Kodi MRI ndiyo njira yotsika mtengo kwambiri yowunikira odwala a ED omwe ali ndi chizungulire?

Kafukufuku wofalitsidwa posachedwapa mu American Journal of Radiology akusonyeza kuti MRI ikhoza kukhala njira yotsika mtengo kwambiri yojambulira zithunzi poyesa odwala omwe akubwera ku dipatimenti yothandiza anthu omwe ali ndi chizungulire, makamaka poganizira za ndalama zomwe zingawononge.

Gulu lotsogozedwa ndi Long Tu, MD, PhD, wochokera ku Yale School of Medicine ku New Haven, CT, linanena kuti zomwe zapezekazi zitha kupititsa patsogolo chisamaliro cha odwala pozindikira matenda a sitiroko. Ananenanso kuti chizungulire ndi chizindikiro cha sitiroko chomwe nthawi zambiri chimagwirizana ndi matenda omwe sanadziwike bwino.

Pafupifupi 4% ya maulendo opita ku dipatimenti ya zadzidzidzi ku United States amachitika chifukwa cha chizungulire. Ngakhale kuti milandu yochepera 5% iyi imakhudza sitiroko, ndikofunikira kuichotsa. CT ya mutu wosasiyana ndi angiography ya CT ya mutu ndi khosi (CTA) imagwiritsidwa ntchito pozindikira sitiroko, komabe kukhudzidwa kwawo kuli kochepa, komwe kuli pa 23% ndi 42% motsatana. MRI, kumbali ina, ili ndi kukhudzidwa kwakukulu pa 80%, ndipo ma protocol apadera a MRI monga ma high-resolution, multiplanar DWI acquisitions akuwoneka kuti akupeza kukhudzidwa kwakukulu kwa 95%.

Komabe, kodi mtengo wowonjezera wa MRI ndi wolondola chifukwa cha ubwino wake? Tu ndi gulu lake adafufuza momwe njira zinayi zosiyana zojambulira ubongo zimagwirira ntchito poyesa odwala omwe amafika ku dipatimenti yodzidzimutsa ali ndi chizungulire: kujambula mutu wa CT popanda kusiyana, angiography ya mutu ndi khosi, MRI yokhazikika ya ubongo, ndi MRI yapamwamba (yomwe imaphatikizapo DWI yowonjezereka). Gululo linayerekeza ndalama zomwe zimagwiritsidwa ntchito nthawi yayitali komanso zotsatira zake zokhudzana ndi kuzindikira sitiroko komanso kupewa matenda ena.

Zotsatira zomwe Tu ndi anzake adapeza zinali motere:

MRI yapadera yakhala njira yotsika mtengo kwambiri, yopereka ma QALY apamwamba kwambiri pamtengo wowonjezera wa $13,477 ndi ma QALY 0.48 okulirapo kuposa CT ya mutu wosasiyana.

Pambuyo pa izi, MRI yachikhalidwe inapereka phindu lotsatira lapamwamba kwambiri paumoyo, ndi mtengo wokwera wa $6,756 ndi 0.25 QALYs, pomwe CTA idapeza mtengo wowonjezera wa $3,952 pa 0.13 QALYs.

MRI yachizolowezi inapezeka kuti ndi yotsika mtengo kuposa CTA, ndipo mtengo wake umakhala wotsika pang'ono kuposa $30,000 pa QALY iliyonse.

Kusanthulako kunawonetsanso kuti MRI yapadera inali yotsika mtengo kuposa MRI yachizolowezi, yomwe, inali yotsika mtengo kuposa CTA. Poyerekeza zosankha zonse zojambulira, CT yopanda kusiyana yokha inasonyeza phindu lochepa kwambiri.

Ngakhale kuti MRI ndi yokwera mtengo poyerekeza ndi CT kapena CTA, gululo linawonetsa kudziwika kwake komanso kuthekera kwake kochepetsa ndalama zomwe zikubwera pokwaniritsa ma QALY ambiri.

Ndasangalala kwambiri kuuza anthu kuti LnkMed yakhala imodzi mwa makampani odalirika kwambiri pakupanga zithunzi zachipatala. Timapereka njira zosiyanasiyana zamankhwala komanso ntchito zowunikira zithunzi. Tili ndi malo awiri, onse awiri ali ku Shenzhen, pingshan district. Choyamba ndi kupanga chojambulira cha contrat media, kuphatikizapoDongosolo la jakisoni imodzi la CT,Dongosolo lojambulira mitu iwiri la CT, Dongosolo la jakisoni wa MRIndiDongosolo lojambulira angiographyNdipo china ndi kupanga sirinji ndi machubu.

Tikufunitsitsa kukhala ogulitsa anu odalirika a zithunzi zachipatala.