Most of the problems connected with roentgen diagnosis are of such a nature as to require individual solutions. If we are to get the most out of every examination, no two cases can be handled exactly alike. Individual treatment of every case results in more intelligent search, and overstandardization is to be avoided. But there is one element in the chain of procedures between the radiographic room and the final interpretation of the films which will bear standardization, and even “efficiency engineering.” Fixed time development, in calibrated developer, at a fixed and appropriate temperature, produces results, especially in a large, busy hospital department, which are so far superior to the erratic performances with variable factors, that more than passing comment on this subject is superfluous. The “dark room” here described has been in service for two years, and has justified our fondest expectations. In our former dark room, which was of the conventional type, and of a size quite up to the average in large, busy departments, we had an excellent drier, but films were delayed in the wash tank (the washing operation being frequently prolonged when the technician did not know which of the films had had sufficient time), the congestion backed up into the hypo bath, and even farther, at times, onto the loading shelf. The average time from radiographic room to viewing room was four hours. With our present arrangement it is one and a half hours. And formerly the films were in the dark room during the entire four-hour period, whereas with the present system the films stay in the dark room for only from twenty to twenty-five minutes. One of the chief causes of delay in the old days was the shutting-down of the dark room routine while lights were turned on, to find and examine an unfinished film. It is hardly necessary to point out that removal of washing and drying operations from the dark room, and shortening the time between radiographic room and viewing room to one and a half hours, have reduced dark room intrusions to an absolute minimum. In the design of this installation, attention was paid to Temperature Regulation A twenty-gallon developer tank, of enameled steel, is immersed in a 65° F. water bath, with a large clear-vision dial thermometer on the wall over the tank, with supplies of hot, cold, and ice water for convenient regulation. Ventilation In addition to an open light-proof entrance maze, there are light-proof open air vents. Daily Calibration of Developer Films which have been exposed under a thin copper “step ladder,” to exactly 0.33 r-units of 200 K.V., copper-filtered X-ray, from a specially calibrated machine, are developed, and then compared with a standard. Changes in developer strength, thus discovered, are compensated for by changing the time factor.
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