Page 2 Duke Hospital, InterCom (Duke Photo by Sparks) Dr. Reeves demonstrates image amplifier. These amplifiers are used to reduce radia tion exposure to both patient and radiolo gist. The instrument requires about 75 per cent less current to get a satisfactory fluoroscopic image than does the conven tional fiuoroscope. was at Duke ]I(;s])ital that tests for study of the rastro-iiitestiiial tract with isotopes were developed in con junction with the Departments of Medicine and Surgery. With mem bers of the Pediatrics Department, studies liave been made of the use of radioisotopes in the dia^^nosis of con genital heart disease in infants and children. Anotlier major operation in the Isotope Laboratory focuses on re search : development of the isotoj)e fat test; development of the radioiso tope test for kidney function ; investi gation, in conjunction with the Di vision of Dermatology, of the applica tion of isotopes in the study of the function of the skin in health and disease. The Department of Surgery has collaborated in an investigation of the use of isotopes in evaluation of diseases of the pancreas. Studies have been made, also with the Depart ment of Surgery, of the status of the gastro-intestinal tract in large groups of patients who have had gastric sur gery. One important function of the Iso tope Laboratory is the training of both graduate physicians and techni cians. For graduate physicians two courses have been given, each provid ing three weeks of intensive work in the Isotope Laboratory. At the end of this training the physicians are qualified to set uj) their own labora tories. With 6 students in each group thus far, the geographical range was from New Hampshire to Florida. Evidence of the importance at tached to training in this area is the fact that the physicist for the Duke Medical Center Isotope Laboratory, Aaron P. Sanders, is on loan for nine (Duke Photo hy Sparks) Dr. William F. Barry at the bi-plane angiocardiographic unit. Used in congeni tal heart cases prior to treatment or surgery, this instrument takes two sets of fast x-ray pictures of the heart and great vessels after injection of iodide. months to Argentina to help set up in that country a basic isotope pro gram. Angiocardiography, another field of work in the Dc'partment of Radiology, |)rovides another tool for iiivestiga- «r I Dr. George counter used in (Duke Photo hy Sparks) Baylin with the isotope the study of kidney function. (Duke Photo hy Sparks) John B. Cahoon, Technical Director of the School of X-ray Technology, points out to student technicians, Laura Smith and Conrad Rich, the geo graphical distribution of the School’s graduates.

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