Bulk versus detail- New age radiology Dilemma

This new age of radiology in India is exciting, with many new modalities hitting the Indian radiology scene in a big way. More and more centres are now acquiring the 3Tesla MRI machine, cardiac CT is also catching up, PET- CT is now available in more places. There is also an upgradation in the quality and details provided in the MRI reports by radiologists and there is hint towards subspecialization need in almost every conference in India.

However, with all these developments academically the commercial angle involved cannot be ignored. Most of these machines have been installed by investors, venture funding agencies etc and their continous quest and desire for numbers. Academic radiologists on the other hand are looking for details, for example, we would love to have axial and sagittal CISS in knee for details on ligaments while my centre agencies want to do with routine sequences and see me as someone who is stopping them from getting the numbers. To give detailed reports require sometime and bosses love people who can just write off in one or two lines. Surely, bulk is going to be the dominant model in radiology imaging industry in India right now, are we sure that is the right way?

Have you faced this pressure of delivering bulk and compromising on details ever? All comments and inputs are welcome.