E whakaatu ana tētahi rangahau i whakaputaina tata nei i roto i te American Journal of Radiology, ko te MRI pea te momo whakaahua tino whai hua mō te aromatawai i ngā tūroro e haere mai ana ki te tari whawhati tata me te whanoke, inā koa ka whakaarohia ngā utu o muri mai.
I kī tētahi rōpū i arahina e Long Tu, MD, PhD, mai i te Kura Rongoā o Yale i New Haven, CT, he kaha pea ngā kitenga ki te whakarei ake i te tiaki tūroro mā te tautuhi i ngā whiu e takoto ana i raro. I kite hoki rātou ko te whanoke te tohu o te whiu e tino hono ana ki te korenga o te tautuhi mate.
Tata ki te 4% o ngā haerenga ki ngā tari whawhati tata i te Hononga o Amerika i puta mai i te whanoke. Ahakoa he iti iho i te 5% o ēnei take he whiu kei raro iho, he mea nui kia whakakorehia. Ka whakamahia te CT pane me te angiography CT pane me te kaki (CTA) hei tātaritanga i te whiu, engari he iti noa iho te aro o ēnei ki a rātou, arā, ko te 23% me te 42%. I tētahi atu taha, he nui ake te aro o te MRI ki te 80%, ā, ko ngā tikanga MRI motuhake pēnei i te hopu DWI maha-papa, teitei ake te aro, arā, ko te 95%.
Heoi, he tika te utu tāpiri o te MRI nā ōna painga? I tirotirohia e Tu me tana tīma te whai huatanga o ngā tikanga whakaahua roro e whā mō te aromatawai i ngā tūroro e tae mai ana ki te tari ohorere me te whanoke: te whakaahua upoko CT kore-whakawhitinga, te angiography CT upoko me te kaki, te MRI roro paerewa, me te MRI matatau (tae atu ki te DWI taumira-teitei maha-papa). I whakahaerehia e te tīma he whakatairite i ngā whakapaunga me ngā putanga mo te wā roa e pā ana ki te kimi whiu me te aukati tuarua.
Ko ngā hua i riro mai i a Tu mā me āna hoa mahi koia ēnei:
Ko te MRI motuhake te huarahi tino whai hua, i hua ake ai ngā QALY teitei rawa atu i te utu tāpiri o te $13,477 me te 0.48 QALY nui ake i te CT upoko kore-whakawhitinga.
Whai muri i tēnei, ko te MRI tikanga te mea i puta ai te painga hauora tuarua teitei, me te pikinga o te utu o te $6,756 me te 0.25 QALY, i te mea ko te CTA i utu i te $3,952 mō te 0.13 QALY.
I kitea he iti ake te utu o te MRI tikanga i te CTA, me te iti iho i te $30,000 te utu whai hua mō ia QALY.
I whakaatuhia hoki e te tātaritanga he iti ake te utu o te MRI motuhake i te MRI tikanga, ā, he iti ake te utu o tēnei i te CTA. I te whakataurite i ngā kōwhiringa whakaahua katoa, ko te CT kore-whakawhiti anake te mea i whakaatu i te painga iti rawa.
Ahakoa te nui ake o te utu pikinga a te MRI ki te CT, ki te CTA rānei, i whakanuia e te tīma tōna motuhaketanga me te pūmanawa ki te whakaiti i ngā utu o muri mai mā te whakatutuki i ngā QALY nui ake.
He harikoa ki te whakapuaki kua riro a LnkMed hei tētahi o ngā kaihanga tino pono mō te whakaahua hauora. He whānuitanga katoa ā mātou otinga hauora me ngā ratonga mō te whakaahua tātaritanga. E rua ā mātou wāhi, kei Shenzhen, te rohe o Pingshan ēnei e rua. Ko tētahi he hanga i ngā werohanga pāpāho kirimana, tae atu kiPūnaha werohanga kotahi CT,Pūnaha werohanga upoko rua CT, Pūnaha werohanga MRImePūnaha werohanga angiographyĀ, ko tētahi atu he hanga ngira me ngā ngongo.
He hiahia nui tō mātou kia noho hei kaiwhakarato pono mō ngā hua whakaahua hauora.
Wā tuku: Hakihea-15-2023
