Radiology in 2101: Future of a Radiologist or Radiology Practice

S. Sethi
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Abstract

A lot of people come up with queries on what would be the future role of radiologist. Will the role of the radiologist become more primary to the patient management than it is now or will the increasing clarity of images make him less useful, with images speaking for themselves. In my view radiologist will continue his role and probably will provide more and more information to the referring physician. His domain of knowledge will expand. In the past, the basis of radiology has resided primarily in knowledge of physics and anatomy. The future radiologist will have to provide functional and molecular imaging, as well as continued expansion of electronic imaging, computer applications, and interventional radiology. We will see an integration of functional and anatomical information and applications like MR-PET will be commonly used for brain pathologies. CT scans will become more and more faster and number of slices will increase with adaptations for radiation doses. We will do more and more endoluminal studies and seeing the inside of the blood vessels, bowel and bronchus will replace diagnostic endoscopy as we know today. May be with evolution of MR-microscopy we will encroach on the pathologists domains too. Radiologist of the future will be more efficient. Radiology volumes will increase tremendously. The average number of studies interpreted by each radiologist will be very high. Digital radiology and picture archiving and communication systems, or PACS, will offer newer more efficient solutions and will be more user friendly. Proper integration of advanced communication technology into radiology practices not only will improve our diagnostic accuracy and communication with our patients, colleagues, and referring physicians but will also provide efficiencies needed to meet the data overload that already exists. Subspecialization will become a norm, with some groups providing reports on only some subsets of patients and offer a level of expertise which referring specialists often demand. There will be an increasing role for a radiologist to participate in the globalization of medicine. The worldwide communication network or internet is making the world “Flat” and as experts in communications, radiologists should assume a leadership role in the globalization of medicine.. May be we will see some turf loss between surgeons and interventional radiologists. Already we see cardiologists and gynecologists giving some expertise into radiological procedures and diagnosis. However, this would be partly compensated by tremendous increase in the volume of such procedures. Concluding, what radiology in the 2101 will be like is a matter of opinion, I encourage all readers to send me their opinions at sumerdoc@yahoo.com
2101年的放射学:放射科医生或放射学实践的未来
很多人都问放射科医生未来的角色是什么。在病人管理中,放射科医生的角色会比现在更重要吗?还是随着图像清晰度的提高,放射科医生的作用会越来越小,因为图像会自己说话。在我看来,放射科医生将继续发挥他的作用,可能会为转诊医生提供越来越多的信息。他的知识领域将会扩大。过去,放射学的基础主要是物理和解剖学知识。未来的放射科医生必须提供功能和分子成像,以及不断扩展的电子成像、计算机应用和介入放射学。我们将看到功能和解剖信息的整合,像mri - pet这样的应用将被广泛用于脑病理学。CT扫描将变得越来越快,切片数量将随着辐射剂量的适应而增加。我们将做越来越多的腔内研究,观察血管,肠和支气管的内部将取代我们今天所知道的诊断性内窥镜检查。也许随着核磁共振显微镜的发展,我们也将侵入病理学家的领域。未来的放射科医生会更有效率。放射学的数量将大大增加。每个放射科医生解释的研究的平均数量将非常高。数字放射学和图像存档和通信系统(PACS)将提供更新、更有效的解决方案,并将更加用户友好。将先进的通信技术适当地整合到放射学实践中,不仅可以提高我们的诊断准确性和与患者、同事和转诊医生的沟通,还可以提高效率,以满足已经存在的数据过载。专科会诊将成为一种规范,一些小组只提供某些亚组患者的报告,并提供转诊专家经常要求的专业水平。放射科医生将在医学全球化中扮演越来越重要的角色。全球通信网络或互联网正在使世界变得“平坦”,作为通信专家,放射科医生应该在医学全球化中发挥领导作用。也许我们会看到外科医生和介入放射科医生之间的一些地盘流失。我们已经看到心脏病专家和妇科医生在放射治疗和诊断方面提供了一些专业知识。然而,这将通过此类程序数量的大量增加而得到部分补偿。最后,21世纪的放射学会是什么样子是一个意见问题,我鼓励所有读者在sumerdoc@yahoo.com上给我发他们的意见
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