Burdensome bureaucracy is penalizing many law-abiding radiologists in India, 16 years on from implementation of the Pre-Conception (PC) and Pre-Natal Diagnostic Techniques (PNDT) Act.
Sixteen years on from implementation of the Pre-Conception (PC) and Pre-Natal Diagnostic Techniques (PNDT) Act, burdensome bureaucracy penalizes many law-abiding radiologists in India. Furthermore, rather than preventing them, the act has driven up the price of illegal sex selection services. Meanwhile, registered ultrasound clinics face heavy fines for minor infringements.
The number of CT scans performed in the pediatric abdomen in the U.S. is high compared with Europe, possibly because doctors fear legal action in the case of a missed pathology or disease. Rather than using CT for appendicitis, many doctors in the Netherlands still prefer to use ultrasound to visualize the swollen, fluid-filled, or normal appendix.
Correct diagnosis of tumor character and stage is fundamental to lung-cancer therapy planning, but evaluating indeterminate solitary pulmonary nodules (SPNs) continues to challenge radiologists. In addition, it is vital to determine as soon as possible whether patients are likely to respond to treatment.
Technical advances in MRI have paved the way for functional imaging of the abdomen, moving beyond simple morphological evaluation of disease and in some cases proving superior to multislice CT. With quantitative imaging tools at their disposal, radiologists are rethinking what they need to visualize with MR to answer new clinical questions.