Association between Ordering Provider Type and Overuse of Spine MRIs for Cord Compression in the Emergency Department

Karen Buch; Donghoon Shin; Marc D. Succi; Mercy Mazurek; William A. Mehan

doi:10.3174/ajnr.a8921

November 13, 2025American Journal of NeuroradiologyOpen Access

Association between Ordering Provider Type and Overuse of Spine MRIs for Cord Compression in the Emergency Department

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Key Points

To investigate the relationship between ordering provider type and the overuse of spine MRIs for cord compression in the Emergency Department.
Analysis of MRI orders from the Emergency Department over a 6-year period
Comparison of examinations ordered by physicians versus NPPs
Evaluation of outcomes based on positive findings from MRIs
281% increase in cord compression MRI examinations ordered over the 6 years
Higher odds of positive MRI findings for examinations ordered by physicians compared to NPPs

Implication

Analysis shows increased MRI overuse by providers in the Emergency Department, indicating varying diagnostic practices.

Abstract

A 281% increase was noted in the number of cord compression MRI examinations ordered from the ED during a 6-year period with significantly higher odds of examinations with positive findings ordered by physicians compared with NPPs.

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Cite This Study

Buch et al. (2025) studied this question.

synapsesocial.com/papers/692523bbc0ce034ddc3549e6 https://doi.org/10.3174/ajnr.a8921

View Full Paper

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Association between Ordering Provider Type and Overuse of Spine MRIs for Cord Compression in the Emergency Department

Key Points

Implication

Abstract

Discussion

Cite This Study

Association between Ordering Provider Type and Overuse of Spine MRIs for Cord Compression in the Emergency Department

Key Points

Implication

Abstract

Discussion

Cite This Study

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