Imaging in mechanical back pain: Anything new?

Imaging in mechanical back pain: Anything new?
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DOI:
10.1016/j.berh.2016.08.008
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发表时间:
2016-08-01
影响因子:
5.2
通讯作者:
Boesen, Mikael
Boesen, Mikael
中科院分区:
医学2区
文献类型:
--
作者:
Hansen, Bjarke Brandt;Hansen, Philip;Boesen, Mikael

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下背痛是常见的,并涉及到各种重叠的病理。在过去的几十年里,几乎每一种医学成像方式都被应用于下背痛的评估。脊柱成像在评估腰痛患者中具有高度优先性,这些患者似乎期望进行此类手术。然而,大多数传统的成像技术没有足够的精度来识别疼痛的主要来源。这不仅会使临床医生和患者都感到沮丧,而且重要的是,成像结果和症状之间的相关性不足阻碍了临床医生为患者设计具体治疗计划的能力。因此,有越来越多的兴趣在新的成像技术的腰椎,可能会增加临床相关性腰痛。在这篇综述中,我们将讨论各种腰椎成像技术的价值和局限性,重点是新兴技术。(C)2016爱思唯尔有限公司版权所有
Low back pain is common and relates to a variety of overlapping pathologies. Within the last few decades, almost every medical imaging modality has been applied in the evaluation of low back pain. Imaging of the spine has a high priority in the assessment of patients with low back pain, who seem to expect such procedures to be undertaken. However, the majority of conventional imaging techniques do not have adequate precision to identify the primary source of pain. Not only can this be frustrating to both clinicians and patients, but importantly, inadequate correlation between imaging findings and symptoms hampers the ability of clinicians to devise a specific treatment plan for the patient. Therefore, there is mounting interest in new imaging techniques of the lumbar spine that may increase the clinical correlation in low back pain. In this review, we will discuss the value and limitations of various lumbar spine imaging techniques with focus on new emerging technologies. (C) 2016 Elsevier Ltd. All rights reserved.