Abstract
The defective use of radiology by clinician and radiologist is prevalent. The causes and consequences are discussed in regard to carcinoma of the cardiac end of the stomach. Present-day results are so poor that a new approach is suggested. A comprehensive setof films should be secured to show adequately all regions of the stomach, each region in two planes, and the gastro-enterologist, as well as the radiologist, should set his mind to the interpretation of these films. Such methods, applied in other branches of surgery and medicine, have led to an increase in diagnostic efficiency. The failure of the cardiac end to balloon when the patient is supine, with the stomach as full as possible, is a sign of advanced carcinoma. Attention is drawn to this, not as a new sign, but as one that is frequently overlooked. A technique has been suggested in the hope of securing the detection of growths when they are as large as a cherry, to supplement the present technique, which often overlooks them even when they are the size of a cricket ball. These supplementary views are like all other methods in medicine. They have their fallacies and their difficulties. But they should not be discarded on this account.
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