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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

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