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Technical
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Digital
Diana
Radiography:
L. Novak1
and Barry
Uses
and Limitations
the method,
we have noted
a number
of contributions
to the literature claiming experience
with,
what at first glance would seem to be, applications
of our
technique,
generally under the rubric, Digital Radiography
[i]. A careful
review
of the literature
has resulted
in the
somewhat
surprising
discovery
that virtually all the authors
claiming expertise in Digital Radiography
are in fact reporting
Materials
and
in question
(Fig.
digit reoriented
clockwise),
of digits in similar
applications,
with daims
that this could be done quite handily. However, difficulties
in viewing through the combined
density of two
radiographs
make this approach impractical.
Calibration
Technique
In any system
of measurement,
precise calibration
of the device
is crucial. We use a calibration device
obtained
Unified Technical
Standards of Washington, DC (NUTS of Washington)
[2]. The digit in question is placed in
close proximity to the calibration device, and points of reference are
noted (Fig. 4). In the perfect digit, the length between
the tip of the
digit and the first knuckle (1 knuckle unit or KU) will be 1 in. (2.54321
cm). Assuming no anomalies, each finger will have 3 KUs so that 3
KU
1 finger knuckle unit or 1 FKU. Once having calibrated
a digit,
the calibration
remains
constant,
assuming
no growth
spurts or
sudden onset of acromegaly. If the calibrated length is not an easily
remembered
unit, such as 1 in., the appropriate conversion factor
can be tattooed on the digit for ready reference.
against
known
standards
from the National
BenefIts
Methods
Received
of the Method
F. Bates
Note
The
In Operations
first
elimination
received August
benefit
ofrulers(savefor
calibration
items).
system
is the
As radiologists
4, 1988.
This work was supported In part by our own funds. In fact, It was supported entirely by our own funds. There Isnt a funding agency anywhere
us a penny for this work, and dont think we didnt tryl So much for support of scientific research.
I Both
authors: Samaritan Health Center, 5555 Conner Ave., Detroit, Ml 48213. Address reprint requests to D. L. Novak.
AJR 152:870-872,
that would
give
DIGITAL
Fig. l.-Digft
Radiography.
Fig. 2.-Radiograph
RADIOGRAPHY
suitable
for use
871
in Digital Ra-
diography.
FIg.
3.-Digital
Radiography
In
actlonl
Measurement
of dimension
of lesion. This
developed while patient was traveling in a
foreign country, France. This is an example
of a French Foreign LesIon.
_:iI
=-
IIH
12.1
A
Fig. 4.-Technique
of calIbration.
Note that
fingertip
(Tipitus
TermInus
DIgitalIs)
Is even
with 1-in. mark, whereas
crease of firat knuckle
Numero
FIg. 5.-A,
one fingers
B, Correct
B
Improper
use of digftal technique
worth.
use of digital technique
to request
one fingers
worth.
Uno) is at ref-
digital
system,
this expense
is avoided.
Another
advantage
is
the ever-present
aspect of the device. Even those rulers that
do not spontaneously
disappear are frequently
mislaid and
unavailable for use when needed. However, the digital system
is constantly
present;
right, and there it is.
one need
only
go to the elbow,
turn
NOVAK
872
obvious
Also to be considered
reasons,
certain
body
parts
are mea-
the fingernail
is the fingernail
length
length.
is not included
method.
Measurements
are made from the tip of the
finger pad (Tipitus Terminus
Digitalis) to the first knuckle joint
(Jointus Knucklus
Numero Uno) (Fig. 4).
Certainly,
of advantages
of the
viously further investigation
Digital Radiographic
method.
Obis indicated,
and to this end we
REFERENCES
1 . Brody WR. Digital radiography.
New York: Raven Press, 1984
2. Frustrated
IM. Personal communication.
(No longer available because
of
3. Fields WC.
5.
A gentlemans
guide to spirits and etiquette.
Los Angeles, CA:
Boozer & Co, 1933
Other references,
such as previous employers, avwlabie on request
CredIt Reference: Credit Bureau of America, 435 W. Madison Ave., New
York, NY
For
in the
DDM
ity
BATES
4.
examination,
AND
to be paid
on April
1 as a joke.