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Radiology FREE

Ronald G. Evens, MD
JAMA. 1992;268(3):409-411. doi:10.1001/jama.1992.03490030121054
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While reviewing the past year in diagnostic radiology, I was reminded of many important developments that have the potential to improve patient care. As Contempo authors are asked to restrict their discussions to only "key" advances likely to be of interest to readers in other specialties, I limit this review to four areas: magnetic resonance imaging (MRI), sonography, interventional radiology, and economic issues in diagnostic radiology.

Magnetic resonance imaging continues to develop in multiple directions. Perhaps most exciting was a report that MRI can actually identify and map the areas of the human brain that are active during a variety of neurological functions.1 If this is verified, MRI becomes a competitor to positron emission tomography as an imaging technique for identifying and analyzing higher brain function. Positron emission tomography technology is mature and well developed, and its ability to identify regions important to brain function is especially valuable. With

REFERENCES

Belliveau JM, Kennedy DN, McKinstry RC, et al.  Functional mapping of the human visual cortex by magnetic resonance imaging. Science . 1991;;254:716-719.
Pardo JV, Fox PT, Raichle ME.  Localization of a human system for sustained attention by positron emission tomography. Nature . 1991;;349:61-64.
Stehling MK, Turner R, Mansfield P.  Echo-planar imaging: magnetic resonance imaging in a fraction of a second. Science . 1991;; 254:43-50.
Evens RG, Evens RG Jr.  Analysis of economics and use of MR imaging units in the United States in 1990. AJR Am J Roentgenol . 1991;;157:603-607.
Masaryk AM, Ross JS, DiCello MC, Modic MT, Paranandi L, Masaryk TJ.  3DFT MR angiography of the carotid bifurcation: potential and limitations as a screening examination. Radiology . 1991;; 179:797-804.
Schnall MD, Imai Y, Tomaszewski J, Pollack HM, Lenkinski RE, Kressel HY.  Prostate cancer: local staging with endorectal surface coil MR imaging. Radiology . 1991;;178:797-802.
Bottomley PA.  The trouble with spectroscopy papers. Radiology . 1991;;181:344-350.
Grenier N, Douws C, Morel D, et al.  Detection of vascular complications in renal allografts with color Doppler flow imaging. Radiology . 1991;;178:217-223.
Tessler FN, Gehring BJ, Gomes AS, et al.  Diagnosis of portal vein thrombosis: value of color Doppler imaging. AJR Am J Roentgenol . 1991;;157:292-296.
Nyberg DA, Hughes MP, Mack LA, Wang KY.  Extrauterine findings of ectopic pregnancy at transvaginal US: importance of echogenic fluid. Radiology . 1991;;178:823-826.
Wolf SI, Gosink BB, Feldesman MR, et al.  Prevalence of simple adnexal cysts in postmenopausal women. Radiology . 1991;;180:65-71.
Zemel G, Katzen BT, Becker GJ, Benenati JF, Sallee DS.  Percutaneous transjugular portosystemic shunt. JAMA . 1991;;266:390-393.
Palmaz JC, Garcia OJ, Schatz RA, et al.  Placement of balloon-expandable intraluminal stents in iliac arteries: first 171 procedures. Radiology . 1990;;174:969-975.
Gelfand DW, Ott DJ.  The economic implications of radiologic screening for colonic cancer. AJR Am J Roentgenol . 1991;;156:939-943.
Parker SH, Lovin JD, Jobe WE, Burke BJ, Hopper KD, Yakes WF.  Nonpalpable breast lesions: stereotactic automated large-core biopsies. Radiology . 1991;;180:403-407.
Conoley PM, Vernon SW.  Productivity of radiologists: estimates based on analysis of relative value units. AJR Am J Roentgenol . 1991;;157:1337-1340.
Hackney DB.  Skull radiography in the evaluation of acute head trauma: a survey of current practice. Radiology . 1991;;181:711-714.

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Belliveau JM, Kennedy DN, McKinstry RC, et al.  Functional mapping of the human visual cortex by magnetic resonance imaging. Science . 1991;;254:716-719.
Pardo JV, Fox PT, Raichle ME.  Localization of a human system for sustained attention by positron emission tomography. Nature . 1991;;349:61-64.
Stehling MK, Turner R, Mansfield P.  Echo-planar imaging: magnetic resonance imaging in a fraction of a second. Science . 1991;; 254:43-50.
Evens RG, Evens RG Jr.  Analysis of economics and use of MR imaging units in the United States in 1990. AJR Am J Roentgenol . 1991;;157:603-607.
Masaryk AM, Ross JS, DiCello MC, Modic MT, Paranandi L, Masaryk TJ.  3DFT MR angiography of the carotid bifurcation: potential and limitations as a screening examination. Radiology . 1991;; 179:797-804.
Schnall MD, Imai Y, Tomaszewski J, Pollack HM, Lenkinski RE, Kressel HY.  Prostate cancer: local staging with endorectal surface coil MR imaging. Radiology . 1991;;178:797-802.
Bottomley PA.  The trouble with spectroscopy papers. Radiology . 1991;;181:344-350.
Grenier N, Douws C, Morel D, et al.  Detection of vascular complications in renal allografts with color Doppler flow imaging. Radiology . 1991;;178:217-223.
Tessler FN, Gehring BJ, Gomes AS, et al.  Diagnosis of portal vein thrombosis: value of color Doppler imaging. AJR Am J Roentgenol . 1991;;157:292-296.
Nyberg DA, Hughes MP, Mack LA, Wang KY.  Extrauterine findings of ectopic pregnancy at transvaginal US: importance of echogenic fluid. Radiology . 1991;;178:823-826.
Wolf SI, Gosink BB, Feldesman MR, et al.  Prevalence of simple adnexal cysts in postmenopausal women. Radiology . 1991;;180:65-71.
Zemel G, Katzen BT, Becker GJ, Benenati JF, Sallee DS.  Percutaneous transjugular portosystemic shunt. JAMA . 1991;;266:390-393.
Palmaz JC, Garcia OJ, Schatz RA, et al.  Placement of balloon-expandable intraluminal stents in iliac arteries: first 171 procedures. Radiology . 1990;;174:969-975.
Gelfand DW, Ott DJ.  The economic implications of radiologic screening for colonic cancer. AJR Am J Roentgenol . 1991;;156:939-943.
Parker SH, Lovin JD, Jobe WE, Burke BJ, Hopper KD, Yakes WF.  Nonpalpable breast lesions: stereotactic automated large-core biopsies. Radiology . 1991;;180:403-407.
Conoley PM, Vernon SW.  Productivity of radiologists: estimates based on analysis of relative value units. AJR Am J Roentgenol . 1991;;157:1337-1340.
Hackney DB.  Skull radiography in the evaluation of acute head trauma: a survey of current practice. Radiology . 1991;;181:711-714.
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