快速磁共振成像与腰部疼痛患者的放射:一个随机对照试验
Jeffrey G Jarvik1, William Hollingworth, Brook Martin
1Department of Radiology, University of Washington, Seattle, Wash 98195, USA.
JAMA
|June 5, 2003
概括
更快的磁共振成像 (MRI) 扫描显示了与腰部疼痛患者的放射图相似的结果. 虽然患者和医生更喜欢快速MRI,但它没有改善功能,并且由于更多的脊柱手术增加了成本.
科学领域:
- 放射学 放射学是一门学科.
- 整形外科 整形外科 整形外科
- 卫生经济学 卫生经济学
背景情况:
- 更快的磁共振成像 (MRI) 提供了一种潜在的成本效益的替代方案,用于治疗腰部疼痛的放射.
- 用快速MRI取代放射图的临床和经济益处尚不清楚.
研究的目的:
- 为了比较使用快速MRI与初级保健患者腰部疼痛的X线图的临床和经济结果.
主要方法:
- 一项随机对照试验,涉及380名患有腰部疼痛的成年患者.
- 患者被分配到快速腰椎MRI或标准放射评价中.
- 结果包括与背部相关的残疾 (修改的罗兰问卷),患者报告的结果 (SF-36),疼痛和成本.
主要成果:
- 在12个月的快速MRI和X射线组之间没有观察到背部相关残疾或患者报告的结果的统计学上显著差异.
- 快速MRI组显示出更多腰椎手术的趋势 (3.4%对1.5%).
- 快速MRI策略的平均成本高于 (2,380美元) 与放射能策略 (2059美元) 相比.
结论:
- 快速MRI和X射线图为患有腰部疼痛的初级保健患者提供了类似的临床结果.
- 尽管患者和医生更喜欢快速MRI,但它可能不会提供显著的额外好处.
- 用快速MRI代替放射图可能会增加医疗保健成本,因为脊柱手术的潜在增加.
更多相关视频
08:33A Randomized, Sham-Controlled Trial of Cranial Electrical Stimulation for Fibromyalgia Pain and Physical Function, Using Brain Imaging Biomarkers
Published on: January 5, 2024
06:28Biomechanical Changes Related to Low Back Pain: An Innovative Tool for Movement Pattern Assessment and Treatment Evaluation in Rehabilitation
Published on: December 13, 2024
相关概念视频
Magnetic Resonance Imaging
Magnetic resonance imaging (MRI) is a noninvasive medical imaging technique based on a phenomenon of nuclear physics discovered in the 1930s, in which matter exposed to magnetic fields and radio waves was found to emit radio signals. In 1970, a physician and researcher named Raymond Damadian noticed that malignant (cancerous) tissue gave off different signals than normal body tissue. He applied for a patent for the first MRI scanning device in clinical use by the early 1980s. The early MRI...
Imaging Studies I: CT and MRI
Introduction: MRI and CT scans are crucial advancements in medical imaging techniques, playing a vital role in diagnosing conditions related to the gastrointestinal (GI) system. Each scan serves distinct purposes, targets specific areas, and requires unique nursing duties.
Description of the Procedures
Computed Tomography (CT) scan:
Computed Tomography (CT) scans use X-ray technology to generate detailed images of bones, organs, and tissues. During the scan, the patient lies on a moving table...
Description of the Procedures
Computed Tomography (CT) scan:
Computed Tomography (CT) scans use X-ray technology to generate detailed images of bones, organs, and tissues. During the scan, the patient lies on a moving table...
Imaging Studies for Cardiovascular System IV: CMRI
Cardiovascular magnetic resonance imaging, or CMRI, is a non-invasive diagnostic test that employs a magnetic field and radiofrequency waves to create precise images of the heart and arteries. It provides comprehensive information about cardiac anatomy, function, perfusion, and tissue characterization without ionizing radiation.IndicationsCMRI diagnoses various heart conditions, including tissue damage from heart attacks, ischemic heart disease, myocarditis, aortic issues (tears, aneurysms,...
Imaging Studies IV: Magnetic Resonance Imaging
Introduction:Magnetic Resonance Imaging, or MRI, can include a specialized imaging technique of the urinary system known as Magnetic Resonance Urography (MRU). This radiation-free technique uses strong magnetic fields and radio waves to produce detailed images with the help of a computer. MRU is particularly effective for visualizing fluid-filled structures like the kidneys, ureters, and bladder.Applications of MRI in the Genitourinary SystemKidneys and Ureters: MRI detects tumors, cysts,...
![Quantitative [18F]-Naf-PET-MRI Analysis for the Evaluation of Dynamic Bone Turnover in a Patient with Facetogenic Low Back Pain](/_next/image?url=https%3A%2F%2Fcloudfront.jove.com%2FCDNSource%2Fteasers%2F58491.jpg&w=3840&q=50)