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订购供应商类型与过度使用脊柱MRI用于紧急部门的带压缩之间的关联

Karen Buch¹, Donghoon Shin², Marc D Succi²

¹From the Department of Radiology, Division of Neuroradiology, Massachusetts General Hospital, Boston, Massachusetts kbuch@mgb.org.

AJNR. American journal of neuroradiology

|November 13, 2025

概括

紧急部门的脊椎MRI用于带压缩在六年内增加了281%. 与非医生实践者相比,医生订购了更多的积极发现,突出了诊断成像利用的趋势.

科学领域:

放射学和成像学放射学和成像学
紧急医疗紧急医疗
脊髓成像脊髓成像

背景情况:

近年来,脊柱MRI在急诊室 (ED) 进行带压缩的使用显著增加.
需要评估MRI订购,提供者类型和诊断产量的趋势.

研究的目的:

在6年时间内分析脊柱MRI对带压缩的顺序,体积,提供者类型和阳性率.
评估在流行前,流行高峰和流行后时期的MRI利用的变化.

主要方法:

对1384名成年患者进行回顾性研究,这些患者在2018年至2023年期间接受了脊髓压缩调查MRI.
核磁共振成像报告按敏度分类 (负,慢性,非突发性,急性/突发性).
后勤回归分析了人口统计数据和订购提供者类型 (医生与非医生实践者[NPP]).

主要成果:

总共分析了1384个MRI,其中10%显示急性/突发性发现.
与NPP相比,医生订购检查结果呈阳性结果的几率明显更高 (OR 3.9) .
从2018年到2023年,MRI利用率增加了281%,在流行后期出现了显著的增长.

结论:

在六年内,从ED观察到脊柱MRI订单的大幅增加,用于带压缩.
与NPP订单相比,医生订单与积极发现的可能性更高.
这些发现表明ED诊断成像中脊髓病理学的发展模式.

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Magnetic Resonance Imaging

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