Investigating the Effect of Early Magnetic Resonance Imaging on the Costs of Patients Suspected Scaphoid Fractures Compared to Common Diagnostic Methods

Abstract

CTscan and MRI were performed for these patients. CT scan showed 20 fractures and MRI showed 19 fractures. MRI sensitivity was 95%, specificity was 99% and accuracy was 96%. In the case of CT scan, the sensitivity was 94%, the specificity was 96% and the accuracy was 98%; The aim of this study was to investigate whether magnetic resonance imaging can be used for daily and routine evaluation of patients with suspected scaphoid fractures to determine the more accurate MRI time for these patients. Wrist MRI was performed using Tesla's 0.2 resonance imaging for two groups of patients. Materials and Methods: This case study was a secret case that was performed in the period of 2009-2010 with the participation of 121 patients. Patients were included in the study by available sampling method and all counted by observing the inclusion and exclusion criteria and were divided into two groups. MRI was prescribed for one group of patients in the first session and MRI for the other group in the second session. Treatment results as well as the need for leave and costs were compared in the two groups. Data were collected in SPSS21 software and compared with ANOVA and Pearson correlation tests. P value less than 0.05 was considered menarche. Results: In general, considering the costs related to MRI application, simple graphic application, the number of days off from work in the early MRI group was much less than the control group; In other words, requesting an early MRI is cost effective.