No Benefit for MRI After Normal Cervical CT in Blunt Trauma

Share this content:
No Benefit for MRI After Normal Cervical CT in Blunt Trauma
No Benefit for MRI After Normal Cervical CT in Blunt Trauma

FRIDAY, March 16, 2018 (HealthDay News) -- For patients with obtunded blunt trauma to the cervical spine, magnetic resonance imaging (MRI) follow-up appears not to be beneficial after normal cervical computed tomography (CT) findings, according to a study published online March 14 in JAMA Surgery.

Xiao Wu, from the Yale School of Medicine in New Haven, Conn., and colleagues conducted a cost-effectiveness analysis to assess an average patient (aged 40 years) with blunt trauma. The utility and cost-effectiveness of MRI versus no follow-up after normal cervical CT findings were assessed.

The researchers found that the cost of MRI follow-up was $14,185 with a health benefit of 24.02 quality-adjusted life-years (QALYs) in the base case of a 40-year-old patient; the cost of no follow-up was $1,059 with a health benefit of 24.11 QALYs. No follow-up was shown to be the better strategy in all 10,000 iterations in probabilistic sensitivity analysis. When the negative predictive value of the initial CT was relatively high (>98 percent), or the risk of an injury treated with a cervical collar turning into a permanent neurologic deficit was higher than 25 percent, or when the risk of a missed injury turning into a neurologic deficit was less than 58 percent, no follow-up was the better strategy.

"Magnetic resonance imaging had a lower health benefit and a higher cost compared with no follow-up after a normal CT finding in patients with obtunded blunt trauma to the cervical spine, a finding that does not support the use of MRI in this group of patients," the authors write.

Abstract/Full Text (subscription or payment may be required)
Editorial (subscription or payment may be required)

Share this content:

is free, fast, and customized just for you!




Already a member?

Sign In Now »

Trending Activities

All Professions

Drug Lookup

Browse drugs by: BrandGenericDisease

More in Home

CDC: Progress in HIV Prevention Has Stalled in the United States

CDC: Progress in HIV Prevention Has Stalled in ...

Agency says effective HIV prevention, treatment not reaching those who could most benefit

AAAAI: Egg Oral Immunotherapy Shows Sustained Benefit in Children

AAAAI: Egg Oral Immunotherapy Shows Sustained Benefit in ...

All children with sustained unresponsiveness ingested concentrated and baked egg

Prenatal Vitamin Intake in Early Pregnancy May Cut Autism Risk

Prenatal Vitamin Intake in Early Pregnancy May Cut ...

ASD risk down for children whose mothers took prenatal vitamins during first month of pregnancy

is free, fast, and customized just for you!




Already a member?

Sign In Now »