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In the era of value-based healthcare, MRI is getting a makeover. When the most valuable discoveries in medicine in history are ranked, medical imaging is at the top of the list along with vaccines and penicillin. The invention of clinical MRI in the early 1980s is cited as a significant medical innovation. American Paul Lauterbur and Englishman Peter Mansfield shared the Nobel Prize in Medicine in 2003 for work that made the development of MRI possible. The idea to noninvasively image tissue without radiation by employing high-field magnets and gradient coils was an expensive gamble that paid off and took many years of tenacious belief and painstaking studies to prove. The beauty of MRI has captured the imagination of countless researchers who continuously improve the capabilities and applications of MRI. In this age of acceleration, MRI is a tool that is perfectly poised to benefit from the application of advanced computing. Yet when asked why the American healthcare system is so expensive and untenable, many will first point to the cost of MRI. There is no doubt that breast MRI is expensive the way it is performed today and many in the field have spent a considerable amount of effort to streamline the exams to get rid of unnecessary sequences. In doing so, they have thought that the cost savings could be passed onto insurers and patients.

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