Thoracic Imaging 2003 - Society of Thoracic Radiology
Thoracic Imaging 2003 - Society of Thoracic Radiology
Thoracic Imaging 2003 - Society of Thoracic Radiology
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challenge is to develop services for radiologists that act as a<br />
curbside consult, allowing the radiologist to make better decisions.<br />
This is an area that is relatively unexplored. As a modest<br />
example, consider the evaluation <strong>of</strong> an incidental adrenal mass.<br />
The value <strong>of</strong> calculating the washout <strong>of</strong> intravenous contrast has<br />
been shown to be useful in separating benign masses from<br />
metastases. However, it’s my observation that the calculation<br />
(which is simple algebra) is rarely performed. Programming the<br />
equation into the web page allows one to quickly calculate the<br />
washout values and by providing results in the context <strong>of</strong> published<br />
values allows the user to judge the strength <strong>of</strong> the evidence.<br />
The personal curbside consult is commonly used in daily<br />
practice as a source <strong>of</strong> information. Unfortunately, with a shortage<br />
<strong>of</strong> radiologists and the dispersion <strong>of</strong> colleagues to separate<br />
sites makes this contact less common. Online contact with<br />
instant messaging will not only bring colleagues back together<br />
but also expand contact outside <strong>of</strong> our normal groups putting at<br />
our fingertips colleagues with expertise that are currently<br />
unavailable.<br />
Predictions<br />
Online education will continue to evolve. These are my predictions<br />
as to what we will see over the next decade.<br />
Textbooks will be written specifically for online use. The<br />
role <strong>of</strong> print publications will not vanish but will be <strong>of</strong> much<br />
less importance than today.<br />
Journals will eventually be taken back by the scientific societies<br />
and will be freely accessible online. Print journals will disappear.<br />
The interconnections between journals and articles will<br />
be a major source <strong>of</strong> information.<br />
One <strong>of</strong> the major thrusts <strong>of</strong> current CME is to provide CME<br />
at the point <strong>of</strong> care where questions arise. Only Internet technologies<br />
are poised to provide and document that activity.<br />
Traveling to lectures in remote locations will become less common.<br />
Societies, like the STR will incorporate their meetings into<br />
the major meetings <strong>of</strong> the RSNA or ARRS where personal time<br />
with colleagues can be maximized.<br />
Peer-to-peer technologies (like instant messaging) will produce<br />
a new type <strong>of</strong> practice where radiologists only exist online<br />
to serve as consultants to their colleagues all over the world.<br />
URL’s discussed:<br />
PubMed:<br />
http://www.ncbi.nih.gov/entrez/query.fcgi<br />
Google:<br />
http://www.google.com<br />
Over 480 million searches are performed daily, Google<br />
accounts for 4 <strong>of</strong> every 5 searches.<br />
AuntMinnie:<br />
http://www.auntminnie.com<br />
registration required<br />
eMedicine:<br />
http://www.emedicine.com<br />
paid subscription required<br />
chestx-ray.com<br />
http://www.chestx-ray.com<br />
181<br />
TUESDAY