Magnetic resonance imaging request pattern in a poor resource environment as a prerequisite for future planning

Abstract

Introduction: Magnetic Resonance Imaging (MRI) is a non invasive imaging technique used for diagnosis of pathology in parts of the body, it is particularly useful in demonstrating soft tissue such as brain, spinal cord, nerve root, intervertebral disc, muscles etc. contrast can be used to enhance the MRI image. The aim of this study is to know the indications and pattern of MRI request in this environment. Methods: A two year retrospective study was carried out in a private diagnostic centre in the North – Central Nigeria from September 2014 – August 2016. A record of biodata, body regions and indications requested were analyzed with SPSS version 17. Results: total of 837 MRI were requested during the study period, there was a male preponderance with male to female ratio of 1.6: 1, the commonest age group was those greater than 60 years. MRI request was found to be highest in the spine region of the body, the commonest indication for MRI request was low back pain from disc prolapsed, this made MRI of the lumbar spine the most frequently requested MRI in the body. Conclusion: Soft tissue pathologies of the spine, brain, muscles and nerves are clearly demonstrated by MRI, this make it an indispensable equipment which should be available in all tertiary health centres in the country for early detection and treatment of different pathologies. There is also need for inclusion of MRI charges in national health insurance scheme because of the frequent indications for the procedure.

Keywords

• diagnostic
• muscles
• pathology