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When is MRI appropriate?. B. McClarty Dept. of Radiology. MRI Utilization. Methods. 1.American College of Radiology Appropriateness Criteria 2.CAR Medicalis Pilots 3. BSCG project. ACR Appropriateness Criteria.

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when is mri appropriate

When is MRI appropriate?

B. McClarty

Dept. of Radiology

methods
Methods
  • 1.American College of Radiology Appropriateness Criteria
  • 2.CAR Medicalis Pilots
  • 3. BSCG project
acr appropriateness criteria
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.
acr con t
ACR con’t
  • 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
acr con t1
ACR con’t
  • 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, patient’s ability to tolerate long MRI examination time
medicalis projects
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
bgsg project
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