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An email survey yielded over 900 responses from neuroradiologists with regard to their experiences and attitudes about the medicolegal environment. Nearly one-half of neuroradiologists had been sued once, while over 10% had been sued more than 3 times with payouts in the range of US $50,000–$150,000 and up to $1.2 million for lawsuits affecting interventional neuroradiologists. Over 80% of neuroradiologists opined that the system was weighted toward plaintiffs and nearly 20% expressed being extremely concerned about being sued.