{"id":"https://openalex.org/W1997162059","doi":"https://doi.org/10.1007/s11999-012-2394-4","title":"Prereferral MRI Use in Patients with Musculoskeletal Tumors Is Not Excessive","display_name":"Prereferral MRI Use in Patients with Musculoskeletal Tumors Is Not Excessive","publication_year":2012,"publication_date":"2012-05-18","ids":{"openalex":"https://openalex.org/W1997162059","doi":"https://doi.org/10.1007/s11999-012-2394-4","mag":"1997162059","pmid":"https://pubmed.ncbi.nlm.nih.gov/22610528","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/3462841"},"language":"en","primary_location":{"id":"doi:10.1007/s11999-012-2394-4","doi":"https://doi.org/10.1007/s11999-012-2394-4","is_oa":false,"landing_page_url":"https://doi.org/10.1007/s11999-012-2394-4","pdf_url":null,"source":{"id":"https://openalex.org/S191421250","display_name":"Clinical Orthopaedics and Related Research","issn_l":"0009-921X","issn":["0009-921X","1528-1132"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-a","doyens","jufo-2","ki-jl-2","medline","norway-2","poland-140","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310315671","host_organization_name":"Lippincott Williams & Wilkins","host_organization_lineage":["https://openalex.org/P4310315671","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Lippincott Williams & Wilkins","Wolters Kluwer"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Clinical Orthopaedics & Related Research","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"green","oa_url":"http://europepmc.org/articles/PMC3462841","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5071183112","display_name":"Christopher T. Martin","orcid":"https://orcid.org/0000-0001-6505-4235","observed_orcids":["https://orcid.org/0000-0001-6505-4235"]},"institutions":[{"id":"https://openalex.org/I126307644","display_name":"University of Iowa","ror":"https://ror.org/036jqmy94","country_code":"US","type":"education","lineage":["https://openalex.org/I126307644"]},{"id":"https://openalex.org/I2802216851","display_name":"University of Iowa Hospitals and Clinics","ror":"https://ror.org/04g2swc55","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I126307644","https://openalex.org/I2802216851","https://openalex.org/I4210142782"]},{"id":"https://openalex.org/I4210142782","display_name":"University of Iowa Health Care","ror":"https://ror.org/0431j1t39","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I126307644","https://openalex.org/I4210142782"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Christopher T. Martin","raw_affiliation_strings":["Department of Orthopaedic Surgery, University of Iowa Hospitals and Clinics, 200 Hawkins Drive, 01008 JPP, Iowa City, IA 52242, USA. Christopher-T-Martin@uiowa.edu","Department of Orthopaedic Surgery, University of Iowa Hospitals and Clinics, 200 Hawkins Drive, 01008 JPP, 52242, Iowa City, IA, USA","e-mail"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Orthopaedic Surgery, University of Iowa Hospitals and Clinics, 200 Hawkins Drive, 01008 JPP, Iowa City, IA 52242, USA. Christopher-T-Martin@uiowa.edu","institution_ids":["https://openalex.org/I2802216851","https://openalex.org/I4210142782"]},{"raw_affiliation_string":"Department of Orthopaedic Surgery, University of Iowa Hospitals and Clinics, 200 Hawkins Drive, 01008 JPP, 52242, Iowa City, IA, USA","institution_ids":["https://openalex.org/I126307644","https://openalex.org/I2802216851"]},{"raw_affiliation_string":"e-mail","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5071271125","display_name":"Jose Antonio Morcuende","orcid":"https://orcid.org/0000-0002-0688-085X","observed_orcids":["https://orcid.org/0000-0002-0688-085X"]},"institutions":[{"id":"https://openalex.org/I126307644","display_name":"University of Iowa","ror":"https://ror.org/036jqmy94","country_code":"US","type":"education","lineage":["https://openalex.org/I126307644"]},{"id":"https://openalex.org/I2802216851","display_name":"University of Iowa Hospitals and Clinics","ror":"https://ror.org/04g2swc55","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I126307644","https://openalex.org/I2802216851","https://openalex.org/I4210142782"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Jose Morcuende","raw_affiliation_strings":["Department of Orthopaedic Surgery, University of Iowa Hospitals and Clinics, 200 Hawkins Drive, 01008 JPP, 52242, Iowa City, IA, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Orthopaedic Surgery, University of Iowa Hospitals and Clinics, 200 Hawkins Drive, 01008 JPP, 52242, Iowa City, IA, USA","institution_ids":["https://openalex.org/I126307644","https://openalex.org/I2802216851"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5064323409","display_name":"Joseph A. Buckwalter","orcid":"https://orcid.org/0000-0003-4308-7583","observed_orcids":["https://orcid.org/0000-0003-4308-7583"]},"institutions":[{"id":"https://openalex.org/I126307644","display_name":"University of Iowa","ror":"https://ror.org/036jqmy94","country_code":"US","type":"education","lineage":["https://openalex.org/I126307644"]},{"id":"https://openalex.org/I2802216851","display_name":"University of Iowa Hospitals and Clinics","ror":"https://ror.org/04g2swc55","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I126307644","https://openalex.org/I2802216851","https://openalex.org/I4210142782"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Joseph A. Buckwalter","raw_affiliation_strings":["Department of Orthopaedic Surgery, University of Iowa Hospitals and Clinics, 200 Hawkins Drive, 01008 JPP, 52242, Iowa City, IA, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Orthopaedic Surgery, University of Iowa Hospitals and Clinics, 200 Hawkins Drive, 01008 JPP, 52242, Iowa City, IA, USA","institution_ids":["https://openalex.org/I126307644","https://openalex.org/I2802216851"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5089115266","display_name":"Benjamin James Miller","orcid":"https://orcid.org/0000-0002-9319-1795","observed_orcids":["https://orcid.org/0000-0002-9319-1795"]},"institutions":[{"id":"https://openalex.org/I126307644","display_name":"University of Iowa","ror":"https://ror.org/036jqmy94","country_code":"US","type":"education","lineage":["https://openalex.org/I126307644"]},{"id":"https://openalex.org/I2802216851","display_name":"University of Iowa Hospitals and Clinics","ror":"https://ror.org/04g2swc55","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I126307644","https://openalex.org/I2802216851","https://openalex.org/I4210142782"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Benjamin J. Miller","raw_affiliation_strings":["Department of Orthopaedic Surgery, University of Iowa Hospitals and Clinics, 200 Hawkins Drive, 01008 JPP, 52242, Iowa City, IA, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Orthopaedic Surgery, University of Iowa Hospitals and Clinics, 200 Hawkins Drive, 01008 JPP, 52242, Iowa City, IA, USA","institution_ids":["https://openalex.org/I126307644","https://openalex.org/I2802216851"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":3,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":2.2715,"has_fulltext":false,"cited_by_count":11,"citation_normalized_percentile":{"value":0.88460023,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":89,"max":96},"biblio":{"volume":"470","issue":"11","first_page":"3240","last_page":"3245"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T13555","display_name":"Healthcare cost, quality, practices","score":0.9003999829292297,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T13555","display_name":"Healthcare cost, quality, practices","score":0.9003999829292297,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10253","display_name":"Sarcoma Diagnosis and Treatment","score":0.08169999718666077,"subfield":{"id":"https://openalex.org/subfields/2740","display_name":"Pulmonary and Respiratory Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10975","display_name":"Bone Tumor Diagnosis and Treatments","score":0.0017999999690800905,"subfield":{"id":"https://openalex.org/subfields/2745","display_name":"Rheumatology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/musculoskeletal-tumors","display_name":"musculoskeletal tumors","score":0.8479999899864197},{"id":"https://openalex.org/keywords/mri-utilization","display_name":"MRI utilization","score":0.4519999921321869},{"id":"https://openalex.org/keywords/low-value-imaging","display_name":"unnecessary imaging","score":0.6480000019073486},{"id":"https://openalex.org/keywords/musculoskeletal-oncology","display_name":"musculoskeletal oncology","score":0.7670000195503235},{"id":"https://openalex.org/keywords/bone-sarcoma","display_name":"bone sarcoma","score":0.7979999780654907},{"id":"https://openalex.org/keywords/soft-tissue-sarcoma","display_name":"soft tissue sarcoma","score":0.9990000128746033},{"id":"https://openalex.org/keywords/imaging-costs","display_name":"imaging costs","score":0.43799999356269836},{"id":"https://openalex.org/keywords/medicare-reimbursement","display_name":"Medicare reimbursement","score":0.5979999899864197},{"id":"https://openalex.org/keywords/repeat-mri","display_name":"repeat MRI","score":0.4090000092983246}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9655184149742126},{"id":"https://openalex.org/C136948725","wikidata":"https://www.wikidata.org/wiki/Q1458306","display_name":"Soft tissue","level":2,"score":0.7618836164474487},{"id":"https://openalex.org/C68312169","wikidata":"https://www.wikidata.org/wiki/Q216685","display_name":"Orthopedic surgery","level":2,"score":0.5648555159568787},{"id":"https://openalex.org/C143409427","wikidata":"https://www.wikidata.org/wiki/Q161238","display_name":"Magnetic resonance imaging","level":2,"score":0.555871307849884},{"id":"https://openalex.org/C2776135927","wikidata":"https://www.wikidata.org/wiki/Q5242559","display_name":"Referral","level":2,"score":0.5377085208892822},{"id":"https://openalex.org/C2779703844","wikidata":"https://www.wikidata.org/wiki/Q760125","display_name":"Reimbursement","level":3,"score":0.5099176168441772},{"id":"https://openalex.org/C126838900","wikidata":"https://www.wikidata.org/wiki/Q77604","display_name":"Radiology","level":1,"score":0.5019266605377197},{"id":"https://openalex.org/C2778256501","wikidata":"https://www.wikidata.org/wiki/Q223911","display_name":"Sarcoma","level":2,"score":0.496559202671051},{"id":"https://openalex.org/C2775934546","wikidata":"https://www.wikidata.org/wiki/Q179991","display_name":"Biopsy","level":2,"score":0.48653069138526917},{"id":"https://openalex.org/C2778629024","wikidata":"https://www.wikidata.org/wiki/Q720020","display_name":"Soft tissue sarcoma","level":3,"score":0.48004376888275146},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.2825086712837219},{"id":"https://openalex.org/C142724271","wikidata":"https://www.wikidata.org/wiki/Q7208","display_name":"Pathology","level":1,"score":0.14753985404968262},{"id":"https://openalex.org/C50522688","wikidata":"https://www.wikidata.org/wiki/Q189833","display_name":"Economic growth","level":1,"score":0.0},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.0},{"id":"https://openalex.org/C512399662","wikidata":"https://www.wikidata.org/wiki/Q3505712","display_name":"Family medicine","level":1,"score":0.0},{"id":"https://openalex.org/C162324750","wikidata":"https://www.wikidata.org/wiki/Q8134","display_name":"Economics","level":0,"score":0.0}],"mesh":[{"descriptor_ui":"D001859","descriptor_name":"Bone Neoplasms","qualifier_ui":"Q000175","qualifier_name":"diagnosis","is_major_topic":false},{"descriptor_ui":"D003365","descriptor_name":"Costs and Cost Analysis","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007484","descriptor_name":"Iowa","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008279","descriptor_name":"Magnetic Resonance Imaging","qualifier_ui":"Q000191","qualifier_name":"economics","is_major_topic":true},{"descriptor_ui":"D008279","descriptor_name":"Magnetic Resonance Imaging","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D009140","descriptor_name":"Musculoskeletal Diseases","qualifier_ui":"Q000175","qualifier_name":"diagnosis","is_major_topic":true},{"descriptor_ui":"D009140","descriptor_name":"Musculoskeletal Diseases","qualifier_ui":"Q000191","qualifier_name":"economics","is_major_topic":false},{"descriptor_ui":"D012017","descriptor_name":"Referral and Consultation","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D012189","descriptor_name":"Retrospective Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D012509","descriptor_name":"Sarcoma","qualifier_ui":"Q000175","qualifier_name":"diagnosis","is_major_topic":false},{"descriptor_ui":"D012983","descriptor_name":"Soft Tissue Neoplasms","qualifier_ui":"Q000175","qualifier_name":"diagnosis","is_major_topic":false},{"descriptor_ui":"D015994","descriptor_name":"Incidence","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D019564","descriptor_name":"Unnecessary Procedures","qualifier_ui":"Q000191","qualifier_name":"economics","is_major_topic":true},{"descriptor_ui":"D019564","descriptor_name":"Unnecessary Procedures","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true}],"locations_count":4,"locations":[{"id":"doi:10.1007/s11999-012-2394-4","doi":"https://doi.org/10.1007/s11999-012-2394-4","is_oa":false,"landing_page_url":"https://doi.org/10.1007/s11999-012-2394-4","pdf_url":null,"source":{"id":"https://openalex.org/S191421250","display_name":"Clinical Orthopaedics and Related Research","issn_l":"0009-921X","issn":["0009-921X","1528-1132"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-a","doyens","jufo-2","ki-jl-2","medline","norway-2","poland-140","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310315671","host_organization_name":"Lippincott Williams & Wilkins","host_organization_lineage":["https://openalex.org/P4310315671","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Lippincott Williams & Wilkins","Wolters Kluwer"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Clinical Orthopaedics & Related Research","raw_type":"journal-article"},{"id":"pmh:oai:europepmc.org:2799011","doi":null,"is_oa":true,"landing_page_url":"http://europepmc.org/articles/PMC3462841","pdf_url":null,"source":{"id":"https://openalex.org/S4306400806","display_name":"Europe PMC (PubMed Central)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1303153112","host_organization_name":"European Bioinformatics Institute","host_organization_lineage":["https://openalex.org/I1303153112"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"","raw_type":"Text"},{"id":"pmh:oai:pubmedcentral.nih.gov:3462841","doi":null,"is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/3462841","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Clin Orthop Relat Res","raw_type":"Text"},{"id":"pmid:22610528","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/22610528","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Clinical orthopaedics and related research","raw_type":"Journal Article"}],"best_oa_location":{"id":"pmh:oai:europepmc.org:2799011","doi":null,"is_oa":true,"landing_page_url":"http://europepmc.org/articles/PMC3462841","pdf_url":null,"source":{"id":"https://openalex.org/S4306400806","display_name":"Europe PMC (PubMed Central)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1303153112","host_organization_name":"European Bioinformatics Institute","host_organization_lineage":["https://openalex.org/I1303153112"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"","raw_type":"Text"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","score":0.9763000011444092,"display_name":"Good health and well-being"}],"study_designs":[{"id":"https://openalex.org/study-designs/observational-study","display_name":"Observational Study"}],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":20,"referenced_works":["https://openalex.org/W1965977164","https://openalex.org/W2009220209","https://openalex.org/W2019129605","https://openalex.org/W2033614044","https://openalex.org/W2036217204","https://openalex.org/W2047897840","https://openalex.org/W2050127578","https://openalex.org/W2050939485","https://openalex.org/W2076776261","https://openalex.org/W2090273695","https://openalex.org/W2097391177","https://openalex.org/W2101857176","https://openalex.org/W2119016000","https://openalex.org/W2129327240","https://openalex.org/W2160887174","https://openalex.org/W2167829172","https://openalex.org/W2206488721","https://openalex.org/W2416777805","https://openalex.org/W2417978086","https://openalex.org/W2993133929"],"related_works":["https://openalex.org/W1937305200","https://openalex.org/W1965977164","https://openalex.org/W4409152905","https://openalex.org/W7115179613","https://openalex.org/W2028426233","https://openalex.org/W2061304119","https://openalex.org/W142496707","https://openalex.org/W3197217415","https://openalex.org/W2103658400","https://openalex.org/W3036305112"],"abstract_inverted_index":{"BACKGROUND:":[0],"Inappropriate":[1,244],"MRI":[2,42,69,130,146,170,207,216,239,245],"use":[3,25,217,237,246],"has":[4],"been":[5],"targeted":[6],"as":[7,66,224,254,256],"a":[8,56,71,116,128,168,271],"particular":[9],"area":[10],"of":[11,39,118,138,142,173,200,238,274,276],"concern":[12],"in":[13,28,55,88,231,240,247],"orthopaedics,":[14],"but":[15,185],"it":[16],"is":[17,26,228],"unclear":[18],"whether":[19],"and":[20,37,62,103,180,198],"to":[21,95,121,133,194,220,233],"what":[22],"extent":[23],"its":[24],"inappropriate":[27,40],"musculoskeletal":[29,46,57,119],"oncology.":[30],"QUESTIONS/PURPOSES:":[31],"We":[32,49,64],"therefore":[33],"evaluated":[34],"the":[35,96,123,135,174,234],"incidence":[36],"cost":[38,189],"prereferral":[41,169],"among":[43],"patients":[44,53,248],"with":[45,167,205,249],"tumors.":[47],"METHODS:":[48],"retrospectively":[50],"identified":[51],"920":[52,162],"treated":[54],"oncology":[58],"clinic":[59],"between":[60],"2009":[61],"2010.":[63],"accepted":[65],"necessary":[67,184],"any":[68],"for":[70,75,80,90,98,104,127,268,270],"primary":[72],"bone":[73],"sarcoma,":[74],"biopsy-proven":[76],"soft":[77,81,91,100,106],"tissue":[78,82,92,101,107],"sarcomas,":[79],"masses":[83,93],"greater":[84],"than":[85],"5":[86],"cm":[87],"diameter,":[89],"deep":[94],"fascia,":[97],"painful":[99],"masses,":[102],"growing":[105],"masses.":[108],"Patients":[109],"without":[110],"these":[111],"criteria":[112,126],"were":[113,131,178,183,186],"reviewed":[114],"by":[115],"team":[117],"oncologists":[120],"determine":[122],"necessity.":[124],"The":[125,188],"repeat":[129],"failure":[132],"show":[134],"tumor,":[136],"lack":[137,141],"gadolinium":[139],"contrast,":[140],"T1":[143],"or":[144,148],"T2":[145],"sequence,":[147],"poor":[149],"image":[150],"quality.":[151],"Cost":[152],"was":[153,190],"determined":[154],"using":[155],"2010":[156],"Medicare":[157],"reimbursement":[158],"rates.":[159],"RESULTS:":[160],"Of":[161],"patients,":[163],"320":[164,175],"(35%)":[165],"arrived":[166],"study.":[171,208],"Eight":[172],"(3%)":[176],"studies":[177],"unnecessary,":[179],"12":[181],"(4%)":[182],"repeated.":[187],"$11,474,":[191],"which":[192],"averages":[193],"$574":[195],"per":[196,202],"study":[197],"$36":[199],"waste":[201],"patient":[203],"referred":[204],"an":[206],"CONCLUSIONS:":[209],"Based":[210],"on":[211],"our":[212,221,241],"data,":[213],"we":[214],"judged":[215],"before":[218],"referral":[219,242],"tertiary":[222],"center":[223],"not":[225,252],"excessive.":[226],"This":[227],"likely":[229],"attributable,":[230],"part,":[232],"relatively":[235],"low":[236],"base.":[243],"tumors":[250],"may":[251],"be":[253],"widespread":[255],"previously":[257],"reported.":[258],"LEVEL":[259],"OF":[260],"EVIDENCE:":[261],"Level":[262],"IV,":[263],"case":[264],"series.":[265],"See":[266],"Guidelines":[267],"Authors":[269],"complete":[272],"description":[273],"levels":[275],"evidence.":[277]},"counts_by_year":[{"year":2024,"cited_by_count":2},{"year":2022,"cited_by_count":1},{"year":2017,"cited_by_count":1},{"year":2016,"cited_by_count":1},{"year":2015,"cited_by_count":2},{"year":2014,"cited_by_count":1},{"year":2013,"cited_by_count":1}],"updated_date":"2026-10-31T12:09:11.096373","created_date":"2016-06-24T00:00:00"}