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©The Author(s) 2020. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Radiol. Oct 28, 2020; 12(10): 213-230
Published online Oct 28, 2020. doi: 10.4329/wjr.v12.i10.213
Published online Oct 28, 2020. doi: 10.4329/wjr.v12.i10.213
Fluoroscopy: An essential diagnostic modality in the age of high-resolution cross-sectional imaging
Nathaniel Erez Shalom, Department of Radiology, Johns Hopkins Medical Institutions, Baltimore, MD 21205, United States
Gary X Gong, Department of Neuroradiology, Johns Hopkins Medical Institutions, Baltimore, MD 21287, United States
Martin Auster, Department of Radiology, Johns Hopkins Bayview Medical Center, Baltimore, MD 21224, United States
Author contributions: Shalom NE primarily wrote the paper and collected cases, data and images; Auster M assisted with writing the paper, and collected cases, data, and imaging; Gong GX performed editorial review and provided cases and imaging.
Conflict-of-interest statement: The authors declare that they have no affiliations with or involvement in any organization or entity with any financial interest, or non-financial interest in the subject matter or materials discussed in this manuscript.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Nathaniel Erez Shalom, MD, Doctor, Department of Radiology, Johns Hopkins Medical Institutions, 601 N Caroline Street, Baltimore, MD 21205, United States. nshalom1@jhmi.edu
Received: July 5, 2020
Peer-review started: July 5, 2020
First decision: September 17, 2020
Revised: September 29, 2020
Accepted: October 12, 2020
Article in press: October 12, 2020
Published online: October 28, 2020
Peer-review started: July 5, 2020
First decision: September 17, 2020
Revised: September 29, 2020
Accepted: October 12, 2020
Article in press: October 12, 2020
Published online: October 28, 2020
Core Tip
Core Tip: Although the use of fluoroscopy has diminished with the advent of high-resolution computed tomography (CT), magnetic resonance imaging (MRI) and ultrasound, we show how fluoroscopy is essential in the diagnostic algorithm and should remain an integral part of residency training. We demonstrate in this review that fluoroscopy remains an essential modality, and build upon and reference prior concerns that outline the challenges facing fluoroscopy. We address such concerns with an optimistic outlook and case examples. We not only highlight the routine uses of fluoroscopy, but more significantly state that fluoroscopy now works synergistically with CT, MR, and other cross-sectional modalities, even in the modern age.