{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T13:31:25Z","timestamp":1777469485702,"version":"3.51.4"},"reference-count":16,"publisher":"SAGE Publications","issue":"1P1","license":[{"start":{"date-parts":[[1996,1,1]],"date-time":"1996-01-01T00:00:00Z","timestamp":820454400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Acta Radiol"],"published-print":{"date-parts":[[1996,1]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose:<\/jats:title>\n                    <jats:p>To evaluate the effects on cost, and number of primary and supplementary neuroradiologic examinations, after introducing MR imaging as the primary modality in the evaluation of the lumbar spine.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Material and Methods:<\/jats:title>\n                    <jats:p>Two 5-month periods were compared: period 1 \u2014 before MR; and period 2 \u2014 after introduction of a 2nd MR device. In period 1, patients were examined with myelography and\/or CT after referral from specialists only, whereas in period 2 both specialists and general practitioners could refer patients for MR imaging. The direct cost (neuroradiologic methods and hospitalization) and indirect cost (sick-leave and estimated loss of production caused by the diagnostic procedure) were estimated.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results and Conclusion:<\/jats:title>\n                    <jats:p>In period 1, investigations were started in 75 patients (62 myelographies and 13 CT examinations); in period 2, in 227 patients (198 MR, 21 CT, and 8 myelographies). The estimated total cost increased from SEK 825 000 to 1 265 000 (53%), the cost per investigated patient decreasing from 11 000 to 5565 (50%), and the cost of preoperative investigation per operated patient decreasing from 8616 to 5563 (35%). The number of supplementary examinations was unchanged.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/02841851960371p178","type":"journal-article","created":{"date-parts":[[2015,6,11]],"date-time":"2015-06-11T06:26:50Z","timestamp":1434004010000},"page":"373-380","source":"Crossref","is-referenced-by-count":6,"title":["MR Imaging as the Primary Modality for Neuroradiologic Evaluation of the Lumbar Spine"],"prefix":"10.1177","volume":"37","author":[{"given":"M.","family":"Annertz","sequence":"first","affiliation":[{"name":"Department of Diagnostic Radiology, University Hospital, Lund, Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"H.","family":"Wingstrand","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, University Hospital, Lund, Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"B.","family":"Str\u00f6mqvist","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, University Hospital, Lund, Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S.","family":"Holt\u00e5s","sequence":"additional","affiliation":[{"name":"Department of Diagnostic Radiology, University Hospital, Lund, Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[1996,1,1]]},"reference":[{"key":"bibr1-02841851960371P178","doi-asserted-by":"publisher","DOI":"10.3109\/17453679309160120"},{"key":"bibr2-02841851960371P178","doi-asserted-by":"publisher","DOI":"10.1007\/BF00588562"},{"key":"bibr3-02841851960371P178","unstructured":"Borgquist L.: Personal communication (1994)."},{"key":"bibr4-02841851960371P178","doi-asserted-by":"publisher","DOI":"10.1002\/art.1780370104"},{"key":"bibr5-02841851960371P178","doi-asserted-by":"publisher","DOI":"10.1148\/radiology.166.2.3275973"},{"key":"bibr6-02841851960371P178","doi-asserted-by":"publisher","DOI":"10.1097\/00007632-198809000-00002"},{"key":"bibr7-02841851960371P178","doi-asserted-by":"publisher","DOI":"10.1097\/00007632-199411000-00001"},{"key":"bibr8-02841851960371P178","first-page":"232","volume":"1","author":"J\u00f6nsson B.","year":"1988","journal-title":"J. Spinal Disord."},{"key":"bibr9-02841851960371P178","unstructured":"Nachemson A. (editor): Back pain; causes, diagnostics and treatment, p. 1. (In Swedish.) Statens Beredning f\u00f6r Utv\u00e4rdering av Medicinsk Metodik, The Swedish Council of Technology Assessment in Health Care. Stockholm 1991."},{"key":"bibr10-02841851960371P178","unstructured":"Nachemson A. (editor): Back pain; causes, diagnostics and treatment, p. 8. (In Swedish.) Statens Beredning f\u00f6r Utv\u00e4rdering av Medicinsk Metodik, The Swedish Council of Technology Assessment in Health Care. Stockholm 1991."},{"key":"bibr11-02841851960371P178","unstructured":"Nachemson A. (editor): Back pain; causes, diagnostics and treatment, pp. 132\u201343. Statens Bredning f\u00f6r Utv\u00e4rdering av Medicinsk Metodik, Swedish Council of Technology Assessment in Health Care. Stockholm 1991."},{"key":"bibr12-02841851960371P178","doi-asserted-by":"publisher","DOI":"10.3109\/17453679309160143"},{"key":"bibr13-02841851960371P178","doi-asserted-by":"publisher","DOI":"10.1148\/radiology.190.1.8259407"},{"key":"bibr14-02841851960371P178","doi-asserted-by":"publisher","DOI":"10.1148\/radiology.186.3.8267688"},{"key":"bibr15-02841851960371P178","doi-asserted-by":"publisher","DOI":"10.1148\/radiology.190.1.25"},{"key":"bibr16-02841851960371P178","doi-asserted-by":"publisher","DOI":"10.1001\/jama.1992.03490070089049"}],"container-title":["Acta Radiologica"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/02841851960371P178","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/02841851960371P178","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T13:36:39Z","timestamp":1777383399000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/02841851960371P178"}},"subtitle":["Effects on Cost and Number of Examinations"],"short-title":[],"issued":{"date-parts":[[1996,1]]},"references-count":16,"journal-issue":{"issue":"1P1","published-print":{"date-parts":[[1996,1]]}},"alternative-id":["10.1177\/02841851960371P178"],"URL":"https:\/\/doi.org\/10.1177\/02841851960371p178","relation":{},"ISSN":["0284-1851","1600-0455"],"issn-type":[{"value":"0284-1851","type":"print"},{"value":"1600-0455","type":"electronic"}],"subject":[],"published":{"date-parts":[[1996,1]]}}}