What more you expect from Imaging specialists?

Stand  alone imaging centres are a reality all over world. Wholesome hospitals are being replaced by subjectwise centres like Insitutes of cardiac sciences, neurology and neurosurgery, trauma etc. Large public or university hospitals have all the departments and some of them have coordinated activities.

Some specialities like cardiology, cardiothoracic surgery, neurosurgery have become very commercial and are not comparable to others and consultants in these specialities earn many times more than other branches, if they work in private sector.  Fresh superspecialist has to get some experience before he/she starts operating on acoustic tumours or aneurysms etc. The learning curve is such that one needs to work with a more senior established specialist. Even if you are a gifted surgeon, that experience is vital.

Many of our patients arrive with bags full of CT,MRI or other films. Some of them are reported from small towns and by junior imaging specialists. It is mandatory that even if patient is fully diagnosed, that you start seeing him as if he had visited the doctor for first time. Arrive at the diagnosis based on history and clinical examination and therefore see images as last part of consultation.

Apart from routine reporting I want imaging specialist , to let me know size and volume of tumour, relation of tumour to coronal, sagittal and lambdoid sutures and give 3D reformat of skull also. Since sutures are visible at surgery the distance from midline, relation to coronal suture etc can place the lesion more accurately on scalp.  The topogram depicting the plane from where cuts are taken is also essential and should be provided. The lesion can be very easily located if you use a scale and for that CT/MRI should display the scale.

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