The Rationality to Requesting in-ward Magnetic Resonance Imaging Investigation.

Admitted Patient Appropriateness Cross Sectional Study Data Analysis Diagnostic Imaging Magnetic Resonance Imaging Rational Use

Journal

Journal of biomedical physics & engineering
ISSN: 2251-7200
Titre abrégé: J Biomed Phys Eng
Pays: Iran
ID NLM: 101589641

Informations de publication

Date de publication:
Aug 2023
Historique:
received: 20 09 2020
accepted: 04 10 2020
medline: 23 8 2023
pubmed: 23 8 2023
entrez: 23 8 2023
Statut: epublish

Résumé

Magnetic Resonance imaging (MRI) is a valuable diagnostic tool by its non-invasive/non-ionizing nature. This study aims to determine justification of MRI in hospitalized patients at a tertiary provincial referent medical center in a one-year period. In the present retrospective and descriptive cross-sectional study, 438 admitted patients referred for MRI during 2017 were selected using systematic random sampling. The age, gender, investigated organ, the specialty of requesting physician, MRI with and without contrast, MRI diagnostic outcome were collected using checklists. Descriptive statistics and chi-square test were used for data analysis. The mean age of the patients was 42±26 years-old and female represented 53% of enrolled patients. The most and less prevalent investigated organs were the cerebrum and the orbit. After excluding cancer diagnosis, cancer staging, and therapeutic follow-up exams, MRI request was oriented in 64.3% and 77.2% of positive results was concordant with aforementioned diagnostic orientation ( Appropriate implementation of medical imaging requires boosting employed rationality by the concerned physicians. The current suboptimal results to requesting MRI rationality should mandate supplementary educational programs as to incite the medical corpus more closely implementing the published medical practice guidelines.

Sections du résumé

Background UNASSIGNED
Magnetic Resonance imaging (MRI) is a valuable diagnostic tool by its non-invasive/non-ionizing nature.
Objective UNASSIGNED
This study aims to determine justification of MRI in hospitalized patients at a tertiary provincial referent medical center in a one-year period.
Material and Methods UNASSIGNED
In the present retrospective and descriptive cross-sectional study, 438 admitted patients referred for MRI during 2017 were selected using systematic random sampling. The age, gender, investigated organ, the specialty of requesting physician, MRI with and without contrast, MRI diagnostic outcome were collected using checklists. Descriptive statistics and chi-square test were used for data analysis.
Results UNASSIGNED
The mean age of the patients was 42±26 years-old and female represented 53% of enrolled patients. The most and less prevalent investigated organs were the cerebrum and the orbit. After excluding cancer diagnosis, cancer staging, and therapeutic follow-up exams, MRI request was oriented in 64.3% and 77.2% of positive results was concordant with aforementioned diagnostic orientation (
Conclusion UNASSIGNED
Appropriate implementation of medical imaging requires boosting employed rationality by the concerned physicians. The current suboptimal results to requesting MRI rationality should mandate supplementary educational programs as to incite the medical corpus more closely implementing the published medical practice guidelines.

Identifiants

pubmed: 37609509
doi: 10.31661/jbpe.v0i0.2009-1192
pii: JBPE-13-4
pmc: PMC10440405
doi:

Types de publication

Journal Article

Langues

eng

Pagination

367-376

Informations de copyright

Copyright: © Journal of Biomedical Physics and Engineering.

Déclaration de conflit d'intérêts

None

Références

Eur Radiol. 2019 Jul;29(7):3889-3900
pubmed: 30937589
Neuroimaging Clin N Am. 2008 Nov;18(4):623-36, x
pubmed: 19068405
J Magn Reson Imaging. 2003 Jul;18(1):1-15
pubmed: 12815634
Insights Imaging. 2019 May 20;10(1):54
pubmed: 31111303
Eur J Radiol. 2020 Feb;123:108781
pubmed: 31877510
JAMA Intern Med. 2013 May 13;173(9):823-5
pubmed: 23529302
J Am Coll Radiol. 2018 Jan;15(1 Pt A):116-122
pubmed: 28969974
Am J Manag Care. 2016 Feb 01;22(2):e68-76
pubmed: 26881322
J Gen Intern Med. 2020 Apr;35(4):1044-1051
pubmed: 31832927
BMJ Open. 2018 Feb 12;8(2):e018125
pubmed: 29440209
J Magn Reson Imaging. 2012 Mar;35(3):617-23
pubmed: 22033948
Health Aff (Millwood). 2008 Nov-Dec;27(6):1491-502
pubmed: 18997204
Int J Health Plann Manage. 2019 Oct;34(4):e1437-e1447
pubmed: 31271228
Int J Qual Health Care. 2018 Aug 01;30(7):565-570
pubmed: 29635290
J Magn Reson Imaging. 2020 Feb;51(2):446-458
pubmed: 31332865
Iowa Orthop J. 2018;38:33-37
pubmed: 30104922
J Med Imaging Radiat Sci. 2019 Dec;50(4):506-513
pubmed: 31734105
J Clin Exp Hepatol. 2015 Sep;5(3):246-55
pubmed: 26628842
Health Aff (Millwood). 2010 Dec;29(12):2252-9
pubmed: 21134927
Insights Imaging. 2013 Oct;4(5):729-33
pubmed: 23949843
Lancet Respir Med. 2019 Jun;7(6):523-532
pubmed: 31080129
Radiology. 2010 Oct;257(1):240-5
pubmed: 20736333
J Magn Reson Imaging. 2019 Jun;49(7):e14-e25
pubmed: 30145852
Ann Emerg Med. 2018 Dec;72(6):637-643
pubmed: 30146444

Auteurs

Vahid Kermanian (V)

Department of Clinical Radiology, Kashani and Hajar University Hospitals, School of Medicine, Shahrekord University of Medical Sciences, Shahrekord, Iran.

Abdolmajid Taheri (A)

Department of Clinical Radiology, Kashani and Hajar University Hospitals, School of Medicine, Shahrekord University of Medical Sciences, Shahrekord, Iran.

Elham Raeisi (E)

Department of Medical Physics and Radiology, School of Allied Medical Sciences, Shahrekord University of Medical Sciences, Shahrekord, Iran.

Mathias Hossain Aazami (MH)

Department of Cardiology and Cardiac Surgery, Kashani and Hajar University Hospitals, School of Medicine, Shahrekord University of Medical Sciences, Shahrekord, Iran.

Mohamad-Ali Dayani (MA)

Department of Clinical Radiology, Kashani and Hajar University Hospitals, School of Medicine, Shahrekord University of Medical Sciences, Shahrekord, Iran.

Daryoush Shahbazi-Gahrouei (D)

Department of Medical Physics, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran.

Classifications MeSH