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Adults and Children with Low Back Pain in Primary Care Setting: Evidence-Based Neuroimaging

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Evidence-Based Neuroimaging Diagnosis and Treatment

Part of the book series: Evidence-Based Imaging ((Evidence-Based Imag.))

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Abstract

Low back pain (LBP) is a pervasive problem that affects two-thirds of adults at some time in their lives. Fortunately, the natural history of LBP is usually benign, and diagnostic imaging can be restricted to a small percentage of LBP sufferers. This chapter reviews the evidence regarding both the diagnostic accuracy of common imaging modalities for several common conditions and the utility of imaging in patients with LBP in the primary care setting. The most common spine imaging tests are plain X-rays, computed tomography (CT), MR, and bone scanning. We do not review other modalities (conventional myelography, discography, and positron emission tomography), which are usually ordered by specialists prior to surgical intervention. This work is based partly on an article we previously published in the Annals of Internal Medicine.

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Acknowledgment

This work was supported in part by grant 1 P60 AR48093 from the National Institute for Arthritis, Musculoskeletal, and Skin Diseases.

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Authors and Affiliations

  1. Department of Radiology, Harborview Medical Center, University of Washington, Seattle, WA, 98104, USA

    Ken F. Linnau & Jeffrey G. Jarvik

  2. Department of Diagnostic Radiology, Children’s at Erlanger, Chattanooga, TN, 37403, USA

    Marla B. K. Sammer

  3. Department of Radiology, Virginia Mason Medical Center, Seattle, WA, 98111, USA

    C. Craig Blackmore

Authors
  1. Ken F. Linnau
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  2. Marla B. K. Sammer
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  3. C. Craig Blackmore
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  4. Jeffrey G. Jarvik
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Corresponding author

Correspondence to Ken F. Linnau .

Editor information

Editors and Affiliations

  1. Division of Neuroradiology-Neuroimaging, Department of Radiology, Miami Children’s Hospital, Miami, FL, USA

    L. Santiago Medina

  2. Herbert Wertheim College of Medicine, Florida International University, Miami, FL, USA

    L. Santiago Medina

  3. Former Lecturer in Radiology, Harvard Medical School, Boston, MA, USA

    L. Santiago Medina

  4. Department of Radiology, Weill Cornell Medical College/NewYork-Presbyterian Hospital, New York, NY, USA

    Pina C. Sanelli

  5. Department of Radiology, Harborview Medical Center, University of Washington, Seattle, WA, USA

    Jeffrey G. Jarvik

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Linnau, K.F., Sammer, M.B.K., Blackmore, C.C., Jarvik, J.G. (2013). Adults and Children with Low Back Pain in Primary Care Setting: Evidence-Based Neuroimaging. In: Medina, L.S., Sanelli, P.C., Jarvik, J.G. (eds) Evidence-Based Neuroimaging Diagnosis and Treatment. Evidence-Based Imaging. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-3320-0_29

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  • DOI: https://doi.org/10.1007/978-1-4614-3320-0_29

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