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Dr Feldman's points are well taken. One might expect CCT in a nonteaching hospital to prove either more or less useful than CCT in a major teaching center. On the one hand, CCT might contribute greater improvements in diagnostic understanding to less specialized physicians in the community hospital; on the other hand, greater numbers of inappropriate patients might be scanned outside of the teaching hospital. Studies of the clinical efficacy of CCT in community hospitals would be a valuable addition to our understanding of this technology.
Fineberg HV. Computerized Cranial Tomography-Reply. JAMA. 1977;238(22):2368. doi:10.1001/jama.1977.03280230031013