摘要:

SUMMARYAustralia's resources are finite and limited. Cash outlays by the government for health care have risen at a rate which cannot continue indefinitely as an increasing share of the national purse. It follows that as a profession, medical practitioners cannot do everything scientifically possible for everyone everywhere. New advances are seen to require new skills and techniques as much as new high cost gadgets.Radiology is a particularly costly sub‐speciality which is almost uniquely capital intensive. The present danger is that radiologists are coming to be viewed as professionals engaged in a conspicuous consumption of scarce national resources while morbidity and mortality figures are not showing an improvement remotely proportionate to the increased expenditure. Examples of over use of resources together with private investment in high cost technology are outlined, and issues of accountability and of the need for clearly stated goals are discussed.A role for the Royal Australasian College of Radiologists in monitoring the efficiency, diagnostic yield and the general effectiveness of radiological examinations is considered. If organised medicine is found unequal to the task of rationalising the use of resources, then this role may come to be assumed by other

ISSN:0004-8461    

DOI:10.1111/j.1440-1673.1979.tb02095.x

出版商:Blackwell Publishing Ltd    

年代:1979

数据来源: WILEY

ISSN:0004-8461    

DOI:10.1111/j.1440-1673.1979.tb02096.x

出版商:Blackwell Publishing Ltd    

年代:1979

数据来源: WILEY

ISSN:0004-8461    

DOI:10.1111/j.1440-1673.1979.tb02097.x

出版商:Blackwell Publishing Ltd    

年代:1979

数据来源: WILEY

ISSN:0004-8461    

DOI:10.1111/j.1440-1673.1979.tb02098.x

出版商:Blackwell Publishing Ltd    

年代:1979

数据来源: WILEY

摘要:

SUMMARYThree cases of malignant diffuse pleural mesothelioma are presented. These serve as a reminder of the urban hazard ever present. Radiologically each of these cases demonstrates the characteristic progressive diffuse pulmonary encasement by a thickened nodular pleural neoplasm, in the manner of a rind. This sign may be all too obvious only after incidental induction of a pneumothorax.Note is made in regard to the difficulty often experienced in making a precise histological diagnosis and the inevitable delay in diagnosis may be partly responsible for the poor prognosis. The Radiologist by maintaining a high index of suspicion can offer the chance of an early diagnosis.

ISSN:0004-8461    

DOI:10.1111/j.1440-1673.1979.tb02099.x

出版商:Blackwell Publishing Ltd    

年代:1979

数据来源: WILEY

摘要:

SUMMARYA rare instance of an interrupted aortic arch and tricuspid atresia with long survival is described. Only one other case of this rare association is described in the literature and survival to the age of 17 years with these complex malformations is unusual.

ISSN:0004-8461    

DOI:10.1111/j.1440-1673.1979.tb02100.x

出版商:Blackwell Publishing Ltd    

年代:1979

数据来源: WILEY

摘要:

SUMMARYTwo cases of mucocoele of the appendix have been reported in which a preoperative diagnosis was made by barium enema. The two cases illustrate the radiological criteria which enable a definitive diagnosis to be made.

ISSN:0004-8461    

DOI:10.1111/j.1440-1673.1979.tb02101.x

出版商:Blackwell Publishing Ltd    

年代:1979

数据来源: WILEY

ISSN:0004-8461    

DOI:10.1111/j.1440-1673.1979.tb02102.x

出版商:Blackwell Publishing Ltd    

年代:1979

数据来源: WILEY

ISSN:0004-8461    

DOI:10.1111/j.1440-1673.1979.tb02103.x

出版商:Blackwell Publishing Ltd    

年代:1979

数据来源: WILEY

ISSN:0004-8461    

DOI:10.1111/j.1440-1673.1979.tb02104.x

出版商:Blackwell Publishing Ltd    

年代:1979

数据来源: WILEY