Imaging has been one of the success stories of 20th century medicine b
ut is now under pressure from tight healthcare budgets and from profes
sional competition. The 21st century will need a very different type o
f radiologist, one trained not just in imaging but also in more basic
disciplines and in informatics. Research in radiology will need more a
ttention than hitherto, and the imager of tomorrow will have to defend
his or her specialty against the charge of ''expensive high technolog
y'' and adapt, by taking a more market oriented approach to the added
value that the specialty provides.