PeriodicalIF":0.0,"publicationDate":"1985-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"15133553","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Unusual position of the spleen--a report of two patients.","authors":"P Liu, A Daneman","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>An unusual position of the spleen may cause diagnostic difficulties and may mimic disease. We report two patients with an unusual position of the spleen. In one, congenital absence of the lieno-renal ligament allowed unusual mobility of a bilobed spleen with intermittent torsion. In the other the spleen descended into the left renal fossa following left adrenalectomy and nephrectomy.</p>","PeriodicalId":76034,"journal":{"name":"Journal of the Canadian Association of Radiologists","volume":"36 2","pages":"163-5"},"PeriodicalIF":0.0,"publicationDate":"1985-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"15009155","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The importance of proximal and distal air bronchograms in the management of atelectasis.","authors":"R S Harris","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Correlation of chest radiographic appearances with concurrent fibreoptic bronchoscopy in patients observed while in intensive care, and with lobar or multilobar atelectasis due to retained secretions, suggests that three levels of air bronchogram can be identified: Proximal: air is visible only to the level of the main bronchus, bronchus intermedius or lobar bronchi. Intermediate: air is visible down to the segmental bronchi. Distal: air is visible down to the subsegmental bronchi or beyond. Proximal or intermediate air bronchograms signify accumulation of secretions in central bronchi and indicate the need for fibreoptic bronchoscopy to aspirate secretions: a distal air bronchogram signifies peripheral bronchial obstruction thus precluding effective fibreoptic bronchoscopy; chest physiotherapy is then a more appropriate treatment. The proximal air bronchogram may change in extent or definition-sometimes rapidly; a receding or an increasingly poorly defined proximal air bronchogram are danger signals of centrally accumulating secretions which may lead to respiratory arrest.</p>","PeriodicalId":76034,"journal":{"name":"Journal of the Canadian Association of Radiologists","volume":"36 2","pages":"103-9"},"PeriodicalIF":0.0,"publicationDate":"1985-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"15132824","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}