[Quality assurance in neuroradiology]

Due to growing economic pressure, quality management in medicine has to be performed under the aspect of rationing and rationalization simultaneously. High quality and cost effectiveness in medicine, however, can only be achieved by institutions with an adequate quality of structure, procedure and outcome. While the technical criteria of the quality of structure can easily be measured, the assessment of the quality of the performance and the outcome are much more difficult so establish. Therefore standards of quality for the various diagnostic and interventional subspecialties of Neuroradiology have to be designed. The same is true for the evaluation of the quality assurance. The quality of neuroradiology has reached a comparatively high level simply because of the specialization compared to general radiology. This advantage should be utilized more often when major diagnostic departments are to be installed, particularly under the aspect of cost effectiveness plus high quality medicine.