In the development of many medical technologies the beginning is
characterised by an emphasis on the basic scientific principles of
the technology and the optimisa tion of the functional aspects of
the technology. As a technology matures there is a tendency for the
underlying principles to be forgotten as the dinical applications
begin to develop and the focus moves to an understanding of the
dinical applica tion. This maturity brings with it new challenges
for those involved in the use of the technology. An acceptance of
the methodology may lead to a scaling back of the ba sic training
of staff into the fundamentals of the techniques and lead to a lack
of questioning as to those issues which lead to the optimisation in
dinical applications. This lack of basic training may ultimately
lead to a stifling of research and develop ment of the technology
as a whole as trained staff becomes a scarce commodity. Nudear
medicine is no exception to this development cyde. As a medical
special ty the discipline has matured. The basic imaging technology
has become more reli able in everyday use requiring less input from
scientific staff. Clinical procedures have become protocols which
are often followed without due understanding of the basic
principles underlying the imaging procedure. This is clearly
demonstrated when new radiopharmaceuticals are introduced into the
market place.
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