1.1.3 Cottenot’s Early Chest Tomosynthesis System
In 1937 , Paul Cottenot presented a paper at the Fifth International Congress of Radiology in Chicago, Illinois, in which he described a tomosynthesis method he developed for the “study of pleuro-pulmonary lesions.” He called this method “thoracic serioscopy” (Cottenot 1938). Cottenot noted that his method was based on the work of Ziedses des Plantes. In order to image the chest with tomosynthesis, it is critical that each of the projection radiographs be taken at the same level of inspiration. Cottenot accomplished this by developing a “respiratory trigger” consisting of a pneumatic belt that was wrapped around the patient. The belt sent a pressure wave to one side of a U-shaped mercury manometer, the other side of which contained a metal rod the position of which was adjusted so that the rod touched the mercury at a desired level of inspiration. When the mercury