Uphononongo olusanda kupapashwa kwi-American Journal of Radiology lubonisa ukuba i-MRI inokuba yeyona ndlela ibiza kakhulu yokuvavanya izigulane ezibonisa isebe elingxamisekileyo kunye nesiyezi, ngakumbi xa siqwalasela iindleko ezisezantsi.
Iqela elikhokelwa nguLong Tu, MD, PhD, ukusuka kwiYale School of Medicine eNew Haven, CT, licebise ukuba iziphumo zinamandla okuphucula ukunakekelwa kwesigulane ngokuchonga imivimbo engaphantsi. Baphinde baqaphela ukuba isiyezi luphawu lwestroke oluqheleke ngokusondeleyo kuxilongo oluphosiweyo.
Phantse i-4% yokutyelela kumasebe angxamisekileyo e-United States ngenxa yesiyezi. Ngelixa ngaphantsi kwe-5% yale meko ibandakanya i-stroke ephantsi, kubalulekile ukuyilawula. Intloko engahambelaniyo ye-CT kunye nentloko kunye nentamo ye-CT angiography (CTA) isetyenziselwa ukuxilonga i-stroke, kodwa uvakalelo lwabo lulinganiselwe, lumi kwi-23% kunye ne-42% ngokulandelanayo. I-MRI, ngakolunye uhlangothi, ibonakalisa uvakalelo oluphezulu kwi-80%, kunye neeprothokholi ezikhethekileyo ze-MRI ezifana ne-high-resolution, ukuthengwa kwe-DWI ye-multiplanar kubonakala kufezekisa izinga eliphezulu lokuvalelwa kwe-95%.
Nangona kunjalo, ngaba iindleko ezongezelelweyo zeMRI zifanelekile ngeenzuzo zayo? U-Tu kunye neqela lakhe bavavanya iindleko-ukusebenza kweendlela ezine ezahlukeneyo ze-neuroimaging zokuvavanya izigulane ezifika kwisebe eliphuthumayo kunye nesiyezi: i-CT engahambelaniyo ye-imaging yentloko, intloko kunye nentamo ye-CT angiography, i-MRI yengqondo eqhelekileyo, kunye ne-MRI ephezulu (ebandakanya i-multiplanar iDWI enesisombululo esiphezulu). Iqela lenze uthelekiso lweendleko zexesha elide kunye neziphumo ezinxulumene nokufunyanwa kwe-stroke kunye nokuthintela okwesibini.
Iziphumo ezifunyenwe nguTu kunye noogxa bakhe zaba ngolu hlobo lulandelayo:
I-MRI ekhethekileyo ibonakalise ukuba iyona ndlela ingabizi kakhulu, inikezela nge-QALY ephezulu kwiindleko ezongezelelweyo ze-13,477 kunye ne-0.48 QALY enkulu kune-CT yentloko engafaniyo.
Ukulandela oku, i-MRI eqhelekileyo ibonise inzuzo yezempilo elandelayo ephezulu, kunye neendleko ezongeziweyo ze-6,756 kunye ne-0.25 QALYs, ngelixa i-CTA yenza iindleko ezongezelelweyo ze-3,952 ye-0.13 QALYs.
I-MRI eqhelekileyo ifunyenwe inexabiso elithe kratya kune-CTA, kunye neendleko ezongezelelekileyo ezingaphantsi kwe-30,000 yeedola nge-QALY.
Uhlalutyo luye lwabonisa ukuba i-MRI ekhethekileyo yayineendleko eziphezulu kune-MRI eqhelekileyo, leyo, yona, yayineendleko eziphezulu kune-CTA. Xa uthelekisa zonke iinketho zokucinga, ukungafani kwe-CT yodwa kubonise inzuzo ephantsi.
Ngaphandle kweendleko eziphezulu zokunyuka kwe-MRI xa kuthelekiswa ne-CT okanye i-CTA, iqela libonise ukuchaneka kwayo kunye nokukwazi ukunciphisa iindleko ezisezantsi ngokufezekisa ii-QALY ezinkulu.
Ndonwabile ukwabelana ngokuba i-LnkMed ibe yenye yezona zinto zithembekileyo kumvelisi kumfanekiso wezonyango. Sinikezela ngoluhlu olupheleleyo lwezisombululo zonyango kunye neenkonzo kwi-imaging yokuxilonga. Sineendawo ezimbini, zombini ziseShenzhen, kwisithili sepingshan. Enye kukwenza i-contrat media injector, kubandakanywaInkqubo yesitofu esisodwa se-CT,CT inkqubo yokutofa intloko kabini, Inkqubo yokutofa kweMRIkwayeInkqubo yokutofa iAngiography. Kwaye enye kukuvelisa isirinji kunye neityhubhu.
Sinqwenela ukuba ngumboneleli wakho othembekileyo weemveliso zonyango.
Ixesha lokuposa: Dec-15-2023
