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脑磁共振成像:神经科医生、神经外科医生和精神科医生的认知与期望

Brain magnetic resonance imaging: perception and expectations of neurologists, neurosurgeons and psychiatrists.

作者信息

Branco Paulo, Ayres-Basto Margarida, Portugal Pedro, Ramos Isabel, Seixas Daniela

机构信息

Department of Imaging, Centro Hospitalar de Vila Nova de Gaia/Espinho; Vila Nova de Gaia, Portugal -

Department of Neuroradiology, Centro Hospitalar São João; Porto, Portugal.

出版信息

Neuroradiol J. 2014 Jun;27(3):261-7. doi: 10.15274/NRJ-2014-10051. Epub 2014 Jun 17.

Abstract

Magnetic resonance imaging (MRI) has rapidly become an essential diagnostic tool in modern medicine. Understanding the objectives, perception and expectations of the different medical specialties towards MRI is therefore important to improve the quality of the examinations. Our aim was to better comprehend the reasons and expectations of neurologists, neurosurgeons and psychiatrists when requesting brain MRI scans for their patients, and also to perceive the degree of confidence of these specialists in the images and respective reports. Sixty-three specialists were recruited from two tertiary hospitals and answered a tailored questionnaire. Neurosurgeons were more concerned with the images themselves; neurologists lacked confidence in both MRI images and reports, and one third of the psychiatrists only read the report and were the most confident of the specialties in MRI findings. These results possibly reflect the idiosyncrasies of each of these medical specialties. This knowledge, driven by efficient communication between neuroradiologists and neurosurgeons, neurologists and psychiatrists, may contribute to improve the quality of MRI examinations and consequently patient care and management of health resources.

摘要

磁共振成像(MRI)已迅速成为现代医学中必不可少的诊断工具。因此,了解不同医学专业对MRI的目标、认知和期望对于提高检查质量很重要。我们的目的是更好地理解神经科医生、神经外科医生和精神科医生为其患者要求进行脑部MRI扫描的原因和期望,同时了解这些专家对图像和相应报告的信任程度。我们从两家三级医院招募了63名专家,并让他们回答一份量身定制的问卷。神经外科医生更关注图像本身;神经科医生对MRI图像和报告都缺乏信心,三分之一的精神科医生只阅读报告,并且是各专业中对MRI检查结果最有信心的。这些结果可能反映了这些医学专业各自的特点。由神经放射科医生与神经外科医生、神经科医生和精神科医生之间的有效沟通所推动的这些知识,可能有助于提高MRI检查的质量,从而改善患者护理和卫生资源管理。

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本文引用的文献

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Twenty years of functional MRI: the science and the stories.二十年的功能性磁共振成像:科学与故事。
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