The Sorcerers Apprentice: How Medical Imaging Is Changing Health Care

Hardcover | November 12, 2010

byBruce J. Hillman, Jeff C. Goldsmith

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Many will remember the segment of "The Sorcerer's Apprentice" in the Disney film Fantasia; it is a perfect metaphor for medical imaging as it stands today. The apprentice magician tests his nascent skills at sorcery by bringing common household items to life and putting them to work. At first,things go well, but eventually he loses control, and chaos ensues. Medical imaging, too, could spin out of control. The benefits of imaging are undeniable. In the past thirty years, innovations like CT, MRI, and PET scanning have not only markedly reduced clinical risk for patients but have also transformed medical practice. Its costs, however, have grownexplosively, to the point where imaging expenses have become a political issue. The aggressive adoption of imaging technology has raised issues about the role of inappropriate economic incentives and the role of defensive medicine in driving up medical costs. Radiologists have utilized imaging technology to transform their practice from a pure diagnostic discipline into a curative one. Radiologists are among the most successful knowledge workers in the entire economy, leveraging digital information technology and Internet connectivity to become the firstglobal medical discipline. Imaging is poised to make a further quantum advance - into the workings of the human cell and the molecular biology of complex disease. Where is this remarkable technology, and the discipline which uses it, headed? How can society make the most responsible use of this powerful new tool? How will imaging and radiologists reshape medical practice? These questions will be answered by The Sorcerer's Apprentice.

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Many will remember the segment of "The Sorcerer's Apprentice" in the Disney film Fantasia; it is a perfect metaphor for medical imaging as it stands today. The apprentice magician tests his nascent skills at sorcery by bringing common household items to life and putting them to work. At first,things go well, but eventually he loses con...

Bruce J. Hillman, MD, is the Theodore E. Keats Professor of Radiology and Professor of Public Health Sciences at the University of Virginia, and Editor-in-Chief, Journal of the American College of Radiology. Jeff C. Goldmith, PhD, is President of Health Futures, Inc. and Associate Professor of Public Health Sciences at the University ...

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Format:HardcoverDimensions:264 pages, 10 × 7 × 0.98 inPublished:November 12, 2010Publisher:Oxford University PressLanguage:English

The following ISBNs are associated with this title:

ISBN - 10:0195386965

ISBN - 13:9780195386967

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Table of Contents

AcknowledgmentsIntroduction: The Sorcerer's Apprentice1. The Most Important Physician You'll Never Meet2. The Rise of Medical Imaging3. Imaging's Leap to Curative Medicine4. The Risks of Medical Imaging Examinations5. Economic Consequences of Successful Innovation: The Imaging Boom6. Digital Pioneers: Globalization and Corporatization7. Red in Tooth and Claw - Moral Hazard and the Struggle for Control of Medical Imaging Services8. Imaging to Screen for Life-Threatening Diseases - Its Promise and its Problems9. The Future of Medical Imaging10. Making the Best Use of Imaging's Expansive Toolbox