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Chest photofluorography : ウィキペディア英語版
Chest photofluorography

Chest photofluorography, or abreugraphy (also called mass miniature radiography), is a photofluorography technique for mass screening for tuberculosis using a miniature (50 to 100 mm) photograph of the screen of an X-ray fluoroscopy of the thorax, first developed in 1936.
==History==
Abreugraphy receives its name from its inventor, Dr. Manuel Dias de Abreu, a Brazilian physician and pulmonologist. It has received several different names, according to the country where it was adopted: mass radiography, miniature chest radiograph (United Kingdom and USA), roentgenfluorography (Germany), radiophotography (France), schermografia (Italy), photoradioscopy (Spain) and photofluorography (Sweden).
In many countries, miniature mass radiographs (MMR) was quickly adopted and extensively utilized in the 1950s. For example, in Brazil and in Japan, tuberculosis prevention laws went into effect, obligating ca. 60% of the population to undergo MMR screening. However, as a mass screening program for low-risk populations, the procedure was largely discontinued in the 1970s, following recommendation of the World Health Organization, due to three main reasons:
# The dramatic decrease of the general incidence of tuberculosis in developed countries (from 150 cases per 100,000 inhabitants in 1900, 70/100,000 in 1940 and 5/100,000 in 1950);
# Decreased benefits/cost ratio (a recent Canadian study has shown a cost of CD$ 236,496 per case in groups of immigrants with a low risk for tuberculosis, versus CD$ 3,943 per case in high risk groups);
# Risk of exposure to ionizing radiation doses, particularly among children, in the presence of extremely low yield rates of detection.


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