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When is MRI appropriate

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1.American College of Radiology Appropriateness Criteria. 2.CAR Medicalis Pilots. 3. BSCG project ... examination for the chest, abdomen, and cardiovascular ... – PowerPoint PPT presentation

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Title: When is MRI appropriate


1
When is MRI appropriate?
  • B. McClarty
  • Dept. of Radiology

2
MRI Utilization
3
Methods
  • 1.American College of Radiology Appropriateness
    Criteria
  • 2.CAR Medicalis Pilots
  • 3. BSCG project

4
ACR Appropriateness Criteria
  • Recommendation of which examination is most
    useful for investigation of a clinical symptom or
    condition
  • MRI is the preferred method for investigation of
    the CNS and musculo skeletal complaints and is
    complimentary examination for the chest, abdomen,
    and cardiovascular conditions.

5
ACR cont
  • Shortened ACR criteria for CNS complaints
  • If you are ordering an infused CT of the brain or
    spinal cord, consider MRI
  • Do uninfused CT in preference to MRI for
    assessment of bone fractures or hemorrhage
    including SAH
  • Do CT for mastoids, sinuses due to high bone air
    contrast and better spatial resolution of CT

6
CT vs. MRI Mastoids
7
ACR cont
  • Infused CT is the primary modality for the
    assessment of neck lesions /cervical
    lymphadenopathy
  • CT angiography has higher spatial resolution and
    better image quality than MRA
  • Consider local availability, patients ability to
    tolerate long MRI examination time

8
Medicalis projects
  • Evidence based order entry system piloted in
    pediatrics and more recently SE Manitoba
  • Dr.Martin Reed /Canadian Association of
    Radiologists
  • British Society of Radiology criteria modified to
    Canadian environment and placed in an electronic
    order entry system

9
BGSG Project
  • Bridging the generalist to specialist gap-Luis
    Oppenheimer
  • Initial project for assessment of low back pain.
  • Advantage for having patient and physician
    engagement in process

10
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11
Thank you
12
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13
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