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J Weishaar

Publications and source records attributed to J Weishaar.

At least 37 records · Page 2Linked to original sources

[Image quality in film and xero-mammography. I. Rendering of low contrast values (author's transl)].

The rendering of low contrast values by various mammographic imaging systems was investigated by a semi-objective procedure. Test exposures of a line raster with variable line widths were evaluated visually. Significantly better results were achieved by a xero-radiographic method. This was better than non-screen mammographic film in terms of object size, lower sensitivity to scatter and better resolution. The use of a tungsten rotating anode, with about 0.5 mm. Al filter, in xeromammography provided a satisfactory compromise between image quality and radiation dose in the rendering of low contrast studies.

Humans↗

[Single-view mammography (author's transl)].

Single-view mammography was performed in 12123 women (22321 pictures) so that the entire breast tissue was visualised. In 223 patients the results were compared with histological findings obtained subsequently. The high percentage of agreement indicates that the single-view examination is highly reliable.

Breast Neoplasms↗

[Breast affections requiring surgery: diagnosis from the view-point of a radiologist (author's transl)].

Examinations by X-rays are the best method to detect early carcinomas of the breast and precancerous alterations. In many cases it is possible to avoid operations by pneumocystography. An unsuspected result by pneumocytostography permits to depart from the principle to remove every palpable tumor. Nevertheless the X-ray examinations have some limits. Therefore it is necessary for the radiologist to know exactly the clinical state. Furthermore there must be a very good cooperation between the radiologist, the surgeon and the histologist. Problems originated from the appearance of so-called suspicious microcalcifications visible in well made mammograms. The sooner the microcalcifications are excised the more it is possible to discover early carcinomas and precancerous alterations but also harmless variations. Pathological secretion from the nipple is an indication for galactography. If there are pathological alterations in the ducts it is necessary in order to avoid mistakes in diagnosis to excise and examine the specimen by very reliable methods. The results from thermographical and cytological investigations are sometimes of value for the decision to perform an operation but not for the decision to omit the histological examination.

Biopsy, Needle↗

Xeroradiography of the breast with an improved technique.

Xeromammograms taken by the technique described by Wolfe and Lutterbeck are time consuming as compared to filmmammography. As there is no automatic exposure setting, about 20% of our xeroradiographs had to be repeated on account of wrong exposures. That's why we developed a new attachment ensuring a good compression of the breast and equipped with an automatic exposure timing. We use this since October 1974. All xeromammograms are taken with the patients within a short time. Usually there is no need to repeat a xeromammogram because of wrong exposure.

Female↗

[Microcalcifications on the mammaogram, surgical clarification and histologic findings. Concerning the problem of the diagnosis of occult carcinoma of the breast (author's transl)].

Microcalcifications on the mammogram could be an important indication for an occult carcinoma. Up until 31 December 1976, we intentionally removed such grouped microcalcifications 218 times in a group of 17,523 examined females (32,245 mammographs). The selection was confirmed radiologically. The acquired material was then examined histologically via an complicated technique. We found 35 carcinomas and 89 proliferating mastopathies of which 34 required at least strict supervision and sometimes additional treatment. - With strict indications, one-third of the previously clarified cases revealed disorders requiring treatment. In over one-half of the cases, the films indicated nothing of a serious nature. It must, however, be noted that an existing cancer is not always discovered in spite of the intentional excision of microcalcifications. This only serves as an indirect indication.

Biopsy↗

[Pathologic discharge from the breast. Galactography and histologic clarification (author's transl)].

Up until 31 December 1975, 1646 galactograms were made in 1150 female patients. The intentional segment resection and then the histologic preparation via complicated technique adapted to the excision was conducted 371 times. - In 99 out of 100 cases, an anatomic substrate could be found for the discharge. We were unable to discover any pathological finding to explain the discharge in only 3 cases (0.8%). Included in the benign processes were 170 cases of duct papillomas (45.8%). In these cases segment resection is also adequate therapy. - Approximately 8% of the excisions revealed cancer. In additional 12%, serious proliferative processes in the breast were found which should, at least, be kept under careful clinical supervision. - Galactography used in combination with an adapted surgical and histologic technique to diagnose not only a carcinoma which has evaded other methods of detection but also possible preliminary stages is a valuable procedure.

Breast↗

Radiation exposure of the breast in film- and xero-mammography.

In addition to other advantages, xeoradiography, compared with film-mammography, seems to result in a lower radiation dosage to the breast. In order to get some valid information concerning this point, depth dose measurements, were carried out in a plexiglas phantom for the different radiographic factors used in film- and xero-mammography. It could be shown that the exposure of the skin and the mean exposure of the breast are generally lower in xero-mammography than in film-mammography, and that this difference increased with increasing thickness of the breast. Therefore it can be concluded that xero-mammography should be preferred on account of its lower radiation exposure, whenever it is possible from the diagnostic point of view.

Breast Neoplasms↗

[Stars in mammography--cancers and radial scars (author's transl)].

Among 50 little starlike shadows in about 13,500 mammograms during the years 1973-1975 there were seven pictures proved histologically not to be cancers but "radial scars". We found no X-ray features to differentiate between scars and cancers. The uniform histologic picture of a centrally placed elastotic periductal scar with radial processes allowed however the exact differentiation. Especially significant for these radial scars is the storage of elastotic amorphous material around obliterated central ducts. Cystic atrophy or highgrade papillary epithelial proliferation in the surroundings may be combined with the central scar. Cancerous growth in this area is diagnosed without difficulty by the infiltration beyond the border of the star area.

Adolescent↗

[Radiation exposure during examination with a therapy simulator. 2. Radiation load on the examiner during radiography (measurements on the Alderson-Man phantom)].

In judging the risk incurred by persons professionally exposed to radiation, there is at present a more distinct tendency towards consideration of somatic effects - as e.g. somatic "crossing over", accidents of development, induction of cancer; thus more attention is paid to individual risk. For assessment of this radiation risk, the organ doses in question must be known; they can be estimated by means of the ascertained tissue-air-ratios, if the field of stray radiation from the X-ray equipment is known. To obtain data for statements with regard to the radiation load on the examiner during radioscopies with a therapy simulator, it was necessary to determine the stray radiation field of the X-ray apparatus. Therefore, using an Alderson-Man-phantom, the angular distribution of the local dose rate were measured at a tube voltage of 84 kV. The skin irradiation fields had dimensions of 25 cm2, 100 cm2, and 400 cm2 at the distances 50 cm, 100 cm, 150 cm, and 200 cm of the ionization chamber from the central ray. The measurements were performed on levels of 90 cm, 130 cm, and 160 cm above the floor. Some additional measurements aimed at a more exact investigation of the dependency of scattered radiation upon the tube voltage, the area of the radiation field, the distance from the central ray, and the height above the floor. The attenuation capacity of a light radioprotective apron (0.25 mm lead equivalence) was also determined. It turned out that, at a tube voltage of 84 kV, the apron still was passed by about 3.6% of the hitting stray radiation. The present measurements yield important indications of the best possible locations of the examiner during radioscopy. A practical example is given showing how to assess the radiation load on single organs; the results show that the examiner is exposed to a gonadal load of about 2 mR and to a load of about 17 mR on the crystalline lenses, while engaged in preparative roentgenologic measures for intrauterine transfusions.

Humans↗