Facet Joint Imaging and Image-Guided Interventions from the American College of Radiology Commission on...

Imaging and intervention for spinal facetogenic pain has evolved continuously, with radiologists at the helm of several new advanced techniques including CT-guided interventions to ensure accurate needle placement, biologic therapies including platelet-rich plasma, and new noninvasive therapies such as MR-guided focused ultrasound. Though advances have been made in both imaging localization of painful facet joints and therapies offered, awareness of these techniques and the reimbursement landscape are varied. We hope to elucidate the current state of practice for both diagnosis and treatment of this common painful ailment, and highlight the ways that radiologists are at the forefront of advancement in these techniques.