Cited by 547Prostate Cancer Diagnosis and TreatmentHealthcare cost, quality, practicesRadiology practices and education

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Advances in Diagnostic Imaging and Overestimations of Disease Prevalence and the Benefits of Therapy

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Black, William C., Welch, H. Gilbert·1993·New England Journal of Medicine

DOI 10.1056/nejm199304293281706

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Abstract

Over the past two decades a vast new armamentarium of diagnostic techniques has revolutionized the practice of medicine. The entire human body can now be imaged in exquisite anatomical detail. Computed tomography (CT), magnetic resonance imaging (MRI), and ultrasonography routinely “section” patients into slices less than a centimeter thick. Abnormalities can be detected well before they produce any clinical signs or symptoms. Undoubtedly, these technological advances have enhanced the physician's potential for understanding disease and treating patients. Unfortunately, these technological advances also create confusion that may ultimately be harmful to patients. Consider the case of prostate cancer. Although the prevalence . . .

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Authors: Black, W. C., & Welch, H. G.
Affiliations: Dartmouth College (US)
ORCID: Black, William C.
Welch, H. Gilbert
Venue: New England Journal of Medicine
Publisher: Massachusetts Medical Society
Published: 1993-04-29
Volume: 328
Issue: 17
Pages: 1237-1243
ISSN: 0028-4793 (ISSN-L)
1533-4406
DOI: 10.1056/nejm199304293281706
OpenAlex: W2327648646
Cited by: 547
References: 47
Citations by year: 2026: 6 · 2025: 8 · 2024: 7 · 2023: 13 · 2022: 7 · 2021: 13 · 2020: 11 · 2019: 9 · 2018: 14 · 2017: 18 · 2016: 16 · 2015: 23 · 2014: 16 · 2013: 11 · 2012: 15
FWCI: 22.14
Type: journal article
Language: en
Open access: bronze
doi.org
Locations: New England Journal of Medicine (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Medicine › Urology › Prostate Cancer Diagnosis and Treatment
Health Sciences › Health Professions › General Health Professions › Healthcare cost, quality, practices
Health Sciences › Medicine › Radiology, Nuclear Medicine and Imaging › Radiology practices and education
Keywords: diagnostic imaging, disease prevalence, prostate cancer, computed tomography, magnetic resonance imaging, ultrasonography, incidental finding
MeSH terms: Aged, Breast Neoplasms, Decision Making, Diagnostic Imaging, Female, Humans, Male, Middle Aged, Neoplasms, Thyroid Neoplasms, Bias, Prevalence, Aortic Aneurysm, Abdominal

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