Liwen Yao, Chenxia Zhang, Bo Xu, Shanshan Yi, Juan Li, Xiangwu Ding, Honggang Yu
A deep learning-based system for mediastinum station localization in linear EUS (with video)
Endoscopic ultrasound
assess national expenditure associated preterminfant brain mri potential impact reduction per choosing wisely campaign 2015 recommendation avoid routine screening termequivalent discharge brain mris preterminfants crosssectional us trend data agency healthcare research quality ahrq healthcare cost utilization project hcup kids inpatient database kid database 2006 2009 2012 2016 used estimate overall national expenditure associated brain mri among infants gestational age ga 36 weeks also classified indicated nimri ie equivalent routine use without clinical indications regarded lowvalue service lvs associated cost determined querying cmsdatabase physicianfeeschedules find highest global procedurecost per cycle adjusting inflation sensitivityanalyses conducted account additional clinical charges associated nimri 3768 026 1472236 preterminfants brain mri across cycles inflationadjusted total 3690088 overall proportion brain mris increased across 20062012 025033 decreased 2016 016 p0001 inflationadjusted overall expenditure cycle 2006 1299130 95 ci 987505 1610755 2009 1194208 95 ci 873487 1516154 2012 931836 95 ci 666114 1197156 2016 264648 95 ci 172061 357280 prevalence nimri 2006 2009 2012 2016 86 n 809 88 n 940 89 n 1028 50 n 299 respectively 70 infants 3536 weeks ga nimri prevalence different time payertype medicaid private sex raceethnicity white black hispanic larger hospital size significantly associated across 20062012 declined sizes 2016 decline larger hospitals p interaction 005 nimri expenditure sensitivityanalysis addition cycle median totaladmissioncharge inflationadjusted cmsfee 1190919518343 20122016 cycles respectively national mri prevalence preterm infants overall lvs associated expenditure decreased substantially post recommendation however annual savings modest unlikely 12 million