Magnetic Resonance Imaging of the Brain and Spine

Letters1 December 1994Magnetic Resonance Imaging of the Brain and SpineDaniel L. Kent, W. T. Longstreth, and David R. HaynorDaniel L. KentSearch for more papers by this author, W. T. LongstrethSearch for more papers by this author, and David R. HaynorSearch for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-121-11-199412010-00019 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail IN RESPONSE:Our comprehensive review [1] made two points. First, suggestions could be made about the selection of imaging tests (see Table 1 of accompanying position paper [2]). Second, the quality of published evidence limited our ability to make stronger recommendations. As a result, users of MRI are vulnerable to both underuse and overuse of a potentially excellent technology. None of those questioning our article actually challenge the College's clinical suggestions, and Dr. Baum's comments support the suggestions given for stroke.The concerns expressed by the authors of the letters may reflect their particular practice backgrounds. Dr. Lossing cites individual ...References1. Kent DL, Haynor DA, Longstreth WL Jr, Larson EB. The clinical efficacy of magnetic resonance imaging in neuroimaging. Ann Intern Med. 1994; 120:856-71. Google Scholar2. American College of Physicians. Magnetic resonance imaging of the brain and spine: a revised statement. Ann Intern Med. 1994; 120:872-5. Google Scholar3. Jensen JC, Brant-Zawadski MN, Obuchowski N, Modic MT, Malkasian D, Ross JS. Magnetic resonance imaging of the lumbar spine in people without back pain. N Engl J Med. 1994; 331:69-73. Google Scholar4. Lindgren A, Roijer A, Rudling O, Norrving B, Larsson EM, Eskilsson J, et al. Cerebral lesions on magnetic resonance imaging, heart disease, and vascular risk factors in subjects without stroke: a population based study. Stroke. 1994; 25:929-34. Google Scholar5. Cowley LT, Isaacs HL, Young SW, Raffin TA. Magnetic resonance imaging marketing and investment: tensions between the forces of business and the practice of medicine. Chest. 1994; 105:920-8. Google Scholar Author, Article, and Disclosure InformationAffiliations: PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics 1 December 1994Volume 121, Issue 11Page: 896-898 ePublished: 15 August 2000 Issue Published: 1 December 1994 Copyright & PermissionsCopyright © 1994 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...