Abstract
HomeRadiologyVol. 7, No. 6 PreviousNext EditorialLimitations of Roentgen Ray In Diagnosis of TuberculosisPublished Online:Dec 1 1926https://doi.org/10.1148/7.6.519bMoreSectionsPDF ToolsImage ViewerAdd to favoritesCiteTrack CitationsPermissionsReprints ShareShare onFacebookTwitterLinked In AbstractAt a recent meeting of the Geneva Medical Society, Dr. Guillermin referred to some mistakes in diagnosis resulting from roentgen-ray examination in cases of suspected pulmonary tuberculosis. In pulmonary cysts or neoplasms, interlobar pleurisy and pneumothorax, the roentgen ray gives information of the greatest importance. In tuberculosis, roentgen-ray examination will reveal the signs of induration, cavities, adhesions and functional disturbances present in certain regions of the lungs. All these data are useful, but they must be properly interpreted. Injections of iodized oil are contra-indicated in tuberculosis.Guillermin, after reporting five cases in which mistakes had been committed, pointed out that the prognosis of tuberculosis did not depend on the extent of the lesions or their degree. Everything depended on the resistance of the organism to the tuberculous infection. Old lesions, with or without cavities, are curable if a good general state of health is maintained. Clinically, recent lesions with very marked roentgen-ray images have a good prognosis if the general health is good, but the inverse is true, especially if the roentgen-ray examination is negative. City children, when they have resisted a first tuberculous infection, develop a resistance superior to that of country children. Of course, many other factors are to be taken into account, especially complications, such as laryngitis and enteritis. On the other hand, Guillermin said that although roentgenologic examination gives many useful data, it alone is insufficient for making a diagnosis and especially a prognosis. The anamnesis and clinical and laboratory examinations are absolutely necessary for the physician in order to form an opinion of the case.Article HistoryPublished in print: Dec 1926 FiguresReferencesRelatedDetailsRecommended Articles RSNA Education Exhibits RSNA Case Collection Vol. 7, No. 6 Metrics Altmetric Score PDF download
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