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Cost Effectiveness of Magnetic Resonance Imaging in the Neurosciences
BMJ 303:1435-1439, Szczepura,A.K.,et al, 1991
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Article Abstract
Average cost of magnetic resonance imaging was estimated at 206.20/patient (throughput 2250 patients/year),1989-90 prices including contrast and upgrading).Before magnetic resonance imaging diagnostic procedures cost 164.40/patient(including inpatient stays).Management changed after imaging in 208(27%)cases;saving an estimated 80.90/patient.Confidence in planned management increased in a further 226(29%)referrals.Consultants'principal diagnosis changed in 159 of 782(20%)referrals;marginal cost per diagnostic change was 626.Confidence in diagnosis increased in 236(30%)referrals.No improvement in patients'quality of life at six month assessment.Any improvement in diagnosis with magnetic resonance imaging is achieved at a higher cost.Techniques for monitoring the dose effectiveness of this technology need to be developed.
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