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Updated: Jun 30, 2026

Extinction Training During the Reconsolidation Window Prevents Recovery of Fear
Published on: August 24, 2012
Presidential address: distinction or extinction.
1Cedars-Sinai Medical Center, Imaging Department, Los Angeles, CA 90048-1869, USA. pressman@cshs.org
Radiology faces significant challenges from non-radiologists integrating imaging and teleradiology. To survive, radiologists must subspecialize and increase clinical engagement to prevent extinction.
Area of Science:
- Radiology and Medical Imaging
- Healthcare Management
Background:
- Radiology is experiencing scientific advancements but faces a challenging professional environment.
- Vertical integration of imaging by non-radiologists and advancements in teleradiology and picture archiving and communication systems (PACS) are increasing radiologist isolation.
- The commoditization of radiology services poses a significant threat to the specialty's survival and professionalism.
Purpose of the Study:
- To analyze the current challenges facing the specialty of radiology.
- To propose strategies for radiologists to maintain viability and professionalism.
- To emphasize the importance of distinction and adaptation for the future of radiology.
Main Methods:
- This study is a conceptual analysis and review of the current state of radiology.
- It synthesizes trends in healthcare, technology, and professional practice.
- No specific empirical data collection methods were detailed in the abstract.
Main Results:
- Radiology faces intense competition and increasing isolation due to technological and practice changes.
- Commoditization presents a realistic threat to the specialty.
- Subspecialization and enhanced clinical integration are identified as crucial for professional survival.
Conclusions:
- Radiologists must proactively adapt to remain a viable medical specialty.
- Elevating practice through subspecialization and increased clinical involvement is essential.
- Active patient and referring clinician interaction is key to distinguishing radiology and preventing its decline.
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