{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,10,3]],"date-time":"2023-10-03T06:40:33Z","timestamp":1696315233594},"reference-count":8,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2015,3,6]],"date-time":"2015-03-06T00:00:00Z","timestamp":1425600000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Med Imag Rad Onc"],"published-print":{"date-parts":[[2015,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>The <jats:styled-content style=\"fixed-case\">A<\/jats:styled-content>ustralian <jats:styled-content style=\"fixed-case\">H<\/jats:styled-content>ealth <jats:styled-content style=\"fixed-case\">D<\/jats:styled-content>epartment provided extended rebatable requesting rights to general practitioners in 2012 for magnetic resonance imaging (<jats:styled-content style=\"fixed-case\">MRI<\/jats:styled-content>) examinations in patients less than 16 years of age for a small set of clinically appropriate indications. Included item numbers 63522 and 63523 \u2018referral by a medical practitioner (excluding a specialist and consultant physician) for a scan of wrist following radiographic examination where scaphoid fracture is suspected\u2018. The aim of this study is to evaluate <jats:styled-content style=\"fixed-case\">MRI<\/jats:styled-content> examinations of suspected scaphoid fractures in the paediatric population following the Medicare item number introduction.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Review of 60 consecutive <jats:styled-content style=\"fixed-case\">MR<\/jats:styled-content> wrist examinations requested by general practitioners and performed between 30 November 2012 and 16 July 2014 for a rebatable magnet in a private clinical setting. The indication for all studies was to exclude a clinically suspected fractured scaphoid following a normal radiograph. All patients were less than 16 years of age at time of examination.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Sixty examinations were performed; 51 revealed pathology (85% of cases) with nine normal examinations (15%). Twenty\u2010nine studies revealed one of more fractures involving the carpals, metacarpals or distal radius. In total, 41 fractures were identified on <jats:styled-content style=\"fixed-case\">MRI<\/jats:styled-content> examination with 29 carpal bone fractures, six distal radius fractures and six metacarpal fractures.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The results highlight the sensitivity of <jats:styled-content style=\"fixed-case\">MR<\/jats:styled-content> wrist examination and its diagnostic benefit in clinically suspected paediatric scaphoid fractures. In addition, it reflects the prudent referral nature of general practitioners.<\/jats:p><\/jats:sec>","DOI":"10.1111\/1754-9485.12292","type":"journal-article","created":{"date-parts":[[2015,3,6]],"date-time":"2015-03-06T13:26:12Z","timestamp":1425648372000},"page":"289-291","update-policy":"http:\/\/dx.doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Review of <scp>MRI<\/scp> wrist examination since introduction of <scp>M<\/scp>edicare item number"],"prefix":"10.1111","volume":"59","author":[{"given":"Brendan J.","family":"Jones","sequence":"first","affiliation":[{"name":"Department of Medical Imaging Royal Brisbane and Women's Hospital  Brisbane Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mark","family":"Sinnamon","sequence":"additional","affiliation":[{"name":"Sunshine Coast Radiology  Maroochydore Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2015,3,6]]},"reference":[{"key":"e_1_2_7_2_1","first-page":"19","article-title":"Magnetic resonance imaging in the acute management of suspected scaphoid fractures: a review of the literature and assessment of treatment algorithm","volume":"1","author":"Ganeshalingam R","year":"2013","journal-title":"Medicine"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s002470000305"},{"key":"e_1_2_7_4_1","doi-asserted-by":"crossref","unstructured":"BrydieA RabyNEarly MRI in the management of clinical scaphoid fracture.2003.","DOI":"10.1259\/bjr\/19790905"},{"key":"e_1_2_7_5_1","unstructured":"Aging DoHa.Improving access to Magnetic Resonance Imaging (MRI) services 2012.http:\/\/www.health.gov.au\/internet\/main\/publishing.nsf\/Content\/di\u2010factsheet\u2010mri`. 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