Forty-two years of Pakistani radiology, and the decade ahead.

The Radiological Society of Pakistan has convened its members every year since 1984. The annual conference is the society’s principal academic event and its only occasion where the whole discipline diagnostic, interventional, nuclear and technologist sits in one building.

The 42nd edition moves to Peshawar and to Rehman Medical Institute. It is the first time the meeting has been held in Khyber Pakhtunkhwa in a decade, and it is deliberate: the province carries an enormous imaging workload across a network of hospitals that rarely get to host national academic events.

The theme precision, intelligence, access names the three pressures on the specialty right now. Precision, because imaging is increasingly expected to stratify rather than merely describe. Intelligence, because algorithmic tools have arrived in the reading room whether or not departments were ready for them. And access, because none of it matters if the patient in Bannu waits eleven weeks for a contrast CT.

Everything in the three-day programme the workshops, the live reporting sessions, the free papers, the training panel was chosen against those three words.