[Organization of lung digital X-ray fluorography and its introduction into the health care services of Russia].
Based on comprehensive study of the capacities of digital X-ray fluorography (DXRF), the authors give their views on two main aspects of its use. These are firstly the most acceptable organizational forms of lung DXRF into the health care services of Russia and, secondly, its place in the diagnosis of pulmonary tuberculosis, lung cancer, chronic nonspecific lung diseases, and mediastinal tumors. As for its organization and introduction, the authors are against the fact that film fluorography should be rapidly replaced by DXRF. They give recommendations based on the reasonable and stepwise introduction of DXRF, which may rule out their negative perception versus the present attitude to the so-called prophylactic film fluorography. In the part dealing with diagnosis that analyzes 955 cases of various lung diseases (from over 8000 DXRFs) verified by different studies (morphological, cytological, etc.) and chest X-ray computed tomography, the authors show the results of monitoring imaging, by demonstrating all its potentialities. At the same time they recommend that image printing fixing should be also rather widely employed. In the authors' opinion, DXRF may become the method of choice in detecting pulmonary tuberculosis, lung cancer, chronic nonspecific lung diseases, and mediastinal tumors.
X-Ray Departament of M. F. Vladimirsky Moscow Regional Research Clinical Institute.
L M
LM
Portnoí
E I
EI
Viatkina
G A
GA
Stashuk
D003695:Delivery of Health Care / Q000458:organization & administration*; D006801:Humans; D008168:Lung / Q000000981:diagnostic imaging*; D008171:Lung Diseases / Q000000981:diagnostic imaging; D013902:Radiography, Thoracic / Q000379:methods*; D012426:Russia; D014057:Tomography, X-Ray Computed / Q000639:trends