Is the plain film of abdomen efficient to diagnose acute cases in a cost-effective way?

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Permalink Reply by karthikeyan D on January 6, 2009 at 11:21pm

hello Dr saeed,
i feel good plain radiographs can serve as a screening tool only. when i used to work in A&E setup few years ago, once we feel the patient is clinically having a problem we found a cect to be very conclusive in decision making .

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Permalink Reply by saeed rad on January 7, 2009 at 2:24am

Hi Dr Karthikeyan'
Thank you for your reply to discussion. You are right on your idea about the plain films and if it is the first step for screening it should be of good quality. But if the modern imaging tools such as CT or US are not available plain film is the minimum requirement to find the way for complementary studies. Once i was teaching surgery residents, about 30 years ago, how to interpret plain films, and they were very enthusiastic to refer patients for plain radiographies and we found it very useful as the preliminary work which was most of the time conclusive. I agree with you that it seems a bit out-dated but still the resident of radiology in abdominal radiology should know interpreting plain radiographies. Modernized text-books have still kept their chapter for plain radiography. Anyhow there is no objection to go up to the end in acute settings but we can't neglect the role of the plain radiography altogether. Yours, s.rad

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Permalink Reply by DR.Manjula Dhinakar on January 31, 2009 at 11:11am

I FEEL PLAIN FILMS WHICH ARE PROPERLY TAKEN GIVE US THE DIAGNOSIS ALONG WITH HISTORY AND OTHER PARAMETERS INSPITE OF MODERN IMAGING.

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Permalink Reply by saeed rad on January 31, 2009 at 12:06pm

Dear Dr Dhinakar thank you for your affirmative reply, if you navigate through my cases, approximately apploaded 200, you will find plenty of diagnostic plain films of abdomen. Thanx once again

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Permalink Reply by DR.Manjula Dhinakar on January 31, 2009 at 12:52pm

SURE.
YOUR COLLECTION IS WONDERFUL AND THE TECHNIQUE SPEAKS.I AM ALSO GOING TO UPLOAD XRAYS WHERE WE WILL SEE A POSITIVE FINDING ALWAYS.rADIOLOGY STARTED WITH ROENTGEN

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Permalink Reply by saeed rad on January 31, 2009 at 2:39pm

True! Conventional radiology is not something to forget about, it still exists as a basic for medernized techniques. The whole area can be seen on a plain film of abdomen for example, but others show only a section and to view all we have to go through all sections and the cost is something to include in the price for final diagnosis..

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