The Challenge of the 21st Century
This is the 12th Bad Gastein lecture, a prestigious international series which began in 1982 when Nigel Trott was invited to deliver his lecture entitled “The safe and effective use of radiopharmaceuticals”. These lectures became embedded and a main feature of the International Symposium of Radioactive Isotopes in Clinic and Research, a series of international meetings at 2 year intervals which began in 1954 (see Table 2 for the Bad Gastein lectures). As we approach the 21st century (only 717 and 5 and 1/2 hours were left on the day of the delivery of this lecture on 13 January 1998) it is appropriate to attempt an overview, if not an informal SWOT analysis of the possible implications for the practice of Nuclear Medicine as technology and health care and delivery systems envolve. In this context of gazing into the crystal ball of the future, it may be sobering to be reminded of two citations. ”The future ain’t what it used to be“ by Josie Berra in 1925 and ”I never think of the future. It comes soon enough“ by Albert Einstein in 1930. The conflict is already apparent. We know that what is will not be and we also know how hard it will be to anticipate change.
KeywordsNuclear Medicine Sentinel Lymph Node Sodium Iodide Beta Particle Alpha Emitter
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