Valg av modalitet ved karundersøkelser: CTA vs. MRA
Valg av modalitet ved karundersøkelser: CTA vs. MRA
DOI:
https://doi.org/10.7577/radopen.4605Emneord (Nøkkelord):
MRA, CTA, Modality choice,, Angiographic imagingSammendrag
Keywords: MRA, CTA, Modality choice, Angiographic imaging, Mixed method
Sammendrag
Hensikt
Hensikten med denne studien var å undersøke hva som legges til grunn for radiologens valg av modalitet ved karundersøkelser. Dette med hensyn til at radiografen, med ansvar for berettigelse og selvstendig utførelse på CTA og MRA, bør kjenne til begrunnelsen for valgt modalitet.
Metode
Denne mixed method-studien bestod av en spørreundersøkelse med et nasjonalt perspektiv og et litteratursøk med et globalt perspektiv. Spørreundersøkelsen ble sendt til radiologer på offentlige sykehus i Norge. Litteratursøk ble gjennomført i databasene PubMed, Web of Science og Scopus, med søkeordene “MRA and CTA”, “MRA vs CTA” og “MRA and CTA and decision”.
Resultat
38 respondenter deltok i undersøkelsen, og 21 studier ble inkludert fra litteratursøket. I resultatet kom det frem flere viktige faktorer som påvirker valg av modalitet, blant annet tilgjengelighet, pasientens situasjon, bildekvalitet og diagnostisk verdi. Noen viktig funn er at modalitetsvalg avhenger av patologi og dens lokalisasjon, samt at det i stor grad tas hensyn til ønske fra den som henviser.
Konklusjon
Valg av modalitet er hovedsakelig basert på klinisk problemstilling og pasientrelaterte faktorer. Faktorer knyttet til selve modaliteten som strålingsbelastning, undersøkelseshastighet, tilgjengelighet, er også tatt i betraktning, men foretrukken modalitet vil endres i takt med teknologiutvikling. Det kan sess et behov for retningslinjer for å øke radiografens kompetanse.
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