Ingabe i-MRI iyindlela engabizi kakhulu yokuhlola iziguli ze-ED ezinesiyezi?

Ucwaningo olusanda kushicilelwa kuyi-American Journal of Radiology lubonisa ukuthi i-MRI ingaba yindlela yokuthwebula izithombe engabizi kakhulu yokuhlola iziguli ezifika emnyangweni wezimo eziphuthumayo ezinesiyezi, ikakhulukazi uma kucatshangelwa izindleko ezingezansi.

Iqembu eliholwa nguLong Tu, MD, PhD, waseYale School of Medicine eNew Haven, CT, liphakamise ukuthi okutholakele kunamandla okuthuthukisa ukunakekelwa kweziguli ngokuhlonza isifo sohlangothi esingaphansi kwaso. Baphinde baphawula ukuthi isiyezi siwuphawu lwesifo sohlangothi oluvame ukuhlotshaniswa kakhulu nokuxilongwa okungafanele.

Cishe u-4% wokuvakashela iminyango yezimo eziphuthumayo e-United States ubangelwa isiyezi. Nakuba kungaphansi kuka-5% walezi zimo ezihilela isifo sohlangothi esingaphansi, kubalulekile ukususa lesi simo. I-CT yekhanda engalingani kanye ne-CT angiography yekhanda nentamo (i-CTA) isetshenziselwa ukuxilonga isifo sohlangothi, kodwa ukuzwela kwazo kulinganiselwe, kumi ku-23% naku-42% ngokulandelana. I-MRI, ngakolunye uhlangothi, inesimo sokuzwela esiphezulu ku-80%, kanti izinqubo ezikhethekile ze-MRI ezifana nokutholwa kwe-DWI enesisombululo esiphezulu, ene-multiplanar zibonakala zifinyelela izinga lokuzwela eliphakeme kakhulu elingu-95%.

Kodwa-ke, ingabe izindleko ezengeziwe ze-MRI ziyavunyelwa yizinzuzo zayo? UTu nethimba lakhe bahlole ukusebenza kahle kwezindlela ezine ezahlukene ze-neuroimaging zokuhlola iziguli ezifika emnyangweni wezimo eziphuthumayo zinesiyezi: i-CT head imaging engeyona i-contrast, i-head and neck CT angiography, i-MRI yobuchopho ejwayelekile, kanye ne-MRI ethuthukisiwe (ehlanganisa i-multiplanar high-resolution DWI). Ithimba lenze ukuqhathanisa izindleko zesikhathi eside kanye nemiphumela ehlobene nokutholakala kwesifo sohlangothi kanye nokuvimbela kwesibili.

Imiphumela etholwe nguTu nozakwabo yayimi kanje:

I-MRI ekhethekile ibonakale iyindlela engabizi kakhulu, iveza ama-QALY aphezulu kakhulu ngezindleko ezengeziwe ezingama-$13,477 kanye nama-QALY angu-0.48 amakhulu kune-CT yekhanda elingeyona i-contrast.

Ngemva kwalokhu, i-MRI evamile iveze inzuzo yezempilo elandelayo ephezulu, ngezindleko ezikhuphukile zama-$6,756 kanye nama-QALY angu-0.25, kuyilapho i-CTA ithole izindleko ezengeziwe zama-$3,952 kuma-QALY angu-0.13.

I-MRI evamile itholakale isebenza kahle kakhulu kune-CTA, kanye nokusebenza kahle kwezindleko okungaphansi kuka-$30,000 nge-QALY ngayinye.

Ukuhlaziywa kwembule nokuthi i-MRI ekhethekile yayingabizi kakhulu kune-MRI evamile, okwakuyindleko engcono kune-CTA. Uma kuqhathaniswa zonke izinketho zokuthatha izithombe, i-CT engalingani yodwa ibonise inzuzo ephansi kakhulu.

Naphezu kwezindleko eziphakeme ze-MRI uma kuqhathaniswa ne-CT noma i-CTA, ithimba ligqamise ukucaca kwayo kanye nekhono layo lokunciphisa izindleko ezingezansi ngokufeza ama-QALY amakhulu.

Ngijabule kakhulu ukwabelana ngokuthi i-LnkMed isibe ngomunye wabakhiqizi abathembeke kakhulu ekuthathweni kwezithombe zezokwelapha. Sinikeza uhla oluphelele lwezixazululo zezokwelapha kanye nezinsizakalo ekuthathweni kwezithombe zokuxilonga. Sinezindawo ezimbili, zombili ziseShenzhen, esifundeni sasePingshan. Esinye ukukhiqiza i-contrat media injector, okuhlanganisaUhlelo lomjovo owodwa we-CT,Uhlelo lokujova ikhanda elikabili lwe-CT, Uhlelo lokujova lwe-MRIfuthiUhlelo lokujova lwe-AngiographyFuthi enye iwukukhiqiza isirinji namapayipi.

Silangazelela ukuba ngumhlinzeki wakho othembekile wemikhiqizo yezithombe zezokwelapha.