By Rubin H. Flocks M. D., Gösta Jönsson M. D., Knut Lindblom M. D., Olle Olsson M. D., Ragnar Romanus M. D., Chester C. Winter M. D. (auth.)
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His investigation is the most thorough on record in this field. Pertinent references are given in his paper of 1961. The determinations were made on plain roentgenograms of the abdomen of 100 males and 100 females 20- 49 years of age with apparently healthy kidneys. The total area (sum of products of length X width of right and left kidney) and kidney weights found post mortem were also correlated to form an opinion of the mass of the renal parenchyma. In males both the right and the left kidney were significantly larger than in females, and then also the total area.
Cases have been described (HENDRIOeK 1934) in which marked contractions of the entire renal pelvis have been observed during catheterization. The examination should therefore be performed as carefully as possible. c) Roentgen anatomy The discussion of the anatomy of the renal pelvis requires an acceptable nomenclature. The nomenclature used by anatomists differs from that used by clinicians. In addition the nomenclature in the clinical literature is by no means uniform. Thus, some authors use the term renal pelvis to designate the entire renal pelvis, while others mean only that part of it formed after the confluence of the individual calyces.
Transverse section tomography may also be used. Abdominal angiography has been done in association with the examination method (GOODWIN, MOORE, PEIRCE 1955 and others) and, judging from illustrations in the literature, the method is used in connection with many other methods, mostly unjustified. The use of high voltage technique, about 200 kV, rational in methods where gas is used as contrast agent, is advocated by ENGELKAMP (1960). Puncture technique. The coccyx is identified and puncture is done with an ordinary lumbar needle immediately adjacent this bone.
Diagnostic Radiology by Rubin H. Flocks M. D., Gösta Jönsson M. D., Knut Lindblom M. D., Olle Olsson M. D., Ragnar Romanus M. D., Chester C. Winter M. D. (auth.)