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A critique of the concept of MRI centers
Authors:A E James  C L Partain  R J Hamilton  S Baum  M Silbiger  T Greeson  J C Gore
Institution:1. University of Pennsylvania, 3737 Market Street, 6th Floor, Philadelphia, PA 19104, United States;2. StatRad, 13280 Evening Creek Dr., S, Suite 110 Ph 885-TEL-ERAD, San Diego, CA 92128, United States;3. Thomas Jefferson University Hospital, 132 S. 10th St. 1087, Philadelphia, PA 19107, United States;4. Thomas Jefferson University Hospital, 132 S. 10th St. Suite 1079a, Philadelphia, PA 19107, United States;5. Thomas Jefferson University Hospital, 132 S. 10th St. Suite 1083A, Philadelphia, PA 19107, United States
Abstract:A significant proportion of MRI units are being installed in MRI Centers that are free standing enterprises offering outpatient diagnoses separate from hospitals. The development of such Centers represents a challenge to more traditional arrangements and may have serious implications for physician responsibility that depend on their management and administration. In this review several legal and ethical issues arising from the proliferation of such Centers are analyzed and it is argued that regulatory attitudes may need to be altered to avoid major shifts of emphasis in the pattern of use of high cost imaging equipment.
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