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Related Concept Videos

SBAR II: Application of SBAR01:14

SBAR II: Application of SBAR

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SBAR is an effective communication tool used by healthcare professionals to communicate patient information accurately. SBAR stands for Situation, Background, Assessment, and Recommendation. For a better understanding, an example is given below.
SBAR Report from a Nurse to a Health Care Provider
S: "Hello, Dr. Smith. This is Jane, RN, from the Med Surg unit. I am calling to tell you about Ms. White in Room 210, who is experiencing increased pain and redness at her incision site. Her recent...
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Minimally Invasive Treatment for Thoracolumbar Burst Fracture Using Sagittal Alignment Screws and A Trauma Reduction Device
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ACR Appropriateness Criteria® Suspected Spine Infection.

, A Orlando Ortiz1, Alex Levitt2

  • 1Chairman, Department of Radiology, Jacobi Medical Center, Bronx, New York.

Journal of the American College of Radiology : JACR
|November 19, 2021
PubMed
Summary
This summary is machine-generated.

Diagnosing spine infections is challenging due to vague symptoms. Magnetic resonance imaging (MRI) is the primary imaging tool, complemented by other modalities and microbiologic confirmation for accurate diagnosis.

Keywords:
AUCAppropriate Use CriteriaAppropriateness CriteriaCTEpidural abscessMRINuclear medicineSpine infectionSpondylodiscitis

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Area of Science:

  • Radiology and Imaging
  • Infectious Diseases
  • Spinal Surgery

Background:

  • Spine infections present with subtle, non-specific symptoms, complicating diagnosis.
  • Diagnosis relies on clinical suspicion, imaging, and microbiologic confirmation.
  • Magnetic resonance imaging (MRI) is the preferred initial imaging modality.

Framework:

  • MRI without and with contrast is the gold standard for evaluating suspected spine infections.
  • Non-contrast MRI may reveal infection indicators in patients with undiagnosed back or neck pain.
  • Nuclear medicine (e.g., gallium scan, FDG-PET/CT) and CT scans aid in specific or equivocal cases.

Implementation:

  • Radiography and CT assess spinal stability, alignment, and osseous integrity.
  • Microbiologic confirmation via blood cultures or biopsies is crucial.
  • The American College of Radiology Appropriateness Criteria guide imaging choices.

Implications:

  • Accurate diagnosis of spine infections is critical for timely and effective treatment.
  • Multimodality imaging approaches improve diagnostic confidence.
  • Evidence-based guidelines ensure appropriate use of diagnostic tools.