Utilization trends for MR arthrography of the hip and shoulder: a retrospective cross-sectional analysis of 20-year data from a tertiary care academic medical center.

IF 1.9 3区 医学 Q2 ORTHOPEDICS
Skeletal Radiology Pub Date : 2026-01-01 Epub Date: 2024-06-03 DOI:10.1007/s00256-024-04717-0
Matthew A Hamilton-Cave, Ragheed Al-Dulaimi, Jennifer S McDonald, Michael D Ringler, Christin A Tiegs-Heiden
{"title":"Utilization trends for MR arthrography of the hip and shoulder: a retrospective cross-sectional analysis of 20-year data from a tertiary care academic medical center.","authors":"Matthew A Hamilton-Cave, Ragheed Al-Dulaimi, Jennifer S McDonald, Michael D Ringler, Christin A Tiegs-Heiden","doi":"10.1007/s00256-024-04717-0","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>The purpose of this study is to analyze changes in the utilization of MRA of the hip and shoulder at a large tertiary care academic medical center during a period of significant technological advancements over the last 20 years.</p><p><strong>Materials and methods: </strong>This retrospective cross-sectional analysis identified MRA of the hip and shoulder performed at our institution over a 20-year period (2/2003-2/2023) in relation to the total number of MR hip and shoulder examinations during the same period. Patient characteristics and referring provider demographic information were extracted. Descriptive statistics and trend analysis were performed.</p><p><strong>Results: </strong>The total number of MRIs of the hip and shoulder increased overall, with small dips in 2020 and 2022. MRA of the hip increased significantly over the first 10 years of the study period (p = 0.0005), while MRA of the shoulder did not change significantly (p = 0.33). The proportion of both MRA of the hip and shoulder declined over the last 10 years (hip, p = 0.0056; shoulder, p = 0.0017). Over the same period, there was significant increase in the proportion of examinations performed at 3 Tesla versus 1.5 (p < 0.0001).</p><p><strong>Conclusion: </strong>Overall, there was a downward trend in MR shoulder and hip arthrogram utilization in the second half of this 20-year study period. However, utilization varied somewhat by referring specialties and credentials. These changes are likely reflective of both improvements in image quality and evolving practice recommendations. Awareness of such trends may be valuable in ensuring appropriate patient care, as well as for anticipating the needs of a musculoskeletal radiology practice.</p>","PeriodicalId":21783,"journal":{"name":"Skeletal Radiology","volume":" ","pages":"97-103"},"PeriodicalIF":1.9000,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Skeletal Radiology","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1007/s00256-024-04717-0","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/6/3 0:00:00","PubModel":"Epub","JCR":"Q2","JCRName":"ORTHOPEDICS","Score":null,"Total":0}
引用次数: 0

Abstract

Objective: The purpose of this study is to analyze changes in the utilization of MRA of the hip and shoulder at a large tertiary care academic medical center during a period of significant technological advancements over the last 20 years.

Materials and methods: This retrospective cross-sectional analysis identified MRA of the hip and shoulder performed at our institution over a 20-year period (2/2003-2/2023) in relation to the total number of MR hip and shoulder examinations during the same period. Patient characteristics and referring provider demographic information were extracted. Descriptive statistics and trend analysis were performed.

Results: The total number of MRIs of the hip and shoulder increased overall, with small dips in 2020 and 2022. MRA of the hip increased significantly over the first 10 years of the study period (p = 0.0005), while MRA of the shoulder did not change significantly (p = 0.33). The proportion of both MRA of the hip and shoulder declined over the last 10 years (hip, p = 0.0056; shoulder, p = 0.0017). Over the same period, there was significant increase in the proportion of examinations performed at 3 Tesla versus 1.5 (p < 0.0001).

Conclusion: Overall, there was a downward trend in MR shoulder and hip arthrogram utilization in the second half of this 20-year study period. However, utilization varied somewhat by referring specialties and credentials. These changes are likely reflective of both improvements in image quality and evolving practice recommendations. Awareness of such trends may be valuable in ensuring appropriate patient care, as well as for anticipating the needs of a musculoskeletal radiology practice.

Abstract Image

髋关节和肩关节磁共振关节造影的使用趋势:对一家三级学术医疗中心20年数据的回顾性横断面分析。
研究目的本研究旨在分析一家大型三级医疗学术医学中心在过去 20 年技术显著进步期间髋关节和肩关节 MRA 使用情况的变化:这项回顾性横断面分析确定了我院在 20 年内(2003 年 2 月至 2023 年 2 月)进行的髋关节和肩关节 MRA 与同期 MR 髋关节和肩关节检查总数的关系。提取了患者特征和转诊医生的人口统计学信息。进行了描述性统计和趋势分析:结果:髋部和肩部的磁共振成像检查总数总体上有所增加,2020 年和 2022 年略有下降。在研究期间的前 10 年中,髋关节的 MRA 大幅增加(p = 0.0005),而肩关节的 MRA 变化不大(p = 0.33)。在过去 10 年中,髋部和肩部 MRA 的比例均有所下降(髋部,p = 0.0056;肩部,p = 0.0017)。同期,在 3 特斯拉与 1.5 特斯拉之间进行检查的比例显著增加(p < 0.0001):总的来说,在20年研究的后半期,磁共振肩关节和髋关节造影的使用率呈下降趋势。然而,使用率因转诊专科和资质不同而有所差异。这些变化可能反映了图像质量的提高和实践建议的发展。了解这些趋势对于确保适当的患者护理以及预测肌肉骨骼放射学实践的需求可能很有价值。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 求助全文
来源期刊
Skeletal Radiology
Skeletal Radiology 医学-核医学
CiteScore
4.40
自引率
9.50%
发文量
253
审稿时长
3-8 weeks
期刊介绍: Skeletal Radiology provides a forum for the dissemination of current knowledge and information dealing with disorders of the musculoskeletal system including the spine. While emphasizing the radiological aspects of the many varied skeletal abnormalities, the journal also adopts an interdisciplinary approach, reflecting the membership of the International Skeletal Society. Thus, the anatomical, pathological, physiological, clinical, metabolic and epidemiological aspects of the many entities affecting the skeleton receive appropriate consideration. This is the Journal of the International Skeletal Society and the Official Journal of the Society of Skeletal Radiology and the Australasian Musculoskelelal Imaging Group.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信