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Spectacular advances in imaging diagnosis methods have significantly impacted the approach to different diseases, making the utilization of such methods almost indispensable in the follow-up as well as in the diagnosis of many such diseases. Thanks to the appropriate utilization of such imaging methods, we are able to optimize prognoses and provide safety to many procedures. Certainly, providing technological advances and updating current systems involve considerable costs which are not always easily assimilated. Because of the very characteristics of the speciality, the radiologist frequently finds himself involved in discussions and controversies brought to the general public by government entities, by medical insurance companies or by demands from society. On many occasions the arguments are simplistic, and important decisions are made without appropriate studies, many times leading the general public to believe that the imaging diagnosis specialists are accountable for the imperfections and wrongdoings of the exaggerated utilization of diagnostic methods. In a certain way, it is just like what is going on at this very moment, with high ranking Brazilian government officials saying that, as the public health sector is doing so poorly, the solution will be to graduate more physicians or simply import them, and so maybe the people will soon forget the subject... The medical insurance companies and cooperatives act in a similar way, by cutting down on the radiologists’ fees, or by refusing authorization for procedures, in order to correct their balance sheets, which they are unable to properly manage. It is very contradictory to see them disputing over prospective new customers by showing them exactly the benefits from imaging exams that we, the radiologists, place at their disposal (almost all leaflets and publicity materials show happy customers beside a modern imaging equipment!). This is the reality not only in countries like Brazil. It is a global reality. And again, the radiologists find themselves caught in discussions on cost

Associating findings: one important role of the radiologist