m ntCKcom 6uko uniucusity mc6icM ccntcR VOLUME 19, NUMBER 9 MARCH 10, 1972 DURHAM, NORTH CAROLINA Duke First in N. C. To Install New X-Ray Machine A new six million-volt X-ray machFfie, which has distinct advantages over other types of equipment in the treatment of certain cancers, is now in use at the Medical Center. The $175,000 linear accelerator is the first medical installation in North Carolina. Electrons are accelerated.,within the machine at speeds approaching the speed of light—186,000 miles per second. When the electrons strike a target area within the machine and are stopped suddenly at that high speed, they break up and emit X-rays. Dr. Patrick Cavanaugh, chief of therapeutic radiology, said the new equipment does not replace cobalt or other types of therapy for cancer victims. Instead, he explained, "it is a high-precision, high-output instrument which enables us to achieve a better dose distribution in special situations that require it." This is particularly important, he said, in the treatment of certain tumors, such as those around the eye, which are located near highly vulnerable or delicate organs. It also provides advantages in the treatment of deeply located tumors. Dr. Cavanaugh said. S/X MILLION VOLT X-RAY EQUIPMENT—M\ss Alice McCrea, a radiation The equipment has an auxiliary physicist at the Duke Medical Center, inspects a water tank used in testing the dose dose-plotting machine which provides rate of a linear accelerator, an X-ray machine for treatment of certain types of cancer, three-dimensional images of the beam Water is used for testing because it simulates the density of human tissue, (photo by which are then used in planning patient Jim Wallace) treatments. 1971 Fiscal Year Sees Growth in Hospital Statistics It was another record year for Duke Hospital. Statistics for the 1971 fiscal year show that the number of inpatient discharges,- the number of outpatient visits and the. number of babies born were all up from last year. But the average length of stay per patient was down from 10.16 in fiscal 1970 to 9.70 in fiscal 1971. The total number of inpatients disicharged (not including newborns) was 25,142, up about 2,000 from fiscal 1970. Outpatient visits totaled 323,540 as compared with just over 300,000 the year before. The fiscal 1971 statistics show that of these outpatient visits, 121,485 were to the public outpatient clinics. 172,091 to the private diagnostic clinics, and 29,964 to the Emergency Department. New babies born at Duke during fiscal 1971 totaled 2,120 compared with 1,852 the year before. As would be expected with the increased number of patient visits, both (continued on page four}

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