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Book Review
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Volume 330:1626-1627 June 2, 1994 Number 22
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Effective Medical Imaging: A Signs and Symptoms Approach

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By Martin F. Sturman. 433 pp. Baltimore, Williams and Wilkins, 1993. $45. ISBN 0-683-07934-4.

The architects of health care reform are putting pressure on physicians to evaluate and alter their traditional approach to diagnosis. The emphasis is on doing less in an attempt to redress the overuse perceived in the current system. Some of the excess is linked to high technology, which is frequently translated to mean "expensive diagnostic imaging," such as computed tomography and magnetic resonance imaging. There are many alternative ways to arrive at a proper diagnosis, including observation without an expensive workup.

The choice of appropriate medical imaging studies will soon become the province of primary care physicians, should the current . . . [Full Text of this Article]




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