与非特异性腰部疼痛患者的放射检查相关的因素
Asma S Alrushud1, Muteb J Alqarni2, Salman Albeshan3
1Department of Health Rehabilitation Sciences, College of Applied Medical Sciences, King Saud University, P.O. Box 10219, Riyadh 11433, Saudi Arabia.
放射性成像经常用于非特异性腰部疼痛 (LBP),受患者性别,BMI和并发症的影响,而不是物理治疗的参与. 遵守指导方针可以减少不必要的成像和医疗保健费用.
科学领域:
- 肌肉骨系统疾病 肌肉骨系统疾病
- 放射学 放射学是一门学科.
- 基于证据的医学基于证据的医学.
背景情况:
- 非特异性腰部疼痛 (LBP) 非常普遍.
- 对LBP进行放射性成像的过度使用与临床指南相矛盾.
- 指导方针建议仅在怀疑严重病理时进行成像.
研究的目的:
- 研究影响非特异性LBP患者放射性成像使用的因素.
- 识别成像的人口,临床和物理治疗相关预测因素.
- 分析LBP特征与成像推之间的关联.
主要方法:
- 在沙特阿拉伯对179名非特异性LBP患者进行了回顾性横截面研究.
- 从电子健康记录中提取的数据,包括人口统计,临床细节,物理治疗和成像.
- 多重线性回归分析以确定成像预测因素.
主要成果:
- 88.8%的患者接受了放射性成像,其中48.0%接受了多种模式.
- 重要的预测因素包括性别,较高的BMI,理疗师经验和并发症.
- 对LBP的药物使用与成像有负面关联;物理治疗参与和疼痛结果没有显著影响.
结论:
- 性别,BMI,理疗师经验和并发症影响非特异性LBP的成像决策.
- 研究结果表明,成像推模式中存在潜在的偏见.
- 强调遵守指导方针,以尽量减少不必要的成像,成本和改善患者护理.
更多相关视频
07:44Evaluation of Patients' Posture and Gait Profile After Lumbar Fusion Surgery by Video Rasterstereography and Treadmill Gait Analysis
Published on: March 23, 2019
06:31Quantitative [18F]-Naf-PET-MRI Analysis for the Evaluation of Dynamic Bone Turnover in a Patient with Facetogenic Low Back Pain
Published on: August 8, 2019
相关概念视频
Radiological Investigation I: X-ray and CT
Imaging Studies I: CT and MRI
Description of the Procedures
Computed Tomography (CT) scan:
Computed Tomography (CT) scans use X-ray technology to generate detailed images of bones, organs, and tissues. During the scan, the patient lies on a moving table...
Radiological Investigation II: MRI and Ventilation Perfusion Scan
Magnetic Resonance Imaging (MRI) and Ventilation Perfusion Scans are two radiological investigations that offer detailed diagnostic images of the body, particularly lung structures.
MRI
MRI uses magnetic fields and radiofrequency signals to distinguish between normal and abnormal tissues. This technology provides a more detailed diagnostic image than CT scans, enabling it to characterize pulmonary nodules, stage bronchogenic carcinoma, and evaluate inflammatory activity in...
Imaging Studies for Cardiovascular System III: X-Ray
Definition and Purpose
An X-ray, or radiograph, is a non-invasive method that uses ionizing radiation to take images of internal structures. It is mainly used in cardiac imaging to examine the heart, lungs, and major blood vessels, aiming to identify abnormalities in the heart's size, shape, and position, such as heart failure, congenital defects, and vascular...
Radiological Investigation III: Pulmonary Angiogram and PET Scan
Pulmonary Angiogram
A Pulmonary Angiogram is an invasive procedure involving injecting a contrast medium through a catheter threaded into the pulmonary artery or the right side of the heart to visualize the pulmonary vasculature. Computed Tomography (CT) scans have mainly replaced this...
Imaging Studies I: Kidney, Ureter, and Bladder Studies
