Ese MRI nuburyo buhenze cyane bwo gusuzuma abarwayi ba ED bafite umutwe？

Ubushakashatsi buherutse gusohoka mu kinyamakuru cyo muri Amerika cyitwa Radiology bwerekana ko MRI ishobora kuba uburyo bwo gukoresha amashusho menshi cyane mu gusuzuma abarwayi berekana ishami ryihutirwa bafite umutwe, cyane cyane iyo usuzumye ibiciro byo hasi.

Itsinda riyobowe na Long Tu, MD, PhD, bo mu Ishuri Rikuru ry’Ubuvuzi rya Yale i New Haven, CT, ryasabye ko ibyavuye mu bushakashatsi bifite ubushobozi bwo kongera ubuvuzi bw’abarwayi hagaragazwa indwara y’imitsi. Bavuze kandi ko kuzunguruka ari ikimenyetso cy’imitsi ikunze guhuzwa cyane no gusuzuma indwara yabuze.

Hafi ya 4% yo gusura amashami yihutirwa muri Amerika bituruka ku kuzunguruka. Mugihe munsi ya 5% yizo manza zirimo inkorora, ni ngombwa kubireka. Umutwe utandukanye na CT n'umutwe nijosi CT angiography (CTA) bikoreshwa mugupima indwara yubwonko, nyamara ibyiyumvo byabo ni bike, bihagaze kuri 23% na 42%. Ku rundi ruhande, MRI ifite ibyiyumvo byo hejuru kuri 80%, kandi protocole yihariye ya MRI nk'ibisubizo bihanitse, kugura DWI ya Multlanar bisa nkaho bigera ku gipimo cyo hejuru cya 95%.

Ariko, ikiguzi cyiyongereye cya MRI gifite ishingiro ninyungu zacyo? Tu hamwe nitsinda rye basuzumye uburyo bukoreshwa muburyo bune butandukanye bwa neuroimaging bwo gusuzuma abarwayi bageze mu ishami ryihutirwa bafite umutwe: umutwe utandukanye na CT amashusho, umutwe hamwe nijosi CT angiography, ubwonko busanzwe MRI, na MRI yateye imbere (ikubiyemo multiplanar cyane-DWI). Iri tsinda ryakoze igereranya ry’igihe kirekire n’ibisubizo bijyanye no gutahura indwara yo mu bwonko no kwirinda icyiciro cya kabiri.

Ibisubizo byatanzwe na Tu na bagenzi be byari ibi bikurikira:

MRI yihariye yerekanye ko aribwo buryo buhenze cyane, butanga QALYs nyinshi hejuru yinyongera $ 13.477 na 0.48 QALYs iruta umutwe CT itandukanye.

Nyuma yibi, MRI isanzwe yerekanye inyungu zikurikira zubuzima, hamwe n’inyongera y’amadolari 6.756 na 0.25 QALYs, mu gihe CTA yishyuye andi $ 3.952 kuri 0.13 QALYs.

Ibisanzwe MRI wasangaga bikoresha amafaranga menshi kurusha CTA, hamwe n’igiciro cyiyongera-kiri munsi y’amadolari 30.000 kuri QALY.

Isesengura ryagaragaje kandi ko MRI yihariye yakoresheje amafaranga menshi kurusha MRI isanzwe, nayo, ikaba yarahenze kurusha CTA. Iyo ugereranije amahitamo yose yerekana amashusho, CT idahuye yonyine yerekanye inyungu nkeya.

Nubwo ibiciro bya MRI byiyongereye ugereranije na CT cyangwa CTA, itsinda ryerekanye umwihariko waryo hamwe nubushobozi bwo kugabanya ibiciro byamanuka kugera kuri QALYs nini.

Nshimishijwe no gusangira ko LnkMed ibaye umwe mu bakora uruganda rwizewe mu mashusho yubuvuzi. Dutanga urwego rwuzuye rwibisubizo byubuvuzi na serivisi mugusuzuma amashusho. Dufite imbuga ebyiri, zombi ziri muri shenzhen, akarere ka pingshan. Imwe murimwe ni ugukora inshinge zamakuru, harimoSisitemu yo gutera inshinge imwe,CT sisitemu yo gutera inshinge ebyiri, Sisitemu yo gutera inshingenaSisitemu yo gutera inshinge. Kandi ikindi ni ugukora singe na tebes.

Dushishikajwe no kuba ibicuruzwa byizewe byubuvuzi bitanga imiti.