False Roentgenologic Economy

Abstract

HomeRadiologyVol. 21, No. 6 PreviousNext EditorialFalse Roentgenologic EconomyPublished Online:Dec 1 1933https://doi.org/10.1148/21.6.591MoreSectionsPDF ToolsImage ViewerAdd to favoritesCiteTrack CitationsPermissionsReprints ShareShare onFacebookTwitterLinked In AbstractFor several years manufacturers have been placing on the market different kinds of sensitive x-ray paper, to be used in the place of x-ray films, with emphasis on their economical value. From the reports we have received, besides our own experience, we doubt whether this sort of paper, as now made, can replace celluloid films in roentgenographic examinations. However, there can be but little doubt that such paper may serve usefully in certain types of roentgenographic examination; for instance, to determine whether a fracture remains in good position after having been set. We do not believe that its use is practical for all types of x-ray examinations, in spite of the enthusiastic reports from salesmen. It has not the speed of films, is non-transparent, unwieldy to handle, and, most important of all, it fails to bring out fine details such as x-ray films are capable of showing. In certain types of roentgenographic examination, if it is relied upon exclusively, harm may result. This is particularly true in the diagnosis of early pulmonary tuberculosis. Many such cases may easily escape the vigilant eye of the experienced roentgenologist, whereas the same roentgenologist, with dependable films, would readily observe the tuberculous lesion.The indiscriminate use of sensitive paper in the diagnosis of early pulmonary tuberculosis in children is being advocated by a certain tuberculosis organization of repute, as an economical procedure, making it possible to examine wholesale, large groups of children by means of the x-ray. This apparent disregard for efficient and accurate roentgenographic examination of children's chests, by substituting sensitive paper for x-ray films as used the world over, is a deplorable condition and should be frowned upon by the radiological profession.Our attention has been called to a booklet published recently by the National Tuberculosis Association, entitled, “Procedure for the Discovery and Cure of Tuberculous Children.” In it we find pertinent matter relating to the importance of searching for tuberculosis among apparently healthy children, utilizing several methods of examination, including the roentgen ray. It also emphasizes the necessity for searching the families of these children for carriers of tuberculosis. These objectives are most commendable and will meet with widespread approval by the radiologists of this country, and we are certain that the National Tuberculosis Association may count on our co-operation for the consummation of its lofty ideals. However, but few radiologists will agree with the following report of their Committee on Protective Care for Tuberculous Children, found in the Association's booklet (pages 4 and 5).“In rural areas the portable x-ray apparatus is a boon. It is not as perfect as the standard equipment, but entirely adequate for making routine chest pictures of children.. . . . . . . . . . . .Article HistoryPublished in print: Dec 1933 FiguresReferencesRelatedDetailsRecommended Articles RSNA Education Exhibits RSNA Case Collection Vol. 21, No. 6 Metrics Altmetric Score PDF download