A localized pulmonary infarction was produced by injecting a starch suspension into the pulmonary artery wedge position of one lung lobe in pentobarbitalized dogs, and the effect of bilateral surgical removal of the sympathetic chain was determined. Edema is significantly inhibited in ipsilateral and contralateral lung lobes of sympathectomized dogs. It is concluded that the sympathetic nervous system plays a major role as an efferent path in reflex production of pulmonary edema by starch emboli in the dog. There is, incidentally, evidence that sympathectomy lowers the pressure gradient between the pulmonary artery and pulmonary arterial wedge position in the dog.
We have used two digital imaging systems: digital fluorography and the phosphor plates system. The respective indications for each technique in pediatric practice are presented hereafter. Digital fluorography is highly recommended for dynamic examinations, and phosphor plates are highly recommended for conventional studies, if the spatial resolution is mandatory. Either digital fluorography or phosphor plates can be used for contrast studies. In pediatric radiology, if the spatial resolution is not mandatory, digital fluorography is suggested to reduce the radiation dose, and if using a small fields of view is possible, digital fluorography may be carefuily discussed. Digital radiography is supported neither to be better than classical radiology nor to compensate for technician's mistakes. It is aimed to improve the department's functioning and, above all, to accommodate future innovations. Images can be transferred or archived through networks. This is a main prospect in the coming years.
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