Ongororo ichangobva kubudiswa muAmerican Journal of Radiology inoratidza kuti MRI inogona kunge iri iyo inodhura-inoshanda yekufungidzira nzira yekuongorora varwere vanouya kudhipatimendi rekukurumidzira vane dzungu, kunyanya kana vachifunga nezvekudzika kwemitengo.
Boka rinotungamirirwa naLong Tu, MD, PhD, kubva kuYale Chikoro cheMishonga muNew Haven, CT, yakaratidza kuti zvakawanikwa zvine mukana wekusimudzira kutarisirwa kwevarwere kuburikidza nekuona maronda ari pasi. Vakataurawo kuti dzungu chiratidzo chesitiroko iyo inowanzoenderana neyakapotsa kuongororwa.
Inosvika 4% yekushanya kumadhipatimendi ekukurumidzira muUnited States inokonzerwa nedzungu. Kunyange zvisingasviki 5% yezviitiko izvi zvinosanganisira sitiroko, zvakakosha kuibvisa. Musoro usina kusiyanisa CT uye musoro nemutsipa CT angiography (CTA) inoshandiswa kuongorora sitiroko, asi kunzwisiswa kwavo kune zvishoma, kumira pa23% uye 42% maererano. MRI, kune rumwe rutivi, inozvirumbidza nepamusoro-soro pa80%, uye mapuroteni eMRI akakosha senge akakwirira-resolution, akawanda-anoronga DWI anotora anoita seanowana kunyange yakakwira senitivity rate ye95%.
Zvisinei, mari yakawedzerwa yeMRI inoruramiswa nezvikomborero zvayo here? Tu neboka rake vakaongorora kudhura-kushanda kwemaitiro mana akasiyana-siyana ekuongorora varwere vanosvika mudhipatimendi rekukurumidzira vane dzungu: kwete-contrast CT head imaging, musoro nemutsipa CT angiography, MRI yeuropi, uye MRI yepamusoro (iyo inosanganisira multiplanar. yakakwirira-resolution DWI). Dare racho rakaita kuenzanisa kwemari yenguva refu uye migumisiro inobatanidza nekuona sitiroko uye kudzivirira kwechipiri.
Migumisiro yakawanikwa naTu nevamwe vake yaiva yakadai:
Specialized MRI yakaratidza kuva nzira inodhura zvikuru, ichipa maQALY akakwirira pane imwe mari ye $ 13,477 uye 0.48 QALYs yakakura kudarika isina kusiyana musoro CT.
Zvichitevera izvi, MRI yakajairika yakaratidza hutano hunotevera-hwepamusoro, pamwe nemari yakawedzerwa ye $ 6,756 uye 0.25 QALYs, nepo CTA yakaita imwe mari ye $ 3,952 ye0.13 QALYs.
MRI yakajairika yakawanikwa ichidhura-inoshanda kupfuura CTA, ine kuwedzera mari-inoshanda isingasviki $30,000 paQALY.
Ongororo yacho yakaratidzawo kuti nyanzvi yeMRI yainyanya kudhura kupfuura yakajairika MRI, iyo, zvakare, yaive inodhura-inoshanda kupfuura CTA. Pakufananidza sarudzo dzese dzekufungidzira, kusasiyanisa CT chete kwakaratidza kubatsirwa kwakaderera.
Pasinei neMRI yakakwira mutengo wekuwedzera uchienzaniswa neCT kana CTA, timu yakaratidza kujeka kwayo uye kugona kudzikisa mitengo yekudzika nekuwana maQALY makuru.
Ndinofara kugovera kuti LnkMed yave imwe yeanonyanya kuvimbika mugadziri mukufungidzira kwekurapa. Isu tinopa huwandu hwakazara hwemhinduro dzekurapa uye masevhisi mudiagnostic imaging. Isu tine masaiti maviri, ese ari muShenzhen, pingshan mudunhu. Imwe ndeyekugadzira contrat media injector, kusanganisiraCT imwe jekiseni system,CT mbiri mbiri jekiseni system, MRI jekiseni systemuyeAngiography jekiseni system. Uye imwe yacho ndeyekugadzira sirinji nemachubhu.
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Nguva yekutumira: Zvita-15-2023
