An assessment of the effectiveness of magnetic resonance imaging of the shoulder: literature review
| Autor: | T. K. Blanchard, C. R. Constant, Philip W. P. Bearcroft, Adrian K. Dixon |
|---|---|
| Rok vydání: | 2000 |
| Předmět: |
Shoulder
medicine.medical_specialty medicine.diagnostic_test business.industry Cost-Benefit Analysis Reproducibility of Results Magnetic resonance imaging Keywords magnetic resonance imaging Magnetic Resonance Imaging medicine.anatomical_structure Shoulder Pain Orthopedic surgery medicine Physical therapy Humans Upper limb Radiology Nuclear Medicine and imaging Rotator cuff Radiology business |
| Zdroj: | Skeletal Radiology. 29:673-679 |
| ISSN: | 1432-2161 0364-2348 |
| Popis: | To analyse and compare all papers published to date (August 2000) that quantify the effectiveness, defined as the impact of clinician's diagnosis or management plans, or patient outcome, of MRI of the shoulder.A computerised search of Index Medicus with a broad search strategy relating to shoulder MRI was performed. Manual assessment of all papers listed was undertaken with classification of each paper depending on whether it addressed questions of (1) technical performance, (2) diagnostic performance or (3) outcome.Four of 265 qualifying papers addressed aspects of effectiveness and these were reviewed. The impact on the clinician's diagnosis varied widely between papers: the primary diagnosis was altered in 23% to 68% of cases, and the management plans were subsequently changed in 15% to 61% of cases. Only one paper addressed the impact on patient health.The effectiveness of MRI of the shoulder depends on the clinical skills of the referring clinician and prevalence of disease in the study population. This will have implications when the effectiveness of an imaging technique between different institutions is compared, and this in turn will influence any comparisons of cost-effectiveness. |
| Databáze: | OpenAIRE |
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