MRI

MRI for diagnosing lumbar spinal pathology in adult patients with low back pain or sciatica

In conclusion, these poor results show that non-negligible numbers of LBP patients will be incorrectly diagnosed when MRI is used in isolation.

CT, MRI Overused for Headache, Study Finds

Published: Oct 17, 2013 By Sarah Wickline Full Story:  http://www.medpagetoday.com/MeetingCoverage/ANA/42350 Action Points This study was published as an abstract and presented at a conference. These data and conclusions should be considered to be preliminary until published in a peer-reviewed journal. NEW ORLEANS — Despite current guidelines that recommend against CT or MRI for uncomplicated headaches, […]

Quantitative estimation of the high-intensity zone in the lumbar spine: Comparison between the symptomatic and asymptomatic population

Comparison between the symptomatic and asymptomatic population Chao Liu, PhD, MD Abstract Background context The high-intensity zone (HIZ) on magnetic resonance imaging (MRI) has been studied for more than 20 years, but its diagnostic value in low back pain (LBP) is limited by the high incidence in asymptomatic subjects. Little effort has been made to […]

Iatrogenic Consequences of Early Magnetic Resonance Imaging in Acute, Work-Related, Disabling Low Back Pain

Webster, Barbara S. BSPT, PA-C; Bauer, Ann Z. MPH; Choi, YoonSun MA; Cifuentes, Manuel MD, MPH, ScD; Pransky, Glenn S. MD, MOccH Spine . 38(22):1939–1946, 15 October 2013. doi: 10.1097/BRS.0b013e3182a42eb6 Abstract Study Design. Retrospective cohort study. Objective. To determine the effect of early (receipt ≤30 d postonset) magnetic resonance imaging (MRI) on disability and medical […]

MRI of the SI joints commonly shows non-inflammatory disease in patients clinically suspected of sacroiliitis

Jans L,et al. Eur J Radiol. 2013 Oct 16. pii: S0720-048X(13)00530-5. doi: 10.1016/j.ejrad.2013.10.001. [Epub ahead of print] Affiliation Department of Radiology and Medical Imaging, Ghent University Hospital, De Pintelaan 185, 9000 Gent, Belgium. Electronic address: lennartjans@hotmail.com. Abstract PURPOSE: To determine the prevalence of clinically relevant non-inflammatory disease on MRI of the sacroiliac (SI) joints in […]

What Is the Predictive Value of MRI for the Occurrence of Knee Replacement Surgery in Knee Osteoarthritis?

J-P Pelletier Ann Rheum Dis. 2013;72(10):1594-1604. Abstract Knee osteoarthritis is associated with structural changes in the joint. Despite its many drawbacks, radiography is the current standard for evaluating joint structure in trials of potential disease-modifying osteoarthritis drugs. MRI is a non-invasive alternative that provides comprehensive imaging of the whole joint. Frequently used MRI measurements in […]

Is MRI Monitoring of Adolescent Scoliosis Feasible Using Upright MRI?

Is Radiation-Free Diagnostic Monitoring of Adolescent Idiopathic Scoliosis Feasible Using Upright Positional Magnetic Resonance Imaging? Diefenbach, Christopher BS Spine: 01 April 2013 – Volume 38 – Issue 7 – p 576–580 Abstract Study Design. Prospective clinical trial. Objective. The purpose of this study was to determine if an upright positional magnetic resonance imaging (MRI) protocol […]

Do more MRI findings imply worse disability or more intense low back pain?

A cross-sectional study of candidates for lumbar disc prosthesis. AuthorsBerg L, et al. Show all Journal Skeletal Radiol. 2013 Nov;42(11):1593-602. doi: 10.1007/s00256-013-1700-x. Epub 2013 Aug 28. PubMed Abstract:  http://www.ncbi.nlm.nih.gov/m/pubmed/23982421/ Affiliation Department of Radiology, Haukeland University Hospital, Jonas Liesvei 65, 5021, Bergen, Norway, linda.berg@kir.uib.no. Abstract OBJECTIVE: To examine whether combined magnetic resonance imaging (MRI) findings are […]

Outcomes from MRI-confirmed symptomatic cervical disk herniation patients treated with high-velocity, low-amplitude spinal manipulative therapy

J Manipulative Physiol Ther. 2013 Oct;36(8):461-7. doi: 10.1016/j.jmpt.2013.07.002. Epub 2013 Aug 12. Peterson CK, Schmid C, Leemann S, Anklin B, Humphreys BK. Abstract OBJECTIVE: The purpose of this study was to investigate outcomes of patients with cervical radiculopathy from cervical disk herniation (CDH) who are treated with spinal manipulative therapy. METHODS: Adult Swiss patients with […]

Can pathoanatomical pathways of degeneration in lumbar motion segments be identified by clustering MRI findings

Rikke K Jensen BMC Musculoskeletal Disorders 2013, 14:198 doi:10.1186/1471-2474-14-198 Abstract Background Magnetic Resonance Imaging (MRI) is the gold standard for detailed visualisation of spinal pathological and degenerative processes, but the prevailing view is that such imaging findings have little or no clinical relevance for low back pain. This is because these findings appear to have […]

Magnetic Resonance Imaging Predictors of Surgical Outcome in Patients With Lumbar Intervertebral Disc Herniation

Lurie, Jon D. MD, MS Spine: 15 June 2013 – Volume 38 – Issue 14 – p 1216–1225 Abstract Study Design. A retrospective cohort design. Objective. To determine whether baseline magnetic resonance imaging findings, including central/foraminal stenosis, Modic change, disc morphology, facet arthropathy, disc degeneration, nerve root impingement, and thecal sac compression, are associated with […]

Spinal manipulation vs image guided lumbar nerve root injections for lumbar disc herniation

J Manipulative Physiol Ther. 2013 May;36(4):218-25. doi: 10.1016/j.jmpt.2013.04.005. Epub 2013 May 22. Symptomatic magnetic resonance imaging-confirmed lumbar disk herniation patients: a comparative effectiveness prospective observational study of 2 age- and sex-matched cohorts treated with either high-velocity, low-amplitude spinal manipulative therapy or imaging-guided lumbar nerve root injections. Peterson CK, Leemann S, Lechmann M, Pfirrmann CW, Hodler […]

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 […]

Chiropractic Adjustments Produce Immediate Results Visible on MRI

Magnetic resonance imaging zygapophyseal joint space changes (gapping) in low back pain patients following spinal manipulation and side-posture positioning: a randomized controlled mechanisms trial with blinding. Cramer GD, Cambron J, Cantu JA, Dexheimer JM, Pocius JD, Gregerson D, Fergus M, McKinnis R, Grieve TJ. J Manipulative Physiol Ther. 2013 May;36(4):203-17. doi: 10.1016/j.jmpt.2013.04.003. Epub 2013 May […]

Evidence for Policy Making: Clinical Appropriateness Study of Lumbar Spine MRI Prescriptions Using RAND Appropriateness Method.

Int J Health Policy Manag. 2013 Apr 10;1(1):17-21. doi: 10.15171/ijhpm.2013.04. eCollection 2013. Salari H1, Ostovar R2, Esfandiari A1, Keshtkaran A3, Akbari Sari A4, Yousefi Manesh H5, Rakhshan A6. Abstract BACKGROUND: MRI is a new and expensive diagnostic technology, which has been used increasingly all over the world. Low back pain is a worldwide prevalent disorder […]

MRI for Low Back Problems Deemed Overused

Published: Mar 26, 2013 By Crystal Phend , Senior Staff Writer, MedPage Today More than half of outpatient lumbar spine MRI scans weren’t appropriate, with a particularly poor record of ordering by family physicians, researchers found. When analyzed by an expert panel, 29% of MRI referrals to two large teaching hospitals were deemed inappropriate and […]

Clinical correlation of magnetic resonance imaging with symptom complex in prolapsed intervertebral disc disease

J Craniovertebr Junction Spine. 2013 Jan;4(1):16-20. doi: 10.4103/0974-8237.121619. Clinical correlation of magnetic resonance imaging with symptom complex in prolapsed intervertebral disc disease: A cross-sectional double blind analysis. Bajpai J1, Saini S1, Singh R1. Abstract INTRODUCTION: Low backache (LBA) is one of the most common problems and herniated lumbar disc is one of the most commonly […]

Potential of Magnetic Resonance Imaging Findings to Refine Case Definition for Mechanical Low Back Pain in Epidemiological Studies

A Systematic Review Endean, Alison MBChB, MRCP Spine:  15 January 2011 – Volume 36 – Issue 2 – p 160–169 Abstract Study Design. Systematic review and meta-analysis. Objective. To assess how confidently low back pain (LBP) can be attributed to abnormalities on magnetic resonance imaging (MRI), and thereby explore the potential value of MRI abnormalities […]

Modic Changes May Not Be Progressive

VERTEBRAL ENDPLATE CHANGES: THE NATURAL HISTORY AS ASSESSED BY CONSECUTIVE MAGNETIC RESONANCE IMAGING. M.J. Hutton, J. Bayer, M. Sawant, D.J. Sharp Published 1 September 2005 Abstract Study Design: Retrospective review of 55 subjects who for various clinical indications had sequential MRI scans Summary of Background data: Changes in the vertebral end plate are frequently associated […]