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Updated: May 20, 2026

Quantitative Magnetic Resonance Imaging of Skeletal Muscle Disease
Published on: December 18, 2016
The role of MRI in musculoskeletal practice: a clinical perspective
1Army-Baylor University Doctoral Fellowship in Orthopaedic Manual Physical Therapy, Brooke Army Medical Center, Fort Sam Houston, TX, USA.
Abstract:
This clinical perspective presents an overview of current and potential uses for magnetic resonance imaging (MRI) in musculoskeletal practice. Clinical practice guidelines and current evidence for improved outcomes will help providers determine the situations when an MRI is indicated. The advanced competency standard of examination used by physical therapists will be helpful to prevent overuse of musculoskeletal imaging, reduce diagnostic errors, and provide the appropriate clinical context to pathology revealed on MRI. Physical therapists are diagnostically accurate and appropriately conservative in their use of MRI consistent with evidence-based principles of diagnosis and screening.
Insights
Physical therapists can effectively use magnetic resonance imaging (MRI) in musculoskeletal practice. Adhering to guidelines ensures appropriate MRI use, reducing errors and improving patient outcomes.
Area of Science:
- Musculoskeletal Imaging
- Diagnostic Accuracy
- Physical Therapy Practice
Background:
- Magnetic resonance imaging (MRI) is a valuable tool in musculoskeletal practice.
- Guidelines are essential for appropriate MRI utilization.
- Physical therapists play a key role in diagnostic imaging decisions.
Purpose of the Study:
- To provide an overview of current and potential uses of MRI in musculoskeletal practice.
- To guide providers on when MRI is indicated based on evidence.
- To highlight the role of physical therapists in optimizing MRI use.
Main Methods:
- Review of clinical practice guidelines.
- Analysis of current evidence for improved outcomes.
- Discussion of advanced competency standards for physical therapists.
Main Results:
- Physical therapists demonstrate diagnostic accuracy in MRI utilization.
- Appropriate and conservative use of MRI by physical therapists is supported by evidence.
- Effective use of MRI by physical therapists can prevent overuse and reduce errors.
Conclusions:
- Physical therapists are well-positioned to guide appropriate MRI use in musculoskeletal care.
- Evidence-based principles support physical therapists' role in MRI screening and diagnosis.
- Optimizing MRI indications enhances patient outcomes and reduces healthcare costs.
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