Ucwaningo olusanda kunyatheliswa kuyi-American Journal of Radiology lubonisa ukuthi i-MRI ingase ibe indlela yokucabanga engabizi kakhulu yokuhlola iziguli ezethula emnyangweni ophuthumayo ngesiyezi, ikakhulukazi uma kucatshangelwa izindleko eziya phansi.
Iqembu eliholwa ngu-Long Tu, MD, PhD, wase-Yale School of Medicine eNew Haven, CT, liphakamise ukuthi okutholakele kunamandla okuthuthukisa ukunakekelwa kwesiguli ngokuhlonza imivimbo engaphansi. Baphinde baphawula ukuthi isiyezi siwuphawu lwe-stroke oluvame ukuhambisana kakhulu nokuxilongwa okugejiwe.
Cishe u-4% wokuvakasha eminyangweni yezimo eziphuthumayo e-United States ubangelwa yisiyezi. Nakuba angaphansi kuka-5% kulawa macala ahilela isifo sohlangothi, kubalulekile ukusikhipha. Ikhanda elingahlukanisi i-CT nekhanda nentamo I-CT angiography (CTA) isetshenziselwa ukuxilonga isifo sohlangothi, nokho ukuzwela kwabo kunomkhawulo, kumi ku-23% naku-42% ngokulandelanayo. I-MRI, ngakolunye uhlangothi, iziqhayisa ngokuzwela okuphezulu ku-80%, futhi izivumelwano ezikhethekile ze-MRI ezifana nokulungiswa okuphezulu, ukuthengwa kwe-DWI yezinhlelo eziningi kubonakala kufinyelela izinga lokuzwela eliphakeme nakakhulu lama-95%.
Nokho, ingabe izindleko ezengeziwe ze-MRI ziyafaneleka ngezinzuzo zayo? U-Tu kanye nethimba lakhe bahlola ukusebenza kahle kwezindleko zezindlela ezine ezihlukene ze-neuroimaging zokuhlola iziguli ezifika emnyangweni wezimo eziphuthumayo zinesiyezi: i-imaging yekhanda le-CT elingenakuqhathaniswa, i-CT angiography yekhanda nentamo, i-MRI evamile yobuchopho, kanye ne-MRI ethuthukisiwe (okuhlanganisa i-multiplanar I-DWI enesinqumo esiphezulu). Ithimba lenze ukuqhathanisa izindleko zesikhathi eside kanye nemiphumela ehambisana nokutholwa kwe-stroke kanye nokuvimbela kwesibili.
Imiphumela etholwe uTu nozakwabo ibe kanje:
I-MRI ekhethekile ibonakale iyindlela engabizi kakhulu, ikhiqiza ama-QALY aphezulu ngenani elingeziwe lama-$13,477 kanye nama-QALY angu-0.48 amakhulu kune-CT yekhanda elingahlukanisi.
Ngemva kwalokhu, i-MRI evamile inikeze inzuzo yezempilo elandelayo ephezulu, ngezindleko ezikhulayo ze-$ 6,756 kanye ne-0.25 QALYs, kuyilapho i-CTA ithole izindleko ezengeziwe ze-$ 3,952 ye-0.13 QALYs.
I-MRI evamile itholwe inezindleko ezingcono kune-CTA, nezindleko ezikhulayo ezingaphansi kuka-$30,000 nge-QALY ngayinye.
Ukuhlaziywa kuphinde kwembula ukuthi i-MRI ekhethekile yayibiza kakhulu kune-MRI evamile, okwathi, yayingabizi kakhulu kune-CTA. Lapho uqhathanisa zonke izinketho zezithombe, i-CT engahlukani iyodwa ibonise inzuzo ephansi kakhulu.
Naphezu kwezindleko ezikhuphukayo eziphezulu ze-MRI uma kuqhathaniswa ne-CT noma i-CTA, ithimba ligqamise ukucaciswa kwayo namandla okunciphisa izindleko zokwehla komfula ngokuzuza ama-QALY amakhulu.
Ngijabulile ukwabelana ngokuthi i-LnkMed isingomunye womkhiqizi othembeke kakhulu ekucabangeni kwezokwelapha. Sinikeza uhla olugcwele lwezixazululo zezokwelapha namasevisi ezithombeni zokuxilonga. Sinezingosi ezimbili, zombili ziseShenzhen, isifunda se-pingshan. Enye iwukwenza i-contrat media injector, okuhlanganisaIsistimu yomjovo owodwa we-CT,I-CT dual head injection system, Uhlelo lomjovo we-MRIfuthiIsistimu yomjovo we-Angiography. Futhi enye iwukukhiqiza isirinji namashubhu.
Simagange ukuba umhlinzeki wakho wemikhiqizo yezithombe zezokwelapha.
Isikhathi sokuthumela: Dec-15-2023
