Difference between revisions of "Template:Trauma of the lumbar spine - choice of modality"
Jump to navigation
Jump to search
(Templates) |
(If in X-ray of lumbar spine) |
||
| Line 5: | Line 5: | ||
}} | }} | ||
</noinclude> | </noinclude> | ||
| − | ==={{#ifeq: {{PAGENAME}} |Trauma| Lumbar spine | Choice of modality }}=== | + | ==={{#ifeq: {{PAGENAME}} |Trauma| Lumbar spine | Choice of modality }}{{#ifeq: {{PAGENAME}} |X-ray of lumbar spine| in trauma|}}=== |
*'''[[CT of the lumbar spine in trauma]]''' is generally the first choice. | *'''[[CT of the lumbar spine in trauma]]''' is generally the first choice. | ||
*'''[[X-ray of fractures of the lumbar spine]]''' is recommended as the first choice in: | *'''[[X-ray of fractures of the lumbar spine]]''' is recommended as the first choice in: | ||
Latest revision as of 18:11, 17 July 2019
Author:
Mikael Häggström [notes 1]
Choice of modality
- CT of the lumbar spine in trauma is generally the first choice.
- X-ray of fractures of the lumbar spine is recommended as the first choice in:
- Suspicion of a vertebral compression fracture alone, such as in an elderly patient with typical symptoms.
- Low clinical suspicion of a fracture, according to US guidelines,[1] but low dose CT is still arguably superior if the local department has a low dose protocol (with up to only slightly larger radiation dose than X-ray).[2]
- In children, according to Australian guidelines,[3] but again, low dose CT is arguably superior if there is a local low dose protocol.[2]
- As a follow-up of fractures, since it is almost always enough to check for change in position.[notes 2]
- MRI of the lumbar spine or CT is indicated in children if there are neurological signs.[3]
Notes
- ↑ For a full list of contributors, see article history. Creators of images are attributed at the image description pages, seen by clicking on the images. See Radlines:Authorship for details.
- ↑ NU Hospital Group, Sweden
References
- ↑ USA:. ACR Appropriateness Criteria. American College of Radiology. Last review date: 2012
- ↑ 2.0 2.1 Alshamari, Muhammed; Geijer, Mats; Norrman, Eva; Lidén, Mats; Krauss, Wolfgang; Wilamowski, Franciszek; Geijer, Håkan (2015). "Low dose CT of the lumbar spine compared with radiography: a study on image quality with implications for clinical practice ". Acta Radiologica 57 (5): 602–611. doi:. ISSN 0284-1851.
- ↑ 3.0 3.1 Australia:. Radiology - Acute indications. The Royal Children's Hospital Melbourne. Retrieved on 2018-12-14.
