ʻO kahi noiʻi hou i paʻi ʻia ma ka American Journal of Radiology e hōʻike ana ʻo MRI paha ke kumu kūʻai nui loa no ka loiloi ʻana i nā poʻe maʻi e hōʻike ana i ka keʻena pilikia me ka noʻonoʻo, ʻoi aku ka nui o ka noʻonoʻo ʻana i nā kumukūʻai o lalo.
ʻO kahi hui i alakaʻi ʻia e Long Tu, MD, PhD, mai Yale School of Medicine ma New Haven, CT, i manaʻo ʻia e loaʻa i nā ʻike ke hiki ke hoʻonui i ka mālama maʻi ma o ka ʻike ʻana i nā maʻi ma lalo. Ua ʻike pū lākou ʻo ka dizziness ka hōʻailona o ka hahau ʻana i pili pinepine ʻia i kahi maʻi i hala ʻole.
Ma kahi o 4% o nā kipa ʻana i nā keʻena pilikia ma ʻAmelika Hui Pū ʻIa ma muli o ka noʻonoʻo. ʻOiai ʻoi aku ka liʻiliʻi ma mua o 5% o kēia mau hihia e pili ana i kahi hahau kumu, he mea koʻikoʻi ia e hoʻokuʻu iā ia. Hoʻohana ʻia ke poʻo non-contrast CT a me ke poʻo a me ka ʻāʻī CT angiography (CTA) e ʻike i ka hahau ʻana, akā ua kaupalena ʻia ko lākou naʻau, e kū ana ma 23% a me 42%. ʻO ka MRI, ma ka ʻaoʻao ʻē aʻe, ke kaena nei i ka ʻike kiʻekiʻe ma 80%, a me nā protocols MRI kūikawā e like me ka hoʻonā kiʻekiʻe, multiplanar DWI acquisitions e like me ka loaʻa ʻana o kahi kiʻekiʻe kiʻekiʻe o 95%.
Eia nō naʻe, ʻae ʻia ke kumukūʻai hoʻohui o MRI e kona mau pono? Ua nānā ʻo Tu a me kāna hui i ke kumukūʻai o nā ʻano neuroimaging ʻehā no ka loiloi ʻana i nā poʻe maʻi i hōʻea i ka keʻena pilikia me ka dizziness: non-contrast CT head imaging, poʻo a me ka ʻāʻī CT angiography, maʻamau lolo MRI, a me ka MRI kiʻekiʻe (ʻo ia ka multiplanar. DWI hoʻonā kiʻekiʻe). Ua alakaʻi ka hui i ka hoʻohālikelike o nā lilo lōʻihi a me nā hopena e pili ana i ka ʻike ʻana i ka hahau a me ka pale lua.
ʻO nā hopena i loaʻa iā Tu a me kāna mau hoa hana penei:
ʻO ka MRI kūikawā i hōʻike ʻia ʻo ia ke kumu kūʻai maikaʻi loa, e hāʻawi ana i nā QALY kiʻekiʻe loa ma ke kumu kūʻai hou o $13,477 a me 0.48 QALYs ʻoi aku ka nui ma mua o ke poʻo ʻokoʻa CT.
Ma hope o kēia, ua hōʻike ʻo MRI maʻamau i ka pōmaikaʻi olakino kiʻekiʻe loa, me ka uku hoʻonui o $ 6,756 a me 0.25 QALYs, ʻoiai ʻo CTA i loaʻa kahi kumukūʻai hou o $ 3,952 no 0.13 QALYs.
Uaʻikeʻia ka MRI maʻamau iʻoi aku ka maikaʻi ma mua o CTA, me ka hoʻonuiʻana i ke kumukūʻai ma lalo o $ 30,000 no QALY.
Ua hōʻike pū ʻia ka hōʻike ʻana he ʻoi aku ka maikaʻi o ka MRI kūikawā ma mua o ka MRI maʻamau, ʻo ia hoʻi, ʻoi aku ka maikaʻi ma mua o CTA. I ka hoʻohālikelike ʻana i nā koho kiʻi a pau, ʻo ka noncontrast CT wale nō i hōʻike i ka pōmaikaʻi haʻahaʻa loa.
ʻOiai ke kumukūʻai hoʻonui kiʻekiʻe o MRI i hoʻohālikelike ʻia me CT a i ʻole CTA, ua hōʻike ka hui i kāna kikoʻī a me ka hiki ke hōʻemi i nā kumukūʻai o lalo ma o ka loaʻa ʻana o nā QALY ʻoi aku.
Hauʻoli e kaʻana like ua lilo ʻo LnkMed i kekahi o nā mea hana hilinaʻi loa i ka ʻike kiʻi olakino. Hāʻawi mākou i kahi piha o nā hoʻonā olakino a me nā lawelawe i ka diagnostic imaging. Loaʻa iā mākou nā pūnaewele ʻelua, aia lāua ma shenzhen, ka moku pingshan. ʻO kekahi ka hana ʻana i ka injector media contrat, meCT hoʻokahi ʻōnaehana injection,CT ʻōnaehana poʻo ʻelua, ʻōnaehana hoʻokele MRIaʻO ka ʻōnaehana hoʻokele angiography. A ʻo ka mea ʻē aʻe e hana i ka syringe a me nā paipu.
Makemake mākou e lilo i mea hoʻolako huahana kiʻi lāʻau hilinaʻi.
Ka manawa hoʻouna: Dec-15-2023
