Examination of leg pain, nuclear magnetic or radiation?The more expensive the better?Doctor teach you how to choose
Author:Rehabilitation therapy Time:2022.07.30
"The doctor, my leg pain, should I make a radiation? Or is it clearer to choose the nuclear magnetic?"
In clinical clinic, such problems often encounter, especially middle -aged and elderly people. Most of them have leg pain. I always want to figure out what the cause of their leg pain is, so I hope the doctor gives an accurate answer.
Of course, the doctor is not a fairy. It is impossible to look at it, and you know how the situation in the leg is. Therefore, when many doctors see a doctor, in addition to simple physical examinations and consultations, they will also choose to perform imaging examinations.
However, each patient's examination is not the same. Some patients need to make radiation, and some patients still need to do nuclear magnetic resonance. How can this be selected?
Many patients are confused about this problem. Today, let's take a look at how the orthopedic examination is chosen.
In fact, when choosing a check, the main thing depends on what you want to do.
1. Determine the fracture.
If there is a clear history of trauma, such as: falling or being hit by a car, considering the possible fracture, the first choice of inspection is a clearer:
radiation.
Through a simple radiation examination, most fracture problems can be screened, and it will clearly see whether a fracture has occurred.
Pupapong's radiation examination may only cost dozens of dollars. Take a look at the system of our hospital. A radiation examination only costs 55 yuan. I wonder how much money is there?
Radiation examinations are very simple and convenient, and results can be given in a short time.
2. Fracture requires surgery.
If a fracture is found and even when you need to consider surgery, you need to choose a more detailed and further inspection, you should choose the CT 3D reconstruction.
The images made are very accurate and clear. You can see the direction of fracture fragments, which is very helpful for the surgical path and choice.
The price will be slightly more expensive than ordinary radiation, but the image obtained is particularly reliable, especially the pelvis and ribs, which can see the fracture more clearly.
3. Review after fracture.
Some patients may need surgery after fracture, and some patients have not reached surgical indications after the fracture. It is enough to only be conservative treatment. No matter what kind of fracture treatment, it needs to be reviewed after a period of time.
When reviewing, it is best to choose radiation. Not only can you observe the healing of the fracture, but you can also see how the fracture end is growing, and whether there is a poid generating.
At this time, if you still choose a CT, it is obviously unnecessary. A little waste of medical resources.
4. Jelly aging.
If you are an older patient, you have always had leg pain. When you go to the hospital for examination, the doctor's preferred imaging examination must be radiation.
For some degenerative lesions, radiation can be screened. Of course, in addition to joints, the degeneration of cervical and lumbar spine can also choose radiation.
Although, if you want to look at the soft organization of the joints, you will choose the nuclear magnetic resonance check, but more joint degeneration can be diagnosed with radiation. There is no need to waste money.
5. Moonboard and soft tissue damage.
It is also the knee joint. Why do some patients need MRI to check? In fact, this inspection method can better see the soft tissue situation, and you can also see the state of the half -moon board and ligament more clearly.
For example: When the half -moon board is damaged, the application of MRI inspections can clearly see the situation of the half -moon board. Similarly, whether it is a shoulder joint or an elbow joint, if you want to know the state inside the joint, it is necessary to choose MRI.
Especially when the lumbar spine disease, when judging whether the spinal cord is compressed, the advantages of the MRI examination are completely reflected -whether it is the interior disk compression or the surrounding ligament compression, the nuclear magnetic resonance can be distinguished, so that the diagnosis is more relied on Some spectrum.
However, the nuclear magnetic resonance examination will be slightly more expensive, or even about 500 yuan, and if you want to see the internal situation inside the knee joint, you can choose the 3.0T knee nuclear magnetic resonance check. Although it is clear, the price will be more expensive. There are still many people doing this examination. It takes about 30 minutes for each check. It takes a long time to line up. I don't know if your local hospital is so troublesome.
6. Skeletal tumor.
This problem is actually the most rare. Although the bones look strong, there will not be no tumors. In particular, patients with lung cancer and prostate cancer are prone to painful manifestations. This may be that tumor cells reach the bones with the blood and bone metastasis occurs.
In order to determine the bone transfer situation, you can choose CT or MRI. You can see bone tumors, and the more expensive PET CT. The things you see are clearer and you can look at the whole body tumor condition.
Summarize.
Is MRI be better than radiation? No!
Each inspection item has its own characteristics, each advantage, depending on where the disease is.
Through the simple physical examination and consultation of doctors, they generally give a direction in their hearts. Patients will be recommended to do some examinations to determine whether their guess is accurate.
It is recommended that you listen to the doctor's advice when you see a doctor. The more expensive, the better. Sometimes a small radiation examination can be diagnosed with serious problems.
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