Dr. Mirvis
is the Editor-in-Chief of this journal and Professor of
Radiology, Diagnostic Imaging Department, University of Maryland
Medical Center, Baltimore, MD.
With the current issue,
Applied Radiology
celebrates its 30th Anniversary. Thirty years is an instant in
cosmic time but encompasses a rather long period in the rapid
evolution of modern diagnostic and therapeutic radiology. The
original mission of
AR
, as described in the first issue by consulting editor A. Everette
James Jr, ScM, MD, was to offer a forum for practical articles
summarizing the "state-of-the-art" in particular fields, to discuss
controversial issues, and to communicate innovations in the field.
Subsequent editors-in-chief (including Juan M. Taveras, MD and
Theodore E. Keats, MD) have honored that original mission while
adding some new goals along the way. A review of the original
editorial board of 26 members shows the persistence of Dr. William
R. Hendee, a currently active editorial board member, and Dr. James
E. Youker, who only recently relinquished his position on the
board. The original journal had a substantial representation of
radiology technologists, but they have moved on to develop their
own journals as their specialties have grown more diversified and
complex.
Naturally, it is interesting to see what was happening 30 years
ago in our field. An article on automated radiologic diagnosis, an
early precursor of computer-aided diagnosis (CAD), described use of
a computer to evaluate cardiac size and shape from a radiograph.
The system actually bested a panel of 10 radiologists for
diagnostic accuracy. While that particular application was doomed
by the advent of newer modalities, the concept of CAD was being
solidified. Another article is a review on the potential for
angiographic-radionuclide correlation in medicine written by a very
youthful-looking assistant professor at Johns Hopkins Hospital
named Robert I. White, Jr. This article presages, of course, the
future development of image fusion.
One of the most intriguing parts of the original issue was the
section entitled "Equipment Spectrum" in which the newest
technologies were described. Among the many interesting items were
the new Potts Cournand (thin-wall) needle (Becton-Dickinson,
Rutherford, NJ) for carotid angiography, the Combison system (Rohe
Scientific Corp., Santa Ana, CA) that included simultaneous display
on two oscilloscopes of A-mode and B-mode ultrasound images, the
introduction of sodium diatrizoate intravenous contrast, and a new
medical thermograph unit.
Of all the things I read in the first issue that exemplify the
changes our field has undergone, there was one that spoke volumes
about consistency. The first sentence of Dr. James' editorial
states "
Applied Radiology
represents a new venture in a field that is undergoing great
changes." That is something the current and future generation of
radiologists will certainly share with our predecessors. The first
issue of
Applied Radiology
is a time capsule, and from it we learn about the past, and perhaps
can extract lessons to better prepare for our future. Along with
the first issue, this current anniversary issue will perhaps be an
historical guidepost for the imaging specialists (whatever that
term may come to mean) of 2032. I hope that in reading it, they
will have something both to smile about and learn from.