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Semin Musculoskelet Radiol 2001; 05(2): 133-136
DOI: 10.1055/s-2001-15667
DOI: 10.1055/s-2001-15667
Low Back Pain
Copyright © 2001 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001, USA. Tel.: +1(212) 584-4662
Proper Use of MR Imaging for Evaluation of Low Back Pain (Radiologist's View)
Further Information
Publication History
Publication Date:
31 December 2001 (online)
ABSTRACT
Magnetic resonance (MR) imaging has been recognized as a modality of choice in the evaluation of the spine. However, morphological abnormalities demonstrated by MR imaging do not always reflect low back pain (LBP). MR imaging should be interpreted with consideration of full clinical signs, symptoms, and other relevant background. At the same time, MR findings potentially relevant to LBP, such as morphological abnormalities of the disc, presence or absence of high intensity zone, abnormalities of the end plate and adjacent marrow signal, degree of nerve root compression, and degeneration of the facet joint, should be described without omission.
KEYWORD
Low back pain - magnetic resonance imaging - internal disc disruption
REFERENCES
- 1 Health and Welfare Statistics Association in Japan. Survey of outpatients. J Health Welfare Stat . 2000; 47 445
- 2 Simmons E D, Guyer R D, Graham-Smith A. Contemporary concepts in spine care: radiographic assessment for patients with low back pain. Spine . 1995; 20 1839-1841
- 3 van Tulder W M, Assendelft W JJ, Koes B W. Spinal radiographic findings and nonspecific low back pain. A systematic review of observational studies. Spine . 1997; 22 427-434
- 4 Roland M, van Tulder M. Should radiologists change the way they report plain radiography of the spine?. Lancet . 1998; 352 229-230
- 5 Pech P, Haughton V M. Lumbar intervertebral disc: correlation MR and anatomic study. Radiology . 1985; 156 699-701
- 6 Gibson M J, Buckley J, Mawhinney R. Magnetic resonance imaging and discography in the diagnosis of disc degeneration. J Bone Joint Surg . 1986; 68B 369-373
- 7 Modic M T, Masaryk T J, Ross J S. Imaging of degenerative disc disease. Radiology . 1988; 168 177-187
- 8 Tertti M, Paajanen H, Laato M. Disc degeneration in magnetic resonance imaging. A comparative biochemical, histologic, and radiologic study in cadaver spines. Spine . 1991; 16 629-634
- 9 Powel M C, Wilson M, Szypryt P. Prevalence of lumbar disc degeneration observed by magnetic resonance in symptomless women. Lancet . 1986; 13 1366-1367
- 10 Mooney V. Presidential address to the International Society for the Study of the Lumbar Spine. Dallas, 1986. Where is the pain coming from?. Spine . 1987; 12 754-759
- 11 Kuslich S, Ulstrom C, Michael C. The tissue origin of low back pain and sciatica: a report of pain response to tissue stimulation during operations on the lumbar spine. Orthop Clin North Am . 1991; 22181-22187
- 12 Yoshizawa H, O'Brien J P, Smith W T. The neuropathology of intervertebral discs removed for low back pain. J Pathol . 1980; 132 95-104
- 13 Bogduk N. The innervation of the lumbar spine. Spine . 1983; 8 286-293
- 14 Roberts S, Eisenstein S M, Menage J. Mechanoreceptors in intervertebral discs. Spine . 1995; 20 2645-2651
- 15 Dilke T FW, Burry J C, Grahame R. Extradural corticoid injection in management of lumbar nerve root compression. BMJ . 1973; 2 635-637
- 16 Thelander U, Fagerlund M, Frberg S. Straight leg raising test versus radiologic size, shape, and position of lumbar disc herniations. Spine . 1992; 17 395-399
- 17 Saal J S, Franson R C, Dobrow R. High levels of inflammatory phospholipase A2 activity in lumbar disc herniations. Spine . 1990; 15 674-678
- 18 Saal J S. The role of inflammation in lumbar pain. Spine . 1995; 20 1821-1827
- 19 Cavarraugh J M. Neural mechanisms of lumbar pain. Spine . 1995; 20 1804-1809
- 20 Crock H V. Internal disc disruption. A challenge to prolapse fifty years on. Spine . 1986; 11 650-653
- 21 Vanharanta H, Sachs B L, Spivey M. A comparison of CT/discography, pain, response and radiographic disc height. Spine . 1988; 13 321-324
- 22 Schwarzer A, Aprill C, Derby R. The prevalence and clinical features of internal disc disruption in patients with chronic LBP. Spine . 1995; 20 1878-1883
- 23 Yu S W, Sether L A, Ho P S. Tears of the annulus fibrosus: correlation between MR and pathologic findings in cadavers. AJNR . 1988; 9 367-370
- 24 Aprill C, Bogduk N. High-intensity zone: a diagnostic sign of painful lumbar disc on magnetic resonance imaging. BJR . 1992; 65 361-369
- 25 Alcalay M, Morin M, Vandermarco P. Posterior rounded high-intensity zone on magnetic resonance images as a sign of painful disk. Report of a case. Rev Rhum . 1996; 63 371-376
- 26 Schellhas K P, Pollei S R, Gundry C R. Lumbar disc high-intensity zone. Correlation of magnetic resonance imaging and discography. Spine . 1996; 21 79-86
- 27 Lam K S, Carlin D, Mulholland R C. Lumbar disc high-intensity zone: the value and significance of provocative discography in the determination of the discogenic pain source. Eur Spine J . 2000; 9 36-41
- 28 Ricketson R, Simmons J W, Hauser B O. The prolapsed intervertebral disc. The high-intensity sone with discography correlation. Spine . 1996; 21 2758-2762
- 29 Smith B MT, Hurwitz E L, Solsberg D. Interobserver reliability of detecting lumbar intervertebral disc high-intensity zone on magnetic resonance imaging and association of high-intensity zone with pain and annular disruption. Spine . 1998; 23 2074-2080
- 30 Kawakami G, Sekiya T, Tada S. Incidence of lumbar disc high intensity zone on MRI among young woman. Radiology UK 1999 Imaging, Science, & Oncology 17-19 May 1999; Birmingham, UK. BJR . 1999 (suppl); 72 (89)
- 31 Walsh T, Weinstein J, Spratt K. Lumbar discography in normal subjects: a controlled prospective study. J Bone Joint Surg . 1990; 72A 1081-1088
- 32 Simmons J W, Emery S F, McMillin J. Awake discography. A comparison study with magnetic resonance imaging. Spine (suppl). 1991; 16 (216-221)
- 33 Horton W C, Daftari T. Which disc as visualized by magnetic resonance imaging is actually a source of pain?. <~>A correlation between magnetic resonance imaging and discography. Spine . 1992 (suppl); 17 (S164-S171)
- 34 Osti O L, Fraser R D. MRI and discography of annular tears and intervertebral disc degeneration: a prospective clinical comparison. J Bone Joint Surg Br . 1992; 74 431-435
- 35
Boos N, Rieder R, Schade V.
The diagnostic accuracy of magnetic resonance imaging, work place perception, and
psychosocial factors in identifying symptomatic disc herniations.
Spine .
1995;
20
2613-2625
MissingFormLabel
- 36 Boos N, Semmer N, Elfering A. Natural history of individuals with asymptomatic isc abnormalities in magnetic resonance imaging. Spine . 2000; 25 1484-1492
- 37 Linton S J. A Review of psychological risk factors in back and neck pain. Spine . 2000; 25 1148-1156
- 38 Al-Obaidi S M, Nelson R M, Al-Awadhi S. The role of anticipation and fear of pain in the persistence of avoidance behavior in patients with chronic low back pain. Spine . 2000; 25 1126-1131