Peter A. Rinck, MD, PhD

Articles by Peter A. Rinck, MD, PhD

I wrote a column for DI Europe six years ago about screening programs, stating that screening approaches that are not based upon firm foundations become ideological crusades. The outcry was earsplitting. Somebody delivered a broadside against me claiming I would undermine dozens of years of hard work in mammography.

Within two weeks this month, Berlin will have played host to two major and one very small radiological meeting. The German Roentgen Society has just left Berlin’s International Congress Center, and the combined International Society for Magnetic Resonance in Medicine (ISMRM)/European Society for Magnetic Resonance in Medicine and Biology (ESMRMB) is gathering. At the end of this week, the 25th anniversary meeting of the European Magnetic Resonance Forum (EMRF) will take place at Cecilienhof Castle in Potsdam, some 20 km away.

One sunny day in late spring 1982, I stood on the public observatory deck at the top of the Empire State Building in New York City with a visitor from Germany. I recall being on crutches, my foot and ankle encased in a plaster cast, having stumbled awkwardly while walking on a Long Island beach.

In 1990, Dr. Jack Belliveau and colleagues at Massachusetts General Hospital in Boston published the results of a successful experiment designed to observe and image stimulation of the human visual cortex on MRI.1 Using the first-pass effect after bolus injection of a contrast agent, they demonstrated changes in cortical perfusion upon activation with a photic stimulus.

We all know that medicine has nothing in common with rational thinking. When I started working in the profession, however, I thought differently. One of the main reasons I entered radiology was my perception that it was a rational and logical medical discipline. I thought that there are rational approaches to medicine, but I was misguided.

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