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First of all, we are at a loss to understand where the authors of the above letter got the idea that we were claiming that the brain scan was a substitute for "a careful neurological examination and selected neuroradiological procedures." Nobody but a fool would make any such claim. Furthermore, no one knowledgeable in this field thinks that a negative brain scan rules out a brain tumor; we certainly didn't claim that it did. Moreover, we state in the second paragraph of the paper that "we feel these various procedures should be regarded as adjuncts, not competitors" with reference to the usual neurological procedures. However, whether the neuroradiological procedures are always and invariably the "procedures of choice" is certainly debatable. Three posterior fossa tumors which showed beautifully on the scan did not need, and would not have benefitted from additional neuroradiological procedures. We think that the judgment of this
BEILER DD. USE OF BRAIN SCANS-Reply. Am J Dis Child. 1967;113(4):510-511. doi:10.1001/archpedi.1967.02090190155029