İnsidental Adrenal Kitlelerin Değerlendirilmesinde Manyetik Rezonans ve Bilgisayarlı Tomografinin Direkt ve Dolaylı Maliyetlerinin Karşılaştırılması

Objective: It was planned to compare the direct and indirect costs of computed tomography (CT) magnetic resonance (MR) methods in differentiation adrenal adenoma non adenoma.
 
 Material Methods: CT, MR, pathology, laboratory other information patients were obtained from patient files. Radiological examination unilateral laparoscopic adrenalectomy cost accounting department. For calculation; scenario used which 500 referred equally CT individuals diagnosed with non-adenoma operation after first control, followed, standard follow-up done every 6 months for 4 years.
 Results: A total 31 (8 males 23 females) eligible study. The mean age 48.1+17.7 years. In group, an excess 609,0 ₺ per person 1 year 2435,9 years incurred. diagnosis non-adenoma, inaccurate 24.4% patients, whereas MR 5.2%. When pheochromocytoma, it found that resulted cost, erroneous 17.6% 15.8% patients. malignancy, 522,2 2088,7 determined correct decision could not be made 33.2% group 5.8% group.
 Conclusion: use contrast-enhanced masses reduces unnecessary interventions resulting expenditures.