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Comment & Response |

Headaches and Neuroimaging—Reply

Brian C. Callaghan, MD, MS1; Kevin A. Kerber, MD, MS1; James F. Burke, MD, MS1
[+] Author Affiliations
1Neurology Health Services Research Program, University of Michigan Health System, Ann Arbor
JAMA Intern Med. 2015;175(2):313-314. doi:10.1001/jamainternmed.2014.7014.
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In Reply We appreciate the thoughtful comments of Drs Evans and Sharma regarding headache neuroimaging in the United States. We agree that many paths exist to reduce inappropriate use of these expensive, low-yield tests and that the solution needs to be multifaceted. While we fully endorse creative approaches to reducing magnetic resonance imaging (MRI) costs when neuroimaging is medically necessary, we suspect that meaningful cost containment will not be possible without reducing guideline-discordant testing.


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February 1, 2015
Randolph W. Evans, MD
1Department of Neurology, Baylor College of Medicine, Houston, Texas
JAMA Intern Med. 2015;175(2):312. doi:10.1001/jamainternmed.2014.7008.
February 1, 2015
Aseem Sharma, MD
1Mallinckrodt Institute of Radiology, Washington University School of Medicine, St Louis, Missouri
JAMA Intern Med. 2015;175(2):312-313. doi:10.1001/jamainternmed.2014.7011.
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