{"id":2929,"date":"2018-10-17T19:08:45","date_gmt":"2018-10-17T17:08:45","guid":{"rendered":"https:\/\/choosingwiselyitaly.org\/raccomandazione-prof\/dont-perform-magnetic-resonance-imaging-mri-for-non-traumatic-headache-in-the-absence-of-warning-clinical-signs\/"},"modified":"2026-02-03T23:46:07","modified_gmt":"2026-02-03T22:46:07","slug":"dont-perform-magnetic-resonance-imaging-mri-for-non-traumatic-headache-in-the-absence-of-warning-clinical-signs","status":"publish","type":"raccomandazione-prof","link":"https:\/\/choosingwiselyitaly.org\/en\/raccomandazione-prof\/dont-perform-magnetic-resonance-imaging-mri-for-non-traumatic-headache-in-the-absence-of-warning-clinical-signs\/","title":{"rendered":"Don\u2019t perform magnetic resonance imaging (MRI) for non-traumatic headache in the absence of warning clinical signs."},"content":{"rendered":"<p>Too many MRIs are performed at the first sign of non-traumatic headache; in addition, the clinical suspicion is rarely mentioned in the request, which would suggest how to perform an appropriate examination, as there are different ways to perform an MRI examination depending on the question to resolve.<br \/>\nPerforming an MRI (with and without contrast agents) in patients with a headache, without specific risk factors for structural diseases, does not change the management nor improve clinical outcomes, but represents a high cost for society and environmental harm.<br \/>\nPatients with a significant probability of structural sickness that require immediate attention are identified by clinical history and\/or examination. Eventual incidental findings as a result of MRI examination may lead to further additional testing and expensive treatments that don\u2019t improve the welfare of the patient.<\/p>\n","protected":false},"featured_media":2934,"template":"","meta":{"_edit_lock":["1770158981:2"],"_edit_last":["2"],"_thumbnail_id":["2934"],"_wpml_word_count":["172"],"_yoast_wpseo_primary_eta":[""],"_yoast_wpseo_primary_disciplina":["125"],"_yoast_wpseo_primary_tipologia":[""],"wpcf-pacchetto":["SIRM #1"],"wpcf-bibliografia":["1. Sistrom CL. The appropriateness of imaging: a comprehensive conceptual framework. Radiology 2009;251:637\u201349. doi:10.1148\/radiol.2513080636.\r\n2. Hendee WR, Becker GJ, Borgstede JP et al. Addressing overutilization in medical imaging. Radiology 2010; 257:240\u201345. doi:10.1148\/radiol.10100063.\r\n3. Oikarinen H, Karttunen A, P\u00e4\u00e4kk\u00f6 E, et al. Survey of inappropriate use of magnetic resonance imaging. Insights Imaging. 2013;4:729-33. doi:10.1007\/s13244-013-0276-2.\r\n4. Gadde JA, Cantrell S, Patel SS, et al. Neuroimaging of Adults with Headache. Appropriateness, Utilization, and an Economical Overview. Neuroimag Clin N Am 2019; 29: 203\u201311. doi:10.1016\/j.nic.2019.01.001.\r\n5. Utukuri PS, Shih RY, Ajam AA, et al. ACR Appropriateness Criteria\u00ae Headache: 2022 Update. J Am Coll Radiol 2023;20(5S):S70-S93 doi:10.1016\/j.jacr.2023.02.018."],"wpcf-posizione-prof":["3"],"wpcf-collegare":["N"],"wpcf-link-intercheck-prof":["N"],"wpcf-area-ordinamento":["Medical Radiology"],"_wpml_media_duplicate":["0"],"_wpml_media_featured":["0"],"_yoast_wpseo_content_score":["90"],"_yoast_wpseo_focuskeywords":["[]"],"_yoast_wpseo_keywordsynonyms":["[\"\"]"],"_wpml_location_migration_done":["1"],"_yst_prominent_words_version":["1"],"_layouts_template":["layout-for-raccomandazioni-professionista"],"_wp_page_template":["default"],"wpcf-parole-chiave-prof":[""],"wpcf-pdfpdf-prosfessionista":["https:\/\/choosingwiselyitaly.org\/wp-content\/uploads\/2018\/10\/Scheda-SIRM-1-2026-eng.pdf"],"_wpv_contains_gutenberg_views":[""],"cmplz_hide_cookiebanner":[""],"_et_dynamic_cached_shortcodes":["a:4:{i:0;s:13:\"et_pb_section\";i:1;s:9:\"et_pb_row\";i:2;s:12:\"et_pb_column\";i:50;s:10:\"et_pb_text\";}"],"_et_dynamic_cached_attributes":["a:0:{}"],"et_enqueued_post_fonts":["a:3:{s:6:\"family\";a:1:{s:15:\"et-gf-work-sans\";s:136:\"Work+Sans:100,200,300,regular,500,600,700,800,900,100italic,200italic,300italic,italic,500italic,600italic,700italic,800italic,900italic\";}s:6:\"subset\";a:2:{i:0;s:5:\"latin\";i:1;s:9:\"latin-ext\";}s:9:\"cache_key\";s:75:\"{\"gph\":-1,\"divi\":\"4.27.6\",\"wp\":\"6.8.5\",\"enable_all_character_sets\":\"false\"}\";}"]},"eta":[{"term_id":96,"name":"Adult","slug":"adult","term_group":0,"term_taxonomy_id":96,"taxonomy":"eta","description":"","parent":0,"count":272,"filter":"raw"},{"term_id":97,"name":"Geriatric","slug":"geriatric","term_group":0,"term_taxonomy_id":97,"taxonomy":"eta","description":"","parent":0,"count":242,"filter":"raw"},{"term_id":95,"name":"Pediatric","slug":"pediatric","term_group":0,"term_taxonomy_id":95,"taxonomy":"eta","description":"","parent":0,"count":172,"filter":"raw"}],"disciplina":[125],"tipologia":"Imaging","class_list":["post-2929","raccomandazione-prof","type-raccomandazione-prof","status-publish","has-post-thumbnail","hentry","eta-adult","eta-geriatric","eta-pediatric","disciplina-medical-radiology","tipologia-imaging"],"_links":{"self":[{"href":"https:\/\/choosingwiselyitaly.org\/en\/wp-json\/wp\/v2\/raccomandazione-prof\/2929","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/choosingwiselyitaly.org\/en\/wp-json\/wp\/v2\/raccomandazione-prof"}],"about":[{"href":"https:\/\/choosingwiselyitaly.org\/en\/wp-json\/wp\/v2\/types\/raccomandazione-prof"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/choosingwiselyitaly.org\/en\/wp-json\/wp\/v2\/media\/2934"}],"wp:attachment":[{"href":"https:\/\/choosingwiselyitaly.org\/en\/wp-json\/wp\/v2\/media?parent=2929"}],"wp:term":[{"taxonomy":"eta","embeddable":true,"href":"https:\/\/choosingwiselyitaly.org\/en\/wp-json\/wp\/v2\/eta?post=2929"},{"taxonomy":"disciplina","embeddable":true,"href":"https:\/\/choosingwiselyitaly.org\/en\/wp-json\/wp\/v2\/disciplina?post=2929"},{"taxonomy":"tipologia","embeddable":true,"href":"https:\/\/choosingwiselyitaly.org\/en\/wp-json\/wp\/v2\/tipologia?post=2929"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}