Adrian Dixon: x ray marks the future of diagnosis
Adrian Dixon is a radiologist with a £10 wager
The thrill of the diagnosis. Nobody in 1975 could have predicted what fun radiology would become; computed tomography had barely begun, ultrasound was in its total infancy, and magnetic resonance imaging was still embryonic. I was in the right place at the right time to experiment with these new techniques. I have long advocated and tried to prove that using these investigations early on in the diagnostic sequence, rather than after half a dozen cheaper investigations, is more time and cost effective.
I think this is already happening. The intellectual and clinical doyen of old was the neurologist. A full neurological examination by an expert is still a work of art, but I’m not sure that many of these are performed nowadays. More often, the neurological signs might be fitted in just to confirm results from magnetic resonance imaging. Sadly, imaging is being used as a substitute for detailed clinical