瑞典CT和MRI成像:对大型转诊样本的回顾性适当性分析
Henriettæ Ståhlbrandt1, Ida Björnfot2, Torsten Cederlund3
1Department of Radiology, Hospital of the Highlands, 575 81, Eksjö, Sweden.
Insights into imaging
|August 2, 2023
概括
许多计算机断层扫描 (CT) 和磁共振成像 (MRI) 扫描是不合适的,CT的适当性在15年内没有改善. 遵守指导方针可以提高这些成像检查的适用性.
科学领域:
- 放射学和医学成像学 医学成像学
- 医疗保健管理的管理
- 基于证据的医学基于证据的医学.
背景情况:
- 计算机断层扫描 (CT) 和磁共振成像 (MRI) 的使用在欧洲正在增加.
- 评估这些成像检查的适当性对于有效的医疗保健至关重要.
- 之前的研究已经强调了有关CT和MRI转诊的适当性方面的担忧.
研究的目的:
- 根据欧洲指南,对瑞典CT和MRI检查的适当性进行审计.
- 将当前的适当率与之前的研究进行比较.
- 探索其他成像方法以提高适当性.
主要方法:
- 在瑞典四个医疗保健地区对13075起转诊病例进行了回顾性评估.
- 欧洲适用性标准 (ESR iGuide) 对临床适用性的应用.
- 质量比较与先前研究的重新评估数据.
主要成果:
- 磁力共振成像的适用性比CT (63%) 的适用性高 (76%).
- 对医院转诊而不是初级保健,CT的适当性更大;对MRI来说,情况恰恰相反.
- 与之前的研究相比,CT的适当性没有得到改善.
结论:
- 显著比例的CT (37%) 和MRI (24%) 检查被认为是不适当的.
- 在过去的15年中,CT的适当性没有得到改善.
- 建议遵守放射学适当性指南,以提高检查适用性.
相关概念视频
Imaging Studies I: CT and MRI
281
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...
281
Computed Tomography
4.6K
Tomography refers to imaging by sections. Computed tomography (CT) is a non-invasive imaging technique that uses computers to analyze several cross-sectional X-rays to reveal minute details about structures in the body.
The technique was invented in the 1970s and is based on the principle that as X-rays pass through the body, they are absorbed or reflected at different levels. In the technique, a patient lies on a motorized platform while a computerized axial tomography (CAT) scanner rotates...
The technique was invented in the 1970s and is based on the principle that as X-rays pass through the body, they are absorbed or reflected at different levels. In the technique, a patient lies on a motorized platform while a computerized axial tomography (CAT) scanner rotates...
4.6K
Magnetic Resonance Imaging
5.2K
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...
5.2K
Imaging Studies III: Computed Tomography
28
DefinitionComputed Tomography (CT) of the genitourinary (GU) tract is a non-invasive imaging modality that utilizes X-rays and computer processing to generate detailed cross-sectional images of the urinary system, encompassing the kidneys, ureters, bladder, and adjacent structures such as the adrenal glands.PurposeCT scans of the GU tract serve several diagnostic and therapeutic purposes, including:Diagnosis of Urinary Tract Diseases: Detects kidney stones, tumors, cysts, and congenital...
28
Radiological Investigation I: X-ray and CT
290
Radiological investigations, including X-rays and computed tomography (CT) scans, are critical for diagnosing and evaluating various medical conditions. These imaging techniques provide valuable insights into the body's internal structures, aiding in the detection of abnormalities, assessment of disease progression, and development of treatment strategies. This article delves into two primary radiological investigations, chest X-rays and CT scans, outlining their purpose, procedures, and...
290
Imaging Studies IV: Magnetic Resonance Imaging
27
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,...
27


