In the last several years, CT has evolved rapidly into an important to
ol in evaluation of complex disease processes, while use of intravenou
s pyelography, barium studies, invasive diagnostic angiography, and so
me plain-film radiography has undergone a corresponding decline.(19) T
he inherent high sensitivity of optimal-quality CT and widespread avai
lability of the technique probably account for much of the increase in
use. The relationship between clinicians and radiologists also has ex
perienced dramatic changes in recent years. In today's healthcare clim
ate, referring physicians probably should make better use of radiologi
sts' triage skills early in the consultation process, in addition tu s
eeking their expertise in interpreting the final images. Nurturing a t
eam approach between radiologist and primary care physician by increas
ing communication is sure to enhance patient care.