scholarly journals Lumbar spine radiograph (checklist)

2020 ◽  
Author(s):  
Daniel Bell ◽  
Dai Roberts
Keyword(s):  
Lumbar Spine ◽  
Spine Radiograph

scholarly journals Inter- and intra-examiner reliability of lumbar spine radiograph analysis by chiropractors and its impact on clinical management

2017 ◽  
Author(s):  
◽  
Zandile Mdakane
Keyword(s):  
Lumbar Spine ◽  
Case History ◽  
Clinical Management ◽  
Spinal Manipulative Therapy ◽  
Clinical History ◽  
Observer Agreement ◽  
Manipulative Therapy ◽  
Significant Difference ◽  
Spine Radiograph ◽  
Skeletal Disorders

Radiographs are the most commonly used modalities for the purpose of diagnosing skeletal disorders. Radiographs are important for chiropractors to exclude any contra-indications prior to spinal manipulative therapy. If contra-indications are found treatment is modified to what best suits each patient. There is a gap in the literature regarding chiropractors reading the same set of radiographs and agreeing on findings. Objectives The study investigated inter- and intra-examiner reliability of lumbar spine radiograph analysis by chiropractors and its impact on clinical management. Methods Inter- and intra-examiner examination of radiographs occurred in two rounds separated by two weeks. Six chiropractors read the same 30 radiographs and clinical history was only available in the second round. Results Inter-observer agreement for categorisation for Round One was 96.78% and Round Two 89.49%. Inter-observer agreement in management was 96.45% in round one and 96.00% in Round two. Agreement between chiropractors had no statistically significant difference. Identification average improved from 0.09 to 0.89 kappa. Overall specificity was relatively high and sensitivity was relatively low. Conclusion Reliability/Agreement between chiropractors was strong in both rounds. Categorising of the diagnosis improved from poor to substantial from Round One to Round Two. Case history improved the accuracy of interpreting the radiographs although this change was not statistically significant.

MO784ABDOMINAL AORTIC CALCIFICATIONS AND ARTERIOVENOUS FISTULA CLINICAL OUTCOMES ON HAEMODIALYSIS PATIENTS

2021 ◽  
Vol 36 (Supplement_1) ◽  
Author(s):  
Amira Saii ◽  
Toumi Salma ◽  
Beya Fendri ◽  
Hanen Abid ◽  
Rania Lahouimel ◽  
...  
Keyword(s):  
Lumbar Spine ◽  
Arteriovenous Fistula ◽  
Clinical Outcomes ◽  
Vascular Calcification ◽  
Strong Relationship ◽  
Chronic Haemodialysis ◽  
Significant Difference ◽  
Spine Radiograph ◽  
The Mean ◽  
Lateral Lumbar Spine

Abstract Background and Aims Vascular calcification has now been recognized as a major problem in dialysis patients because of its strong influence on the prognosis of this population. Several reports have shown the strong relationship between vascular calcification and clinical outcomes including cardiovascular events and arteriovenous fistula (AVF)survival. The aim of this study is to evaluate the severity of vascular calcifications in our hemodialysis patients and to determine its impact on the AVF survival. Method It is a transversal descriptive and analytical study including chronic haemodialysis patients in our unit of the nephrology department. A lateral lumbar spine radiograph was taken: the aortic arch calcification(ACC) score (VCS) was calculated according to the score validated by Kauppila and Schousboe. The overall VCS ranged from 0 to 24. Results Our study included 55 patients divided into 31 men and 24 women with a sex ratio of 1.29. The mean age was 49.54 ± 12.66 years. The mean duration in HD was 96.16± 73 months. 76.8% of the patients have hypertension, 26.8% are diabetic and 14.3% are smokers. AVF failure was noted in 34 patients (60.7%). We divided our population in 3 groups: G1:23 patients with a low VCS (41.1%), G2: 15 patients with a moderate VCS (26.8%) and G3: 17 patients with a severe VCS (30.4%). Patients in G2 and G3 were more frequently diabetics (p=0.05): over 50% of patients in G3 were diabetic and the mean duration in HD was longer: 133 months in G3, 102 months in G2 and 74 months in G1 with a significant difference p=0.03. We noted that AVF failure was more frequent in patients in G2 and G3 (65.7%) patients) versus patients in G1 (39.13%) with a significant difference (p=0.01) Conclusion vascular access dysfunction is one of the leading causes of morbidity and mortality in haemodialysis patients We have demonstrated throw this study the relation between the presence of higher AAC grade and the poor survival of AVF in our patients. So, an identification of these ACC by a simple lateral lumbar spine radiograph would allow the clinician to implement more rigorous and planned monitoring for such AVFs.

Assessment of a single lumbar spine radiograph in low back pain

1990 ◽  
Vol 63 (751) ◽  
pp. 535-536 ◽  
Author(s):  
S. Padley ◽  
F. Gleeson ◽  
R. Chisholm ◽  
J. Baldwin
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Lumbar Spine ◽  
Low Back ◽  
Spine Radiograph

scholarly journals Lumbar spine radiographs — is it time for widespread adoption of posteroanterior projection?

2019 ◽  
Vol 92 (1103) ◽  
pp. 20190386
Author(s):  
Christopher Green ◽  
Guru Karnati ◽  
Katharine Thomson ◽  
Ashok Subramanian
Keyword(s):  
Lumbar Spine ◽  
Image Quality ◽  
Effective Dose ◽  
Acquisition Time ◽  
Reference Image ◽  
Patient Study ◽  
Spine Radiography ◽  
Widespread Adoption ◽  
Spine Radiograph ◽  
Spine Radiographs

Objective: Phantom studies and a prior patient study have shown up to 53% effective dose reduction when lumbar spine radiographs are acquired posteroanterior (PA) instead of anteroposterior (AP). Since November 2017, Taunton and Somerset NHS Foundation Trust has acquired all standing lumbar spine radiographs PA. The aim of this study was to locally evaluate dose and image quality in both projections and survey current UK practice. Methods: 80 outpatients having a standing lumbar spine radiograph (40 AP; 40 PA) had their dose–area product recorded at a constant KV and focus film distance. Effective dose was calculated using PCXMC software. Each blinded radiograph was scored against an optimal reference image using European Guidelines criteria. The data were analyzed using Mann–Whitney U tests and linear regression. Eighty radiologists nationally were sent an anonymous survey to establish their current practice. Results: A lumbar spine radiograph acquired PA instead of AP reduced effective dose by 41% (p < 0.001) with no difference in image quality (p = 0.9). 21 radiologists completed our survey and only 1 NHS Trust is currently using PA. Conclusion: PA lumbar spine radiography reduces patient radiation exposure with no affect on image quality, acquisition time or cost. The majority of NHS Trusts nationally are still using AP and it is time to standardize to PA. Advances in knowledge: This patient study provides further good evidence of how reduction in exposure to ionizing radiation can be achieved in lumbar spine radiography and more widespread adoption of PA protocol could improve patient safety.

Assessment of a single lumbar spine radiograph in low back pain

1991 ◽  
Vol 1 (1) ◽  
pp. 70
Author(s):  
Padley S ◽  
Gleeson F ◽  
Chisholm R ◽  
Baldwin J
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Lumbar Spine ◽  
Low Back ◽  
Spine Radiograph

RE: The diagnostic contribution of the frontal lumbar spine radiograph in community referred low back pain

2004 ◽  
Vol 59 (6) ◽  
pp. 539-540
Author(s):  
L.A.L Khoo ◽  
C Heron ◽  
U Patel ◽  
R Given-Wilson ◽  
A Grundy ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Lumbar Spine ◽  
Low Back ◽  
Spine Radiograph

scholarly journals Reliability of Lumbar Spine Radiograph Reading by Chiropractors

Spine ◽  
1997 ◽  
Vol 22 (11) ◽  
pp. 1235-1241 ◽  
Author(s):  
Willem J. J. Assendelft ◽  
Lex M. Bouter ◽  
Paul G. Knipschild ◽  
Jan T. Wilmink
Keyword(s):  
Lumbar Spine ◽  
Spine Radiograph

scholarly journals The effect of interventions on appropriate use of lumbar spine radiograph and CT examinations in young adults and children: a three-year follow-up

2019 ◽  
Vol 61 (8) ◽  
pp. 1042-1049
Author(s):  
Pirita Tahvonen ◽  
Heljä Oikarinen ◽  
Osmo Tervonen
Keyword(s):  
Young Adults ◽  
Lumbar Spine ◽  
Guideline Implementation ◽  
Young Patients ◽  
Ct Scans ◽  
Spine Imaging ◽  
Sustained Reduction ◽  
Spine Radiograph ◽  
Spine Radiographs

Background According to international guidelines, radiological examinations of the lumbar spine are of limited value and do not improve clinical outcome unless there are clinical red flags present suggesting serious pathology. Nevertheless, the utilization of lumbar spine imaging remains high. Purpose To follow up the effects of active referral guideline implementation and education on the number and appropriateness of lumbar spine radiographs and computed tomography (CT) examinations in young patients and to evaluate whether the appropriate radiographs have more significant findings. Material and Methods Referral guidelines for spine examinations and info pocket cards on radiation protection were distributed to referring practitioners. Educational lectures were provided annually. The number of lumbar spine radiographs and CT examinations on patients aged <35 years was analyzed before and three years after the interventions. Appropriateness and findings of 313 radiographs and appropriateness of 117 CT scans of the lumbar spine were assessed. Results The number of lumbar spine radiographs and CT scans decreased significantly after the interventions and the level remained unchanged during the follow-up (−33% and −72%, respectively, P < 0.001). Appropriateness improved significantly in radiographs from 2005 to 2009 (65% vs. 85%) and in CT scans already from 2005 to 2007 (23% vs. 63%). Radiographs that were in accordance with the guidelines had more significant findings compared to radiographs that were not; in young adults, this was 56% versus 21% ( P < 0.001). Conclusion A combination of interventions can achieve a sustained reduction in the number of lumbar spine examinations and improve appropriateness. Inappropriate lumbar spine radiographs do not seem to contain significant findings that would affect patient care.

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