Cost Effectiveness Principles in MRI: Optimizing MRI from the Cost Effectiveness Perspective
Stella Kang1

1NYU, New York, New York, United States

Synopsis

This educational presentation will describe the importance of studying MRI cost effectiveness as it relates to population-level health outcomes, patient-centered care, and costs to the healthcare system. Examples of work in MRI, spanning innovation and common clinical practice, will serve to illustrate applications of cost effectiveness analysis. Cost effectiveness analysis, a standardized means of comparing medical interventions and tests, quantifies the clinical effectiveness relative to cumulative costs. Furthermore, research goals can be prioritized based on targets for maximized value.

TARGET AUDIENCE:

Clinical radiologists, MRI researchers, trainees

OUTCOME/OBJECTIVES:

Understand cost effectiveness as a set of measures for evaluating the value of MRI and MRI innovation.

PURPOSE:

1) To describe the importance of studying MRI cost effectiveness as it relates to population-level health outcomes, patient-centered care, and costs to the healthcare system; 2) To illustrate applications of cost effectiveness in MRI research.

DESCRIPTION:

As we implement and disseminate MRI innovations in clinical care, cost effectiveness analysis can provide useful feedback on population-level impact and further research needs. With growing emphasis on health care value and effectiveness by policymakers and payers, diagnostic imaging use is subject to scrutiny. Yet, even widespread MRI applications often lack assessment of population-level benefits and harms. For cost effectiveness, the benefits and harms of testing include the cumulative costs and clinical consequences of each strategy for diagnostic evaluation.

The value, or the health outcomes relative to the cost, requires comparative effectiveness and outcomes research for solid estimates of these benefits and harms. These cost effectiveness measures are a standardized means of comparing various health interventions and tests for their value to a society. Artificial intelligence innovations for improved efficiency, better resilience to breath-holding issues, and more in-depth diagnostic capability are just a few examples of innovations that can bring quantifiable value. Whether to justify increased cost for better treatment outcomes or to quantify the benefits of MRI for a specific patient group, these research methods summarize the ability of a diagnostic test to improve patient care.

CONCLUSION:

Cost effectiveness analysis quantifies the clinical effectiveness relative to costs of MRI in clinical context. Further research goals can be prioritized based on targets for maximized value, as identified using methods of cost effectiveness analysis.

Acknowledgements

No acknowledgement found.

References

Otero HJ, Rybicki FJ, Greenberg D, Neumann PJ. Twenty years of cost-effectiveness analysis in medical imaging: are we improving? Radiology. 2008 Dec;249(3):917-925.

Kang SK. Measuring the value of MRI: Comparative effectiveness & outcomes research. J Magn Reson Imaging. 2019 Jan 10.

Kang SK, Hoffman D, Ferket B, Kim MI, Braithwaite RS. Risk-stratified versus Non-Risk-stratified Diagnostic Testing for Management of Suspected Acute Biliary Obstruction: Comparative Effectiveness, Costs, and the Role of MR Cholangiopancreatography. Radiology. 2017 Aug;284(2):468-481.

Oei EH, Nikken JJ, Ginai AZ, Krestin GP, Verhaar JA, van Vugt AB, Hunink MG. Costs and effectiveness of a brief MRI examination of patients with acute knee injury. Eur Radiol. 2009 Feb;19(2):409-418.

Proc. Intl. Soc. Mag. Reson. Med. 27 (2019)