Review of MRI wrist examination since introduction of Medicare item number

Journal of Medical Imaging and Radiation Oncology
Brendan J Jones, Mark Sinnamon

Abstract

The Australian Health Department provided extended rebatable requesting rights to general practitioners in 2012 for magnetic resonance imaging (MRI) examinations in patients less than 16 years of age for a small set of clinically appropriate indications. Included item numbers 63522 and 63523 'referral by a medical practitioner (excluding a specialist and consultant physician) for a scan of wrist following radiographic examination where scaphoid fracture is suspected'. The aim of this study is to evaluate MRI examinations of suspected scaphoid fractures in the paediatric population following the Medicare item number introduction. Review of 60 consecutive MR wrist examinations requested by general practitioners and performed between 30 November 2012 and 16 July 2014 for a rebatable magnet in a private clinical setting. The indication for all studies was to exclude a clinically suspected fractured scaphoid following a normal radiograph. All patients were less than 16 years of age at time of examination. Sixty examinations were performed; 51 revealed pathology (85% of cases) with nine normal examinations (15%). Twenty-nine studies revealed one of more fractures involving the carpals, metacarpals or distal radius. In total, 41 fract...Continue Reading

References

Nov 15, 2000·Pediatric Radiology·K J JohnsonK E Symonds
May 24, 2003·The British Journal of Radiology·A Brydie, N Raby
Mar 2, 2005·Clinical Orthopaedics and Related Research·Nicholas Goddard

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