Sep 27, 2018
Figure 1 Courtesy of the Boston GlobeFigure
Figure 2 A bistable image of an industrial sponge with cutout holes, 1970. Courtesy of J. Birnholz, MD
Figure 3 10mm pseudo-nodule with 5mm nucleus in a commercial elastography phantom (Sonoscanner U-Lite, 38mm linear array, 10MHz center freq.) Courtesy of Jason Birnholz, MD
Medicine is conservative, because safety comes from sticking with what is established and works. Ultrasound is a powerful diagnostic resource that has provided actionable information throughout its history. The problem is that a lot of policies and practices were solidified when equipment performance was less, general medical sophistication and knowledge were less, and societal needs were different. A lot of the world is playing sonic, sandlot baseball. It’s time to move into digital stadia, where smart ultrasound adjusts the playing field for the application game we are playing.
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