- Kırıkkale Üniversitesi Tıp Fakültesi Dergisi
- Vol: 25 Issue: 1
- COMPARISON OF DIRECT AND INDIRECT COSTS OF MAGNETIC RESONANCE AND COMPUTED TOMOGRAPHY IN THE EVALUAT...
COMPARISON OF DIRECT AND INDIRECT COSTS OF MAGNETIC RESONANCE AND COMPUTED TOMOGRAPHY IN THE EVALUATION OF INCIDENTAL ADRENAL MASSES
Authors : Mutlu Güneş
Pages : 115-121
Doi:10.24938/kutfd.1216853
View : 7 | Download : 3
Publication Date : 2023-04-30
Article Type : Research
Abstract :Objective: It was planned to compare the direct and indirect costs of computed tomography (CT) and magnetic resonance (MR) methods in the differentiation of adrenal adenoma and non adenoma. Material and Methods: CT, MR, pathology, laboratory and other information of the patients were obtained from the patient files. Radiological examination and unilateral laparoscopic adrenalectomy cost information was obtained from the accounting department. For cost calculation; the scenario was used in which 500 patients were referred equally to CT and MR, individuals diagnosed with non-adenoma were referred to the operation after the first control, individuals diagnosed with adenoma were followed, and standard follow-up was done every 6 months for 4 years. Results: A total of 31 patients (8 males and 23 females) were eligible for the study. The mean age of the patients was 48.1+17.7 years. In the CT group, an excess cost of 609,0 ₺ per person for 1 year and 2435,9 ₺ per person for 4 years was incurred. In the diagnosis of adenoma and non-adenoma, CT was inaccurate in 24.4% of patients, whereas MR was inaccurate in 5.2%. When used for the diagnosis of pheochromocytoma, it was found that in the CT group, 609,0 ₺ per person for 1 year and 2435,9 ₺ per person for 4 years resulted in an excess cost, whereas CT was erroneous in 17.6% of patients and MR in 15.8% of patients. In the diagnosis of malignancy, in the CT group, an excess cost of 522,2 ₺ per person for 1 year and 2088,7 ₺ per person for 4 years was incurred. It was determined that correct decision could not be made in 33.2% of the patients in the CT group and in 5.8% of the patients in the MR group. Conclusion: The use of contrast-enhanced MR in patients of adrenal masses reduces unnecessary interventions and the resulting expenditures.Keywords : Adrenal adenom, bilgisayarlı tomografi, manyetik rezonan