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1

Agency, Medical Devices. A comparative evaluation of mammography x-ray units. Norwich: HMSO, 1999.

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2

Agency, Medical Devices, ed. X-ograph visitor mobile X-ray unit. London: Department of Health, Medical Devices Agency, 1994.

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3

Great Britain. Medical Devices Directorate., ed. IGE VMX Plus mobile X-ray unit. London: Department of Health, Medical Devices Directorate, 1994.

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4

Great Britain. Department of Health., ed. General electric CGR AMX4 mobile X-ray unit. (London): (Department of Health), 1991.

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5

Great Britain. Department of Health and Social Security. Supplies Technology Division., ed. Assessment of a Picker Explorer mobile X-ray unit. London: Great Britain, Department of Health and Social Security, Supplies Technology Division, 1987.

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6

Agency, Medical Devices, ed. Xograph Instrumentarium Performa mammography x-ray unit: NHSBSP report. London: Medical Devices Agency, 2001.

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7

Great Britain. Medical Devices Directorate., ed. Assessment of a Philips medical systems Practix 30 mobile X-ray unit. London: Department of Health, Medical Devices Directorate, 1991.

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8

Great Britain. Department of Health and Social Security. Supplies Technology Division., ed. Follow up report on the Picker Explorer mobile motorised X-ray unit. London: Great Britain, Department ofHealth and Social Security, Supplies Technology Division, 1988.

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9

S, Drozdz, Vogel Raymond S, and Construction Engineering Research Laboratory, eds. Evaluation of X-ray fluorescence unit for detecting lead in paint on military structures. Champaign, Ill: US Army Corps of Engineers, Construction Engineering Research Laboratory, 1991.

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10

Great Britain. Department of Health and Social Security. Supplies Technology Division., ed. Assessment of the Hitachi Sirius 125B mobile X-ray unit at three hospitals. London: Great Britain, Department of Health and Social Security, Supplies Technology Division, 1987.

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11

Great Britain. Medical Devices Directorate., ed. Konica SR 501 rapid automatic X-ray film processor and automatic chemical mixer unit. London: Department of Health, Medical Devices Directorate, 1992.

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12

Garner, Justin, and David Treacher. Intensive care unit and ventilation. Oxford University Press, 2017. http://dx.doi.org/10.1093/med/9780199657742.003.0009.

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Acute lung injury (ALI) and acute respiratory distress syndrome (ARDS) are characterized by rapidly developing hypoxaemic respiratory failure and bilateral pulmonary infiltrates on chest X-ray. ALI/ARDS are a relatively frequent diagnosis in protracted-stay patients in the intensive care unit. The pathology is a non-specific response to a wide variety of insults. Impaired gas exchange, ventilation-perfusion mismatch, and reduced compliance ensue. Mechanical ventilation is the mainstay of management, along with treatment of the underlying cause. Mortality remains very high at around 40%. The condition is challenging to treat. Injury to the lungs, indistinguishable from that of ARDS, has been attributed to the use of excessive tidal volumes, pressures, and repeated opening and collapsing of alveoli. Lung-protective strategies aim to minimize the effects of ventilator-induced lung injury. Use of low tidal volume ventilation has been shown to improve mortality. Emerging ventilatory therapies include high-frequency oscillatory ventilation and extracorporeal membrane oxygenation.
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13

Goodman, Lawrence R. Imaging the respiratory system in the critically ill. Oxford University Press, 2016. http://dx.doi.org/10.1093/med/9780199600830.003.0078.

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Routine radiographs are not cost effective in the intensive care unit (ICU) setting. Most published guidelines agree that radiographs are worthwhile after insertion of tubes or catheters, and in patients receiving mechanical ventilation. Otherwise, they are required only for change in the patient’s clinical status. Picture archiving and communication systems utilize digital imaging technology. They provide superior quality images, rapid image availability at multiple sites, and fewer repeat examinations, reducing both cost and patient radiation. Disadvantages of picture archiving and communication systems include expensive equipment and personnel required to keep them functioning. The majority of chest X-ray abnormalities in the ICU are best understood by paying careful attention to the initial appearance of the X-ray in relation to the patient’s onset of symptoms and the progression of abnormalities over the next few days.
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14

Hughes, Jim. C-arm systems. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780198813170.003.0002.

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This chapter covers the design and functions of mobile C-arm X-ray systems used in intra-operative imaging (also known as ‘image intensifiers’, or IIs), including the movements and adjustments used for positioning and systems of X-ray production and image generation. C-arm and mobile C-arm imaging technology was born of the necessity to perform real-time X-ray imaging during surgical procedures. These systems perform real-time motion or cine imaging series as well as still images. The larger units, which are fixed, are generally used in dedicated imaging suites, whereas the smaller units, being mobile, can be moved to wherever a procedure requiring imaging takes place.
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15

Great Britain. Department of Health. Radiological Equipment Sub-Committee. Topic Group 'A'., ed. Six mammomat 3 X-ray units. London: Department of Health, 1994.

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16

Peet, Deborah J., Patrick Horton, Colin J. Martin, and David G. Sutton. Radiotherapy: external beam radiotherapy. Oxford University Press, 2015. http://dx.doi.org/10.1093/med/9780199655212.003.0019.

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Design principles for radiotherapy facilities using X-ray, γ‎-ray, and electron beams are described, especially the requirements for primary and secondary shielding and maze and door entrances. These features are illustrated with reference to the shielded rooms (bunkers) required for linear accelerators, and example calculations are included for shielding and maze design to achieve required dose constraints. The impact of new clinical practices with intensity modulated radiation fields and flattening filter-free operation is also considered. Engineering controls and features for safe operation are described, and good practice in bunker construction and the provision of services to avoid weaknesses in the shielding is outlined. The principle shielding requirements for TomoTherapyTM, CyberKnifeTM, Gamma KnifeTM units, and kilovoltage X-ray units are also described. Finally, personnel monitoring, commissioning surveys, and environmental monitoring in radiation protection management in radiotherapy are discussed. Data for calculating shielding thickness and X-ray scatter for maze design are provided.
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17

D, McDavid W., ed. Imaging characteristics of seven panoramic X-ray units. [Umeå, Sweden: s.n., 1985.

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18

Parkhomenko, Alexander, Olga S. Gurjeva, and Tetyana Yalynska. Clinical assessment and monitoring of chest radiographs. Oxford University Press, 2015. http://dx.doi.org/10.1093/med/9780199687039.003.0019.

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This chapter reviews the main problems in obtaining portable X-rays in intensive cardiac care unit patients and describes specific features of radiographs taken in the supine anteroposterior position. It also includes a brief review of a systematic, multistep approach of evaluating the quality of radiographic images and describing the chest wall, pulmonary vasculature, the heart and its chambers, the great vessels, and the position of tubes, lines, and devices. This chapter covers the most common conditions for which chest radiographs are useful and provides intensive cardiac care unit physicians, cardiologists, cardiology fellows, and medical students with basic information on water retention, air collection, and lung-related problems. It also focuses on the monitoring of line and device placements (e.g. central venous catheters, tube malposition) and procedure-related abnormalities, which may be apparent on chest X-rays and are helpful for timely diagnoses.
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19

Parkhomenko, Alexander, Olga S. Gurjeva, and Tetyana Yalynska. Clinical assessment and monitoring of chest radiographs. Oxford University Press, 2016. http://dx.doi.org/10.1093/med/9780199687039.003.0019_update_001.

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This chapter reviews the main problems in obtaining portable X-rays in intensive cardiac care unit patients and describes specific features of radiographs taken in the supine anteroposterior position. It also includes a brief review of a systematic, multistep approach of evaluating the quality of radiographic images and describing the chest wall, pulmonary vasculature, the heart and its chambers, the great vessels, and the position of tubes, lines, and devices. This chapter covers the most common conditions for which chest radiographs are useful and provides intensive cardiac care unit physicians, cardiologists, cardiology fellows, and medical students with basic information on water retention, air collection, and lung-related problems. It also focuses on the monitoring of line and device placements (e.g. central venous catheters, tube malposition) and procedure-related abnormalities, which may be apparent on chest X-rays and are helpful for timely diagnoses.
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20

Parkhomenko, Alexander, Olga S. Gurjeva, and Tetyana Yalynska. Clinical assessment and monitoring of chest radiographs. Oxford University Press, 2017. http://dx.doi.org/10.1093/med/9780199687039.003.0019_update_002.

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This chapter reviews the main problems in obtaining portable X-rays in intensive cardiac care unit patients and describes specific features of radiographs taken in the supine anteroposterior position. It also includes a brief review of a systematic, multistep approach of evaluating the quality of radiographic images and describing the chest wall, pulmonary vasculature, the heart and its chambers, the great vessels, and the position of tubes, lines, and devices. This chapter covers the most common conditions for which chest radiographs are useful and provides intensive cardiac care unit physicians, cardiologists, cardiology fellows, and medical students with basic information on water retention, air collection, and lung-related problems. It also focuses on the monitoring of line and device placements (e.g. central venous catheters, tube malposition) and procedure-related abnormalities, which may be apparent on chest X-rays and are helpful for timely diagnoses.
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21

Parkhomenko, Alexander, Olga S. Gurjeva, and Tetyana Yalynska. Clinical assessment and monitoring of chest radiographs. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780199687039.003.0019_update_003.

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Abstract:
This chapter reviews the main problems in obtaining portable X-rays in intensive cardiac care unit patients and describes specific features of radiographs taken in the supine anteroposterior position. It also includes a brief review of a systematic, multistep approach of evaluating the quality of radiographic images and describing the chest wall, pulmonary vasculature, the heart and its chambers, the great vessels, and the position of tubes, lines, and devices. This chapter covers the most common conditions for which chest radiographs are useful and provides intensive cardiac care unit physicians, cardiologists, cardiology fellows, and medical students with basic information on water retention, air collection, and lung-related problems. It also focuses on the monitoring of line and device placements (e.g. central venous catheters, tube malposition) and procedure-related abnormalities, which may be apparent on chest X-rays and are helpful for timely diagnoses.
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22

Ward, Jonathan Michael. Special ceramics as hydrogen storage media: An investigation of some D8g systems : the effect of composition and X-ray unit cell dimensions on the reaction of hydrogen with hexagonal silicide and germanide phases of general composition M5 X3. Bradford, 1988.

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23

X-ray diffraction analysis of post-Cretaceous sand and gravel units in southeastern South Dakota. Vermillion, S.D: Akeley-Lawrence Science Center, University of South Dakota, 2003.

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24

Agency, Medical Devices, and King's Centre for the Assessment of Radiological Equipment., eds. Siemens opdose automatic exposure control package for Mammomat 1000 and 3000 mammography X-ray units. London: Medical Devices Agency, 2000.

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25

Hellman, Samuel. Heroes. Oxford University Press, 2016. http://dx.doi.org/10.1093/med/9780190650551.003.0006.

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The author’s medical heroes are recognized not only for their scientific accomplishments but also for their public actions to benefit humankind in general. Thomas Hodgkin is famous for the eponymous disease named for him and Marie Curie for the discovery of the first known radioactive substances, polonium and radium. But both did much more: Hodgkin, in his efforts to improve public health in Great Britain and in the Levant; and Curie, in harnessing diagnostic X-ray mobile field units in World War I, as well as making radium available for cancer treatment by publicizing its effectiveness and raising funds for its purchase and use at major international cancer centers. It is this continuum of involvement from science to public benefit that makes them the author’s heroes.
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26

Blasi, Francesco, and Paolo Tarsia. Therapeutic approach in haemoptysis. Oxford University Press, 2016. http://dx.doi.org/10.1093/med/9780199600830.003.0127.

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The aim of diagnostic studies in patients with haemoptysis is two-fold—locate the source of bleeding and identify the underlying cause. A chest X-ray may be informative regarding conditions involving the lung parenchyma, pulmonary vasculature, or the heart, but may be normal in 20–40% of cases. A chest CT scan may allow correct localization of the bleeding site in 65–100% of cases. Contrast-enhanced CT scans allow high resolution angiographic studies that may be useful prior to planning bronchial arterial embolization. Bronchoscopy may allow identification of the site of bleeding, identify the underlying cause, help clear the airways from blood clots favouring gas exchange, and be a means to stop the bleeding. Treatment of haemoptysis varies from outpatient management to intensive care unit admittance. Choice of optimal management depends on the intensity of bleeding, degree of respiratory compromise, and severity of underlying cardiorespiratory status. Important steps in the management of patients with massive haemoptysis include resuscitation, airway protection and patient stabilization as the priority, subsequent localization of the site of bleeding, and specific interventions to stop the bleeding and prevent recurrence. Bronchoscopy may be useful in stopping bleeding through use of cold saline lavage, use of topical vasoconstrictive agents, or temporary endobronchial tamponade with a balloon catheter. The procedure of choice in many cases is selective bronchial artery embolization. With this procedure immediate control of bleeding may be obtained in 70–95% of patients, although recurrence has been reported in 10–30% of cases.
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