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Magnetic Appeal: MRI and the Myth of Transparency
 
 
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Magnetic Appeal: MRI and the Myth of Transparency [Hardcover]

Kelly A. Joyce (Author)
4.5 out of 5 stars  See all reviews (4 customer reviews)

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Book Description

0801444896 978-0801444890 June 2008
Magnetic Resonance Imaging, not so long ago a diagnostic tool of last resort, has become pervasive in the landscape of consumer medicine; images of the forbidding tubes, with their promises of revelation, surround us in commercials and on billboards. Magnetic Appeal offers an in-depth exploration of the science and culture of MRI, examining its development and emergence as an imaging technology, its popular appeal and acceptance, and its current use in health care. Understood as modern and uncontroversial by health care professionals and in public discourse, the importance of MRI--or its supposed infallibility--has rarely been questioned.

In Magnetic Appeal, Kelly A. Joyce shows how MRI technology grew out of serendipitous circumstances and was adopted for reasons having little to do with patient safety or evidence of efficacy. Drawing on interviews with physicians and MRI technologists, as well as ethnographic research conducted at imaging sites and radiology conferences, Joyce demonstrates that current beliefs about MRI draw on cultural ideas about sight and technology and are reinforced by health care policies and insurance reimbursement practices. Moreover, her unsettling analysis of physicians' and technologists' work practices lets readers consider that MRI images do not reveal the truth about the body as is popularly believed, nor do they always lead to better outcomes for patients. Although clearly a valuable medical technique, MRI technology cannot necessarily deliver the health outcomes ascribed to it.

Magnetic Appeal also addresses broader questions about the importance of medical imaging technologies in American culture and medicine. These technologies, which include ultrasound, X-ray, and MRI, are part of a larger trend in which visual representations have become central to American health, identity, and social relations.


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About the Author

Kelly A. Joyce is Assistant Professor of Sociology at the College of William and Mary.

Product Details

  • Hardcover: 198 pages
  • Publisher: Cornell Univ Pr (June 2008)
  • Language: English
  • ISBN-10: 0801444896
  • ISBN-13: 978-0801444890
  • Product Dimensions: 9.2 x 6.2 x 0.7 inches
  • Shipping Weight: 15.2 ounces (View shipping rates and policies)
  • Average Customer Review: 4.5 out of 5 stars  See all reviews (4 customer reviews)
  • Amazon Best Sellers Rank: #4,670,736 in Books (See Top 100 in Books)

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4 of 4 people found the following review helpful:
5.0 out of 5 stars Seeing is Believing?, February 15, 2009
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Great title, very imaginative! The book looks at (no pun intended) the invention and use of MRI in clinical medicine. The interview quotes and fieldwork observations are rich and detailed, offering insight into how people who work with MRI think about it and why they use it. Magnetic Appeal offers a behind the scenes look at MRI use in medicine. Although the book focuses on one technology (MRI), it raises good questions about why we use other medical techs as well. People interested in medical anthropology, medical sociology and medicine will find the book of interest.
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4 of 4 people found the following review helpful:
5.0 out of 5 stars Excellent discussion of fascinating topic., August 8, 2009
This is `the' book to go to if you are interested in the use of MRI in the US from a cultural, sociological, and economic point of view. Nowadays (2009) articles are starting to appear in The NYTimes and Newsweek etc about how MRI is not perfect technology, always used in the best way, but that MRI use can be driven by cultural factors: a need for hospitals and imaging centers to make money, a need for legal protection, or simply because people believe that machines are somehow more accurate than doctors--even though MRI images have to be created by technicians and read by doctors too. Well, this is the book that laid out all of the information and arguments those articles are catching up to today--in great depth and detail. Joyce did extensive primary research, interviewing doctors, technicians, and even the inventors of MRI, a couple of whom won Nobel Prizes and one, I believe, who was overlooked?

Joyce covers the history of MRI, its development. She discusses in depth the whole idea of `visual technology', taking a very careful modern look at the culture that surrounds visual machines and machines in general. She also includes a fascinating chapter on the workplace, the technicians who operate the MRI and run the actual exams, and the radiologists who read the exams, safety issues, the pressure on technicians to do more exams and on radiologists to read more exams. She lets everyone speak for themselves by including extensive quotes from referring doctors, radiologists, and technicians throughout the book. She visited the main radiology conference and gives a fascinating description of the MRI companies hawking their wares, the doctors presenting papers, etc.

This book is really for a lot of different audiences--the chapters vary in complexity. The most obvious audience of course is sociologists, science and technology people, people who study risk, and visual culture people. The book is excellent for graduate and undergraduate sociology classes as a fine example of a rich and broad analysis, based on careful research, of a medical-sociological phenomenon. Teachers might pick a chapter or use the whole book, depending on their focus. But doctors will be interested too to read this book themselves, to see how a sociologist sees the profession in a certain situation--no doubt doctors will find much to agree with and also to disagree with, but it will certainly keep readers thinking. People interested in the history of science, the cultural sides of science, will certainly get a lot out of this book. And those involved with healthcare decisions, healthcare funding, locally and more broadly, of course. Joyce has also done work on Chagas. Regular layman eggheads and intellectuals will find a lot in this book too. Overall, a great book to have on the bookshelf for anyone involved in these issues or simply interested in the culture of science and medicine. And a must for libraries. There is no other book that comes even close to such an analysis of MRI.
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3 of 4 people found the following review helpful:
5.0 out of 5 stars Very Interesting!, December 16, 2008
I thought this was a really interesting book on the sociology of MRI. It covers a lot of ground really thoughtfully. I'd recommend it especially to people who like Emily Martin's books.
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Inside This Book (learn more)
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Key Phrases - Statistically Improbable Phrases (SIPs): (learn more)
one technologist, anatomical pictures, one radiologist, photographic truth, anatomical images, imaging centers, imaging units, medical imaging technologies, visual turn
Key Phrases - Capitalized Phrases (CAPs): (learn more)
United States, Paul Lauterbur, General Electric, Radiological Society of North America, National Institutes of Health, Human Brain Project, Raymond Damadian, Peter Mansfield, United Kingdom, American Registry of Radiologic Technologists, Larry Crooks, Information Means Value, Decade of the Brain
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Front Cover | Table of Contents | First Pages | Index | Back Cover | Surprise Me!
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