centage of exhibits with one or two authors decreased from 42% to as low as 13% in the late 1980s. From the early 1970s to the late 1980s, the percentage of exhibits with five or more au thors increased from 20% to 50%; 30% had six or more authors, 1 1% had seven or more, and 5% had eight or more. The total

percentage of exhibits with three to five authors has remained between 55% and 65% over the past 18 years. There are several possible explanations for this trend. The increased complexity of modern research may require input from more

people,

thus necessitating

to properly acknowledge on a exhibit means the RSNA scientific

increased

coauthorship

all involved. For some, coauthorship

departmental reimbursement for a trip to assembly, and multiple coauthoms can

mean less work for all involved. Although abstracts carry less prestige on an individual's curriculum vitae than articles, the pressure to publish in the academic environment is, neverthe less, ever present. In light of this, there may be a trend to try

to increase the length of your curriculum vitae by including several only minimally involved individuals with the hope that they will, likewise,

include

you in the publication

of

their projects. It is difficult to believe that 50% of current scientific exhib its are complex enough to require the input of five or more authors. In general, it is likely that a single individual bears the burden for most of the work. I believe that more strict cri

teria, such as those recommended by Edward Huth (2), should be encouraged to limit coauthorship of abstracts to those who significantly

contributed

to the work.

Perhaps

an acknowl

edgment section could be added and justification

for inclu

sion of each coauthor required. The problem of increasing coauthorship is not limited to scientific exhibits; similar

trends are seen in scientific articles and, likely, papers pre sented at scientific meetings. References 1.

Chew

FS.

The scientific

literature

in diagnostic

radiology

for

American readers: a survey and analysis of journals, papers, and authors. AJR 1986;147:1055-1061. 2.

Huth

EJ.

Irresponsible

authorship

and wasteful

publication.

Ann

Intern Med 1986; 104:257-259.

U

And

What

Is Your

Sign?

From: Marilyn

M. Walkey,

Head of Computed Center 71 Prospect

MD

Tomography,

Avenue,

Hudson,

Columbia-Greene

Medical

NY 12534

Editor:

In the September 1990 issue of Radiology, Im et al (1) describe a new sign of bronchioloalveolar cancer observed on dynamic computed

tomogmaphic

(CT) scans obtained

after intravenous

injection of contrast material. They observed enhanced branching pulmonary vessels within consolidated lung, and they called this the “¿CT angiogmam sign.― The authors were able to demonstrate this pattern in nearly all patients with

bronchioloalveolar lobam consolidation berculous

cancer, but not in 23 of 26 patients with of another cause. There is one case of tu

pneumonia

illustrated

in the article

in which

the

CT angiogram sign is absent. I use dynamic CT frequently to evaluate chest disease and have an excellent example of the CT angiogram sign in a pa tient with acute pneumococcal pneumonia (Figure). I use this as a trick case when teaching radiology residents; they usually mistake

the enhancing

pulmonary

vessels

within

consohidat

ed lung as a fatty liver, since it occurs in the might lower lobe in this case. I suggest to Dr Im and colleagues that this sign may be common in bronchioloalveolar cancer, but acute lobam consolidation

appearance.

from bacterial

pneumonia

has an identical

CT

Perhaps they have not seen examples of this since

_____894•¿Radiology

branching pulmonary vessels within consolidated lung. (The ex amination was done to exclude a central malignancy.) The infil trate cleared after antibiotic therapy.

CT is not the usual modality used in the diagnosis of acute pneumonia. I would be extremely hesitant in my own practice to diag nose bmonchioloalveolar

cancer

by means

of the CT angio

gram sign in a patient with high fever, shaking chills, and an elevated white blood cell count! Reference 1. Im J, Han MC, Yu EJ, et al.

Lobar bronchioloalveolar

“¿angiogram sign― on CT scans.

Radiology

carcinoma:

1990; 176:749-753.

March 1991

And what is your sign?

centage of exhibits with one or two authors decreased from 42% to as low as 13% in the late 1980s. From the early 1970s to the late 1980s, the percent...
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