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MRI Utility in Hand Surgery.

Michael J DeFrance1, Kevin F Lutsky2, Asif M Ilyas2

  • 1Rowan University School of Osteopathic Medicine, Stratford, NJ, USA.

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Summary
This summary is machine-generated.

Magnetic resonance imaging (MRI) for upper extremity issues rarely changes treatment plans, despite being perceived as helpful. This suggests a need to re-evaluate MRI usage for cost-effective patient care.

Keywords:
MRIcostdiagnosishand surgeryresearch & health outcomestreatmentutility

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Area of Science:

  • Orthopedics
  • Radiology
  • Medical Imaging

Background:

  • Magnetic resonance imaging (MRI) is a common diagnostic tool for upper extremity conditions.
  • The clinical utility of MRI in altering patient management remains a key question.

Purpose of the Study:

  • To prospectively evaluate how often MRI findings influence treatment decisions in upper extremity conditions.
  • To assess the impact of MRI on surgical diagnosis and management plans.

Main Methods:

  • Ten hand surgeons prospectively recorded pre- and post-MRI diagnoses and treatment plans for 187 upper extremity MRIs.
  • Surgeons indicated whether MRI findings altered their management strategy.

Main Results:

  • MRIs were most frequently ordered for suspected scaphoid fractures, wrist pain, ligament injuries, and masses.
  • While 92% of MRIs were deemed helpful, only 19% led to a change in the recommended treatment.
  • In 10% of cases, treatment changed despite pre-MRI diagnosis concordance with imaging findings.

Conclusions:

  • Hand surgeons infrequently alter treatment plans based on MRI results for upper extremity conditions.
  • The study highlights the need to reassess MRI indications to ensure cost-effective healthcare delivery.