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Langer S et al. – The authors describe the use of spreadsheet models to compare differential costs incurred in a film based versus a filmless radiology department. The spreadsheet allows a high degree of user customization to facilitate on–site cost analysis and informed purchasing decisions. Modeling institutions that perform 25, 50, and 105,000 diagnostic procedures per year, authors find that break–even occurs near 50,000 exams.

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