The historical origin and continuing central raison d'être of the British Institute of Radiology is as an interdisciplinary forum for promoting the advance of radiological science. This preculiar, broad, generalist but scientifically inclined concept of an institution is one that many of us who are part of it cherish very warmly. I certainly share this feeling, but I also believe that it behoves us from time to time to stand back and examine, from a wider perspective, what we are aiming to achieve, how we fit in to the contemporary cultural environment, and which way the scientific frontiers of our subject are likely to move in the foreseeable future. An objective outsider even from no further away than somewhere like Calais might well wonder whether the BIR was not in the same class as driving on the left side of the road: one of those quaint, if endearing, British institutions in which, in our insularity, we persist because we have not noticed that the rest of the world has passed us by. Surely, like it or not, we now live in an age of specialists, where the frontiers of physics have receded beyond the comprehension of many radiologists, while physic
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