Ese MRI ni bwo buryo buhendutse bwo gusuzuma abarwayi ba ED bafite isereri?

Ubushakashatsi buherutse gusohoka mu kinyamakuru American Journal of Radiology bwerekana ko MRI ishobora kuba uburyo buhendutse bwo gupima abarwayi bitabiriye ishami ryita ku barwayi bafite isereri, cyane cyane iyo hatekerezwa ku giciro cyo hasi.

Itsinda riyobowe na Long Tu, MD, PhD, wo mu Ishuri ry’Ubuganga rya Yale i New Haven, CT, ryagaragaje ko ibyavuye mu bushakashatsi bifite ubushobozi bwo kunoza ubuvuzi bw’abarwayi binyuze mu kumenya indwara y’imitsi. Banavuze ko isereri ari ikimenyetso cy’indwara y’imitsi ikunze kugaragara ko ifitanye isano rya bugufi n’indwara itamenyekanye.

Hafi 4% by'abagana ishami ryita ku butabazi bw'ibanze muri Leta Zunze Ubumwe za Amerika baterwa no kuzungera. Nubwo munsi ya 5% by'aba bantu baba bafite stroke, ni ngombwa kubikuraho. CT yo mu mutwe non-contrast hamwe na CT angiography yo mu mutwe no mu ijosi (CTA) bikoreshwa mu gusuzuma stroke, nyamara ubushobozi bwabyo ni buke, buri kuri 23% na 42%. MRI, ku rundi ruhande, ifite ubushobozi bwo kumva neza kuri 80%, kandi protocole za MRI zihariye nka high-resolution, multiplanar DWI acquisitions zisa nkaho zigera ku gipimo cyo kumva neza cya 95%.

Ariko se, ese ikiguzi cy’inyongera cya MRI gifite ishingiro bitewe n’inyungu zacyo? Tu n’itsinda rye basuzumye uburyo bune butandukanye bwo gusuzuma imitsi mu gusuzuma abarwayi bagera mu ishami ry’ubutabazi bafite isereri: isuzuma ry’umutwe rya CT ritari iry’itandukaniro, isuzuma rya CT angiography ryo mu mutwe no mu ijosi, isuzuma ry’ubwonko risanzwe, na MRI igezweho (irimo DWI yo mu rwego rwo hejuru). Itsinda ryakoze igereranya ry’amafaranga akoreshwa mu gihe kirekire n’ibyavuye mu gusuzuma indwara zo mu bwonko no kwirinda indwara zo mu bwonko.

Ibisubizo byabonetse na Tu na bagenzi be ni ibi bikurikira:

Uburyo bwa MRI bwihariye bwagaragaye ko ari bwo buryo buhendutse cyane, butanga QALY nyinshi ku giciro cy'inyongera cya $13,477 na QALY 0.48 ziruta CT yo mu mutwe idahuza.

Nyuma y’ibi, MRI isanzwe yatanze inyungu ikurikira ku buzima, aho ikiguzi cyayo cyiyongereyeho $6,756 na 0.25 QALY, mu gihe CTA yongereyeho ikiguzi cya $3,952 kuri 0.13 QALY.

Byagaragaye ko MRI isanzwe ihendutse kurusha CTA, ikaba ifite agaciro gakomeye kari munsi y’amadolari 30.000 kuri QALY imwe.

Isesengura ryagaragaje kandi ko MRI yihariye yari ifite agaciro gakomeye kurusha MRI isanzwe, nayo ikaba yari ifite agaciro gakomeye kurusha CTA. Mu kugereranya amahitamo yose yo gufata amashusho, CT idatanga urugero yonyine yagaragaje inyungu nke cyane.

Nubwo MRI igura amafaranga menshi ugereranyije na CT cyangwa CTA, itsinda ryagaragaje umwihariko wayo n'ubushobozi bwayo bwo kugabanya ibiciro byo hasi binyuze mu kugera ku bipimo bya QALY byinshi.

Nishimiye cyane gusangiza abantu ko LnkMed yabaye imwe mu nganda zizewe cyane mu gukora amashusho y’ubuvuzi. Dutanga serivisi zitandukanye z’ubuvuzi mu gupima amashusho. Dufite imbuga ebyiri, zombi ziri muri Shenzhen, mu karere ka Pingshan. Kimwe ni ugukora imashini itera imiti igabanya ubukana bw’ingufu, harimoSisitemu ya CT iterwamo inshinge imwe,Sisitemu yo guteramo inshinge ebyiri za CT, Sisitemu yo guteramo inshinge za MRInaSisitemu yo guteramo angiografiyaIkindi kandi ni ugukora siringi n'imiyoboro.

Twifuza cyane kuba abatanga ibikoresho by’ubuvuzi byizewe.