Radiology

Disc height discrepancy between supine and standing positions as a screening metric for discogenic back pain in patients with disc degeneration

July 14, 2020 Seong Son, MD, Ph.D. The Spine Journal Published:July 17, 2020DOI:https://doi.org/10.1016/j.spinee.2020.07.006 Highlight The diagnosis of discogenic low back pain (LBP) in early to middle stage disc degeneration (Pfirrmann grade II, III, or IV) of the lumbar spine is ambiguous, unless a discography is performed. The disc height (DH) discrepancy ratio between supine and […]

Appropriateness Criteria for Diagnostic Imaging – American College of Radiology

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Imaging for low back pain: is clinical use consistent with guidelines? A systematic review and meta-analysis

The Spine Journal Volume 18, Issue 12, December 2018, Pages 2266-2277 Hazel J.JenkinsMChir, PhD candidate Abstract Background Context The problem of imaging patients with low back pain (LBP) when it is not indicated is well recognized. The converse is also possible, although rarely considered. The extent of these two problems is presently unclear. Purpose This […]

What is the best lateral radiograph positioning technique for assessment of sagittal balance: A biomechanical study on influence of different arm positions

Koon-Man Sieh Journal of Orthopedic Surgery Volume: 26 issue: 2, Article first published online: May 1, 2018; Issue published: May 1, 2018 https://doi.org/10.1177/2309499018770932 Abstract Purpose: To evaluate the influence of different arm postures from the physiological standing position using force plate analysis of the gravity line. Methods: Forty healthy volunteered university students were enrolled. Each […]

Desire for Certainty, Litigation Fears Drive ER Overimaging

Diana Swift April 07, 2015 Most emergency department physicians order diagnostic imaging tests they know are unnecessary, according to the results of a national survey published online March 23 in Academic Emergency Medicine. A key driver behind these excess scans is the fear of malpractice lawsuits based on missed diagnoses, the researchers found. “The most striking finding of our study […]

Abnormal Findings on Magnetic Resonance Images of the Cervical Spines in 1211 Asymptomatic Subjects

Nakashima, Hiroaki MD; Yukawa, Yasutsugu MD; Suda, Kota MD; Yamagata, Masatsune MD; Ueta, Takayoshi MD; Kato, Fumihiko MD Spine 15 March 2015 Vol. 40 – Issue 6: p 392–398 Abstract Study Design. Cross-sectional study. Objective. The purpose of this study was to determine the prevalence and distribution of abnormal findings on cervical spine magnetic resonance […]

The correlation of radiographic findings and patient symptomatology in cervical degenerative joint disease

The correlation of radiographic findings and patient symptomatology in cervical degenerative joint disease: a cross-sectional study Iris Sun Rudy, Alexandra Poulos, Laura Owen, Ashlee Batters, Kasia Kieliszek, Jessica Willox and Hazel Jenkins Chiropractic & Manual Therapies 2015, 23:9 doi:10.1186/s12998-015-0052-0 Abstract Background There are few known studies investigating the correlation of symptomatology with the specific subtypes of cervical spine […]

Radiographic Findings in Individuals With Chronic Low Back Pain

Prevalence of Radiographic Findings in Individuals With Chronic Low Back Pain Screened for a Randomized Controlled Trial: Secondary Analysis and Clinical Implications Robert D. Vining, DC Journal of Manipulative & Physiological Therapeutics Volume 37, Issue 9, Pages 678–687, November–December, 2014 Abstract Objective The purpose of this study is to measure the prevalence of graded disc […]

Correlation of Cervical Sagittal Alignment Parameters on Full-Length Spine Radiographs Compared with Dedicated Cervical Radiographs

Bodindr Thepchatri , M.D The Spine Journal Volume 14, Issue 11, Supplement, Pages A1-A8, S1-S224 (1 November 2014) Proceedings of the 29th Annual Meeting of the North American Spine Society, NASS 29th Annual Meeting San Francisco, California 12–15 November 2014 BACKGROUND CONTEXT: Recently, attention has been directed to the impact of adult scoliosis or scoliosis […]

Do imaging studies have value in a patient with acute, nonspecific low back pain?

Cleveland Clinic Journal of Medicine. 2014 August;81(8):462-463 Author(s): Cynthia D. Smith, MD, FACP Patrick C. Alguire, MD, FACP A 38-year-old man is evaluated in an urgent care center for back pain. He is a high school mathematics teacher who reports the insidious onset of low back pain 3 weeks ago. Over the last week the pain has […]

Correlation between Degree of Radiologic Signs of Osteoarthritis and Functional Status in Patients with Chronic Mechanical Low Back Pain

Correlation between Degree of Radiologic Signs of Osteoarthritis and Functional Status in Patients with Chronic Mechanical Low Back Pain. Ashraf A Malays J Med Sci. 2014 Mar;21(2):28-33. Abstract BACKGROUND: Osteoarthritis is the most intervening factors in producing mechanical low back pain (LBP). We aimed to evaluate the correlation between radiologic signs of osteoarthritis and functional […]

Correlation between Degree of Radiologic Signs of Osteoarthritis and Functional Status in Patients with Chronic Mechanical Low Back Pain

Malays J Med Sci. 2014 Mar;21(2):28-33. Correlation between Degree of Radiologic Signs of Osteoarthritis and Functional Status in Patients with Chronic Mechanical Low Back Pain. Ashraf A Abstract BACKGROUND: Osteoarthritis is the most intervening factors in producing mechanical low back pain (LBP). We aimed to evaluate the correlation between radiologic signs of osteoarthritis and functional […]

Top Five Pain Interventions to Avoid

Pauline Anderson January 21, 2014 Full Story In the latest response to the call from the American Board of Internal Medicine (ABIM) Foundation for recommendations on the most overused interventions, the American Society of Anesthesiologists (ASA) has issued its list of top 5 tests and therapies that are of questionable usefulness in the field of […]

Impact of imaging guidelines on x-ray utilization among American Provider Network chiropractors

Interrupted time series analysis André E. Bussières, DC, MSc, PhD Abstract Background Context Overuse and misuse of spine x–rays for non-specific back and neck pain persists among chiropractors. Distribution of educational materials among physicians results in small to modest improvements in appropriate care such as ordering spine x-rays, but little is known about its impact […]

Measuring limb length discrepancy using pelvic radiographs: the most reproducible method

The most reproducible method. Heaver C, et al. S Hip Int. 2013 Aug 9;23(4):391-394. doi: 10.5301/hipint.5000042. [Epub ahead of print] Abstract Leg length inequality following total hip replacement remains common. In an effort to reduce this occurrence, surgeons undertake pre-operative measurements, templating and use various forms of intraoperative measurements, including computer navigation. This study aims […]

Supine MRI Cobb Measurements for Idiopathic Scoliosis Are Linearly Related to Measurements From Standing Plain Radiographs

Lee, Mark C. MD Spine: 15 May 2013 – Volume 38 – Issue 11 – p E656–E661 doi: 10.1097/BRS.0b013e31828d255d Diagnostics Abstract Study Design. Retrospective. Objective. To demonstrate a relationship between adolescent idiopathic scoliosis Cobb angle measurements obtained with standing plain radiographs and standard supine magnetic resonance (MR) images. Summary of Background Data. Patients with adolescent […]

Patients Not Always Told About CT Risks

Physicians often don’t communicate the risks of CT studies to patients undergoing the scans and usually leave patients out of the decision-making process, researchers found.

Is immediate imaging important in managing low back pain?

Andersen JC. J Athl Train. 2011 Jan-Feb. Abstract REFERENCE: Chou R, Fu R, Carrino JA, Deyo RA. Imaging strategies for low-back pain: systematic review and meta-analysis. Lancet. 2009;373(9662):463-472. CLINICAL QUESTIONS: In patients with low back pain (LBP) who do not have indications of a serious underlying condition, does routine, immediate lumbar imaging result in improved patient outcomes […]