The top list priority in the Deficit Reduction Act (DRA) is reimbursement, and is one of the five challenges facing neurology and radiology. The others include revolution in customer expectations, change in the supply of and demand for radiology providers and services respectively and the tightening reimbursement. According to Lexa, the greatest threat in the future of mainstream diagnostic imaging is disruptive technology whereby cheaper solutions are able to interfere with the established market but which are not state-of-the-art. Radiology has been hit by descriptive technology in form of low scanners. The technology makes it possible for non radiologists to compete with the traditional imaging facilities. The adoption of the low-cost technology is said to have caused the loosing of business by the hospitals and the freestanding imaging centers, although the technology is less capable in solving the problem at hand. Although there has been reported that the imaging business has been growing rapidly, the technology has been termed as a threat to the business especially because it is deemed to be more effective by being coupled with reduced sitting and maintenance costs. The decisions on Medicare reimbursements made by the Congress through adoption or leading to adoption of the Deficit Reduction Act have been termed as lacking input on consultations between them and the stakeholders, substituting for a system not validated for the purpose which it was adopted for, ignorant of their own jurisdictional committees (MEDPAC) and being capricious (Roger, 2006). The adoption therefore posed challenges in the technical and quality aspects of radiology practice. These include the reduction of the technical component approximately 309% on all outpatients imaging office. The changes do not allow the radiologists to self-refer patients, cost-shift or increase volume. The changes are likely to cause the laying off of employees, deferment of equipment purchases and upgrades and scaling back of services or the closing of good quality imaging center. Roger viewed that the domino would become regional and then would turn national. Changes introduced in the practice on adopting Deficit Reduction Act (DRA) of 2005 include the reduction of technical reimbursement which according to Forman, would lead to reducing and capping of technical fees for most diagnostic imaging (2006). Mammography is the one that was excluded in this provision. The act also allowed reduction of technical fee for multipart imaging studies. Practices, especially the outpatient imaging, would be affected by the changes brought about by this act. Practitioners need learn the implications of the adoption of the act and reciprocate appropriately. Forman has proposed two main ways of managing the potential crisis arising from the changes of the amendments in the Deficit Reduction Act. These are preparation for cuts and looking for additional means of improving productivity. Further, he proposes that the federal representatives be encouraged to address this problem. In addition, beneficiary access to breast imaging and other important services need to be emphasized. Protection of mammography from the dangers of the Sustainabl