Value of MRI in medicine: More than just another test?
Corresponding Author
Edwin J.R. van Beek MD, PhD
Edinburgh Imaging facility QMRI, University of Edinburgh, Edinburgh, UK
Address reprint requests to: E.J.R.v.B., Edinburgh Imaging, Queens Medical Research Institute, 47 Little France Crescent, Edinburgh EH16 4TJ, UK. E-mail: [email protected]Search for more papers by this authorChristiane Kuhl MD, PhD
Department of Diagnostic and Interventional Radiology, University of Aachen, Aachen, Germany
Search for more papers by this authorYoshimi Anzai MD, MPH
Department of Radiology, University of Utah, Salt Lake City, Utah, USA
Search for more papers by this authorPatricia Desmond MD
Royal Melbourne Hospital, University of Melbourne, Melbourne, Australia
Search for more papers by this authorRichard L. Ehman MD
Department of Radiology, Mayo Clinic, Rochester, Minnesota, USA
Search for more papers by this authorQiyong Gong MD, PhD
Huaxi MR Research Center (HMRRC), Department of Radiology, West China Hospital of Sichuan University, Chengdu, Sichuan, China
Search for more papers by this authorGarry Gold MD, PhD
Department of Radiology, Engineering and Orthopaedic Surgery, Stanford University, Stanford, California, USA
Search for more papers by this authorVikas Gulani MD, PhD
Departments of Radiology, Urology and Biomedical Imaging, Case Western Reserve University, University Hospitals of Cleveland, Cleveland, Ohio, USA
Search for more papers by this authorMargaret Hall-Craggs MD
Department of Medical Imaging and Radiology, University College Hospital NHS Trust, London, UK
Search for more papers by this authorTim Leiner MD, PhD
Department of Radiology and Nuclear Medicine, University Medical Centre, Utrecht, The Netherlands
Search for more papers by this authorC.C. Tschoyoson Lim MBBS
Department of Neuroradiology, National Neuroscience Institute and Duke NUS Medical School, Singapore, Singapore
Search for more papers by this authorJames G. Pipe PhD
Department of Imaging Research, Barrow Neurological Institute, Phoenix, Arizona, USA
Search for more papers by this authorScott Reeder MD, PhD
Departments of Radiology, Medical Physics, Biomedical Engineering, Medicine and Emergency Medicine, University of Madison, Madison, Wisconsin, USA
Search for more papers by this authorCaroline Reinhold MD, MSc
Department of Radiology, McGill University Health Center, Montreal, Canada
Search for more papers by this authorMarion Smits MD, PhD
Department of Radiology and Nuclear Medicine, Erasmus Medical Center, Rotterdam, the Netherlands
Search for more papers by this authorDaniel K. Sodickson MD, PhD
Department of Radiology, New York University Langone Health, New York, New York, USA
Search for more papers by this authorClare Tempany MB, BAO, BCH
Department of Radiology, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA
Search for more papers by this authorH. Alberto Vargas MD, MPH
Department of Radiology, Memorial Sloan Kettering Cancer Center, New York, New York, USA
Search for more papers by this authorMeiyun Wang MD, PhD
Department of Radiology, Henan Provincial People's Hospital, Zhengzhou, Henan, China
Search for more papers by this authorCorresponding Author
Edwin J.R. van Beek MD, PhD
Edinburgh Imaging facility QMRI, University of Edinburgh, Edinburgh, UK
Address reprint requests to: E.J.R.v.B., Edinburgh Imaging, Queens Medical Research Institute, 47 Little France Crescent, Edinburgh EH16 4TJ, UK. E-mail: [email protected]Search for more papers by this authorChristiane Kuhl MD, PhD
Department of Diagnostic and Interventional Radiology, University of Aachen, Aachen, Germany
Search for more papers by this authorYoshimi Anzai MD, MPH
Department of Radiology, University of Utah, Salt Lake City, Utah, USA
Search for more papers by this authorPatricia Desmond MD
Royal Melbourne Hospital, University of Melbourne, Melbourne, Australia
Search for more papers by this authorRichard L. Ehman MD
Department of Radiology, Mayo Clinic, Rochester, Minnesota, USA
Search for more papers by this authorQiyong Gong MD, PhD
Huaxi MR Research Center (HMRRC), Department of Radiology, West China Hospital of Sichuan University, Chengdu, Sichuan, China
Search for more papers by this authorGarry Gold MD, PhD
Department of Radiology, Engineering and Orthopaedic Surgery, Stanford University, Stanford, California, USA
Search for more papers by this authorVikas Gulani MD, PhD
Departments of Radiology, Urology and Biomedical Imaging, Case Western Reserve University, University Hospitals of Cleveland, Cleveland, Ohio, USA
Search for more papers by this authorMargaret Hall-Craggs MD
Department of Medical Imaging and Radiology, University College Hospital NHS Trust, London, UK
Search for more papers by this authorTim Leiner MD, PhD
Department of Radiology and Nuclear Medicine, University Medical Centre, Utrecht, The Netherlands
Search for more papers by this authorC.C. Tschoyoson Lim MBBS
Department of Neuroradiology, National Neuroscience Institute and Duke NUS Medical School, Singapore, Singapore
Search for more papers by this authorJames G. Pipe PhD
Department of Imaging Research, Barrow Neurological Institute, Phoenix, Arizona, USA
Search for more papers by this authorScott Reeder MD, PhD
Departments of Radiology, Medical Physics, Biomedical Engineering, Medicine and Emergency Medicine, University of Madison, Madison, Wisconsin, USA
Search for more papers by this authorCaroline Reinhold MD, MSc
Department of Radiology, McGill University Health Center, Montreal, Canada
Search for more papers by this authorMarion Smits MD, PhD
Department of Radiology and Nuclear Medicine, Erasmus Medical Center, Rotterdam, the Netherlands
Search for more papers by this authorDaniel K. Sodickson MD, PhD
Department of Radiology, New York University Langone Health, New York, New York, USA
Search for more papers by this authorClare Tempany MB, BAO, BCH
Department of Radiology, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA
Search for more papers by this authorH. Alberto Vargas MD, MPH
Department of Radiology, Memorial Sloan Kettering Cancer Center, New York, New York, USA
Search for more papers by this authorMeiyun Wang MD, PhD
Department of Radiology, Henan Provincial People's Hospital, Zhengzhou, Henan, China
Search for more papers by this authorAbstract
There is increasing scrutiny from healthcare organizations towards the utility and associated costs of imaging. MRI has traditionally been used as a high-end modality, and although shown extremely important for many types of clinical scenarios, it has been suggested as too expensive by some. This editorial will try and explain how value should be addressed and gives some insights and practical examples of how value of MRI can be increased. It requires a global effort to increase accessibility, value for money, and impact on patient management. We hope this editorial sheds some light and gives some indications of where the field may wish to address some of its research to proactively demonstrate the value of MRI.
Level of Evidence: 5
Technical Efficacy: Stage 5
J. Magn. Reson. Imaging 2019;49:e14–e25.
References
- 1 Lee VS. Annual Oration: driving value through imaging. Radiology 2017; 285: 3–11.
- 2 European Society of Radiology. ESR concept paper on value-based radiology. Insights Imaging 2017; 8: 447–454.
- 3 Rubin GD. Costing in radiology and health care: rationale, relativity, rudiments, and realities. Radiology 2017; 282: 333–347.
- 4 Lui S, Zhou XH, Sweeney JA, Gong QY. Psychoradiology: the frontier of neuroimaging in psychiatry. Radiology 2016; 281: 357–372.
- 5https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/HomeHealthQualityInits/HHQIQualityMeasures.html (accessed 17 Dec 2017).
- 6 Wang M, Dai Y, Han Y, Haacke EM, Dai J, Shi D. Susceptibility weighted imaging in detecting hemorrhage in acute cervical spinal cord injury, Magn Reson Imaging 2011; 29: 365–373.
- 7 Aberle DR, DeMello S, Berg CD, et al. Results of the two incidence screenings in the National Lung Screening Trial. N Engl J Med 2013; 369: 920–931.
- 8 SCOT-HEART investigators. CT coronary angiography in patients with suspected angina due to coronary heart disease (SCOT-HEART): an open-label, parallel-group, multicentre trial. Lancet 2015; 385: 2383–2391.
- 9 Fryback DG, Thornbury JR. The efficacy of diagnostic imaging. Med Decis Making 1991; 11: 88–94.
- 10 Bossuyt PM, Reitsma JB, Bruns DE, et al. STARD 2015: an updated list of essential items for reporting diagnostic accuracy studies. Radiology 2015; 277: 826–832.
- 11 McCahill LE, Single RM, Aiello Bowles EJ, et al. Variability in reexcision following breast conservation surgery. JAMA 2012; 307: 467–475.
- 12 Wilke LG, Czechura T, Wang C, et al. Repeat surgery after breast conservation for the treatment of stage 0 to II breast carcinoma: a report from the National Cancer Data Base, 2004-2010. JAMA Surg 2014; 149: 1296–1305.
- 13 El Aidi H, Adams A, Moons KG, et al. Cardiac magnetic resonance imaging findings and the risk of cardiovascular events in patients with recent myocardial infarction or suspected or known coronary artery disease: a systematic review of prognostic studies. J Am Coll Cardiol 2014; 63: 1031–1045.
- 14 Oakden-Rayner L, Carneiro G, Bessen T, Nascimento JC, Bardley AP. Precision radiology: predicting longevity using feature engineering and deep learning methods in a radiomics framework. Sci Rep 2017; 7: 1648.
- 15 Lee DW, Duszak R Jr, Hughes DR. Comparative analysis of Medicare spending for medical imaging: sustained dramatic slowdown compared with other services. Am J Roentgenol 2013; 201: 1277–1282.
- 16 Kuhl CK. Current status of breast MR imaging. Clinical applications. Radiology 2007; 244: 672–691.
- 17 Alvarado M, Ozanne E, Esserman L. Overdiagnosis and overtreatment of breast cancer. Am Soc Clin Oncol Educ Book 2012: e40–e45.
- 18 Li J, Holm J, Bergh J, et al. Breast-cancer genetic risk profile is differentially associated with interval and screen-detected breast-cancers. Ann Oncol 2015; 26: 517–522.
- 19 Kuhl CK, Schrading S, Strobel K, Schild HH, Hilgers RD, Bieling HB. Abbreviated breast magnetic resonance imaging (MRI): first postcontrast subtracted images and maximum-intensity projection—a novel approach to breast cancer screening with MRI. J Clin Oncol 2014; 32: 2304–2310.
- 20 Díaz-González Á, Forner A. Surveillance for hepatocellular carcinoma. Best Pract Res Clin Gastroenterol 2016; 30: 1001–1010.
- 21 Marks RM, Ryan A, Heba ER, et al. Diagnostic per-patient accuracy of an abbreviated hepatobiliary phase gadoxetic acid-enhanced MRI for hepatocellular carcinoma surveillance. Am J Roentgenol 201; 204: 527–535.
- 22 Yan JD, Ahmed Mohammed H, Harmsen WS, Enders F, Gores GJ, Roberts LR. Recent trends in the epidemiology of hepatocellular carcinoma in Olmsted County, Minnesota: a US population-based study. J Clin Gastroenterol 2017; 51: 742–748.
- 23 Yang JD, Mannalithara A, Piscitello AJ, et al. Impact of surveillance for hepatocellular carcinoma on survival in patients with compensated cirrhosis. Hepatology 2017 [Epub ahead of print].
- 24 Hendriksen JM, Geersing GJ, Lucassen WA, et al. Diagnostic prediction models for suspected pulmonary embolism: systematic review and independent external validation in primary care. Br Med J 2015; 351: h4438.
- 25 Levin D, Seo JB, Kiely DG, et al. Triage for suspected acute pulmonary embolism: think before opening Pandora's Box. Eur J Radiol 2015; 84: 1202–1211.
- 26 Nagle SK, Schiebler ML, Repplinger MD, et al. Contrast enhanced pulmonary magnetic resonance angiography for pulmonary embolism: building a successful program. Eur J Radiol 2016; 85: 563–563.
- 27 Lim KB, Eng AK, Chang SM, Tan AG, Thoo FL, Low CO. Limited magnetic resonance imaging (MRI) and the occult hip fracture. Ann Acad Med Singapore 2002; 31: 607–610.
- 28 Kelson T, Davidson R, Baker T. Early MRI versus conventional management in the detection of occult scaphoid fractures: what does it really cost? A rural pilot study. J Med Radiat Sci 2016; 63: 9–16.
- 29 Gold GE, Busse RF, Beehler C, et al. Isotropic MRI of the knee with 3D fast spin-echo extended echo-train acquisition (XETA): initial experience. Am J Roentgenol 2007; 188: 1287–1293.
- 30 Kijowski R, Davis KW, Woods MA, Lindstrom MJ, De Smet AA, Gold GE, Busse RF. Knee joint: comprehensive assessment with 3D isotropic resolution fast spin-echo MR imaging—diagnostic performance compared with that of conventional MR imaging at 3.0 T. Radiology 2009; 252: 486–495.
- 31 Chaudhari AS, Black MS, Eijgenraam S, et al. Five-minute knee MRI for simultaneous morphometry and T2 relaxometry of cartilage and meniscus and for semiquantitative radiological assessment using double-echo in steady-state at 3T. J Magn Reson Imaging 2017 [Epub ahead of print].
- 32 Siddiqui MM, Rais-Bahrami S, Turkbey B, et al. Comparison of MR/ultrasound fusion-guided biopsy with ultrasound-guided biopsy for the diagnosis of prostate cancer. JAMA 2015; 313: 390–397.
- 33 Tempany CM, Zhou X, Zerhouni EA, et al. Staging of prostate cancer: results of Radiology Diagnostic Oncology Group project comparison of three MR imaging techniques. Radiology 1994; 192: 47–54.
- 34 Faria R, Soares MO, Spackman E, et al. Optimising the diagnosis of prostate cancer in the era of multiparametric magnetic resonance imaging: a cost-effectiveness analysis based on the Prostate MR Imaging Study (PROMIS). Eur Urol 2018; 73: 23–30.
- 35 Jambor I, Boström PJ, Taimen P, et al. Novel biparametric MRI and targeted biopsy improves risk stratification in men with a clinical suspicion of prostate cancer (IMPROD Trial). J Magn Reson Imaging 2017; 46: 1089–1095.
- 36 O'Neill BR, Pruthi S, Bains H, et al. Rapid sequence magnetic resonance imaging in the assessment of children with hydrocephalus. World Neurosurg 2013; 80: e307–e312.
- 37 Iskandar BJ, Sansone JM, Medow J, Rowley HA. The use of quick-brain magnetic resonance imaging in the evaluation of shunt-treated hydrocephalus. J Neurosurg 2004; 101(2 Suppl): 147–151.
- 38 Rozovsky K, Ventureyra EC, Miller E. Fast-brain MRI in children is quick, without sedation, and radiation-free, but beware of limitations. J Clin Neurosci 2013; 20: 400–405.
- 39 Ashley WW Jr, McKinstry RC, Leonard JR, Smyth MD, Lee BC, Park TS. Use of rapid-sequence magnetic resonance imaging for evaluation of hydrocephalus in children. J Neurosurg 2005; 103(2 Suppl): 124–130.
- 40 Niederhauser BD, McDonald RJ, Eckel LJ, et al. Retrospective review of rapid pediatric brain MR imaging at an academic institution including practice trends and factors affecting scan times. Am J Neuroradiol 2013; 34: 1836–1840.
- 41 Sunshine JL, Tarr RW, Lanzieri CF, Landis DM, Selman WR, Lewin JS. Hyperacute stroke: ultrafast MR imaging to triage patients prior to therapy. Radiology 1999; 212: 325–332.
- 42 Willinek WA, Gieseke J, von Falkenhausen M, Neuen B, Schild HH, Kuhl CK. Sensitivity encoding for fast MR imaging of the brain in patients with stroke. Radiology 2003; 228: 669–675.
- 43 U-King-Im JM, Trivedi RA, Graves MJ, et al. Utility of an ultrafast magnetic resonance imaging protocol in recent and semi-recent strokes. J Neurol Neurosurg Psychiatry 2005; 76: 1002–1005.
- 44 Bai Q, Zhao Z, Li Y, et al. The application of fast multiparametric protocol MRI-based thrombolysis with rt-PA hyperacute cerebral infarction. Neurol Res 2008; 30: 344–347.
- 45 Nael K, Khan R, Choudhary G, et al. Six-minute magnetic resonance imaging protocol for evaluation of acute ischemic stroke: pushing the boundaries. Stroke 2014; 45: 1985–1991.
- 46 Nogueira RG, Jadhav AP, Haussen DC et al. Thrombectomy 6 to 24 Hours after Stroke with a Mismatch between Deficit and Infarct. N Engl J Med 2018; 378: 11–21.
- 47 Grade M, Hernandez Tamames JA, Pizzini FB, Achten E, Golay X, Smits M. A neuroradiologist's guide to arterial spin labeling MRI in clinical practice. Neuroradiology 2015; 57: 1181–1202.
- 48 Haller S, Zaharchuk G, Thomas DL, Lovblad KO, Barkhof F, Golay X. Arterial spin labeling perfusion of the brain: emerging clinical applications. Radiology 2016; 281: 337–356.
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