How is magnetic resonance imaging used in Iran?
OBJECTIVE
Analysis of and understanding the utilization patterns of diagnostic imaging technologies is important for planning health systems especially in middle- and low-income countries. Almost all published studies have been focused on utilization trends or utilization rates of magnetic resonance imaging (MRI) over time and little has been published about utilization patterns of MRI. This study aims to identify and describe the utilization pattern of MRI in Iran.


METHODS
Data was collected from referrals and MRI reports of the population covered by one of the largest insurance organizations (Social Security Organization [SSO]) with more than 27 million beneficiaries in the Country. We focused on patients who had undergone an MRI examination during 1 month (October 13 to November 12), 2005. The data collected consisted of 1,656 referrals for MR imaging and 1,547 MRI reports.


RESULTS
No clear association was found between the number of referrals per 100,000 population and the number of MRI machines per 100,000 population (r = 0.30; p = .13). Neurosurgeons, orthopedists, and neurologists contributed to more than 88 percent of MRI utilization. The Spinal column (55 percent), brain (25.5 percent), and knee (11.0 percent) were the most common parts of the body scanned by MRI.


CONCLUSIONS
Having identified some of the most frequent users of MRI technology, any plan for modifying or improving MRI use should focus mainly on these specialties. International evidence on using the technology for examining brain and spine indicate that MRI is mainly used in diagnosing the central nervous system (CNS) diseases.
Palesh
Mohammad
M
Division of International Health, Karolinska Institutet, Nobels väg 9, Stockholm, Sweden. mohammad.palesh@ki.se
Fredrikson
Sten
S
Jamshidi
Hamidreza
H
Tomson
Goran
G
Petzold
Max
M
D006285:Health Planning / Q000458:organization & administration; D006291:Health Policy; D006801:Humans; D007345:Insurance Claim Review; D007492:Iran; D008279:Magnetic Resonance Imaging / Q000706:statistics & numerical data*; D008511:Medicine / Q000458:organization & administration; D012017:Referral and Consultation; D013038:Specialization