When one journal publishes 12 times a year and another publishes less frequently, then the journal with less frequency is at a competitive disadvantage for advertising dollars. It is not unlike the choice a group or department makes to go to 24 x 7 radiology coverage. If you do not fulfill that need, someone else will. The difference, of course, is that, while some journals have nobler missions than others, we in publishing do not save lives. Until we arrived at monthly publishing, it would always be there beckoning to the publishing powers that be.
Growth comes with a certain nostalgia for the past.
Some of you will recall the days when we were an esoteric journal with a rather limited appeal to those academics, executives, and entrepreneurs engaged in managing the cost, quality, and delivery of imaging. We have not changed what we are doing as much as you, our readers, have. Today more radiologists and their administrator partners are taking an active role in these important activities. Yes and no is the answer. We will maintain our original mission to address the challenges of managing the cost, quality, and delivery of imaging.