Frequency of Positive Lumbosacral MRI Results in Patients Ton-traumatic low Back Pain Based on the Specialty of the Referring Physician

Fateme Najarzadegan, Somayyeh Hajiahmadi, A. Adibi
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Abstract

Background and Objectives This study aims to assess the frequency of positive lumbosacral magnetic resonance imaging (MRI) results in patients with non-traumatic low back pain (LBP) based on the specialty of the referring physician. Subjects and Methods In this retrospective study, 335 patients with non-traumatic LBP aged >18 years participated. Their demographic information and MRI findings and the specialty of the referring physician were extracted and recorded from the imaging information system of a hospital. Frequency of positive lumbosacral MRI results based on the specialty of the referring physician were compared. To avoid bias, the MRIs with a same imaging protocol were selected, and reporting was done by a same radiologist. Results Of 335 patients, 145(43.3%) were male and 190(57.6%) were female. Among the referring physicians, 139(41.5%) were neurosurgeon, 114(34%) were orthopedists, 61(18.2%) were neurologists, and 21(6.3%) were physical medicine specialist. There was no significant difference in positive MRI results between different specialties of the referring physicians (P>0.05). Conclusion There is no difference in the frequency of positive lumbosacral MRI results in patients with non-traumatic LBP treated by orthopedics, neurologists, neurosurgeons, and physical medicine specialists.
外伤性腰痛患者腰骶MRI阳性结果的频率与转诊医师专业的关系
背景与目的本研究旨在评估非外伤性腰痛(LBP)患者腰骶部磁共振成像(MRI)阳性结果的频率,基于转诊医师的专业。对象与方法本研究回顾性分析了335例年龄>18岁的非外伤性腰痛患者。从医院的影像信息系统中提取并记录了他们的人口统计信息、MRI结果和转诊医生的专业。根据转诊医师的专业,比较腰骶部MRI阳性结果的频率。为避免偏倚,选择具有相同成像方案的mri,并由同一放射科医生完成报告。结果335例患者中,男性145例(43.3%),女性190例(57.6%)。转诊医师中,神经外科医师139人(41.5%)、骨科医师114人(34%)、神经科医师61人(18.2%)、物理医学专科医师21人(6.3%)。不同专科转诊医师MRI阳性结果比较差异无统计学意义(P>0.05)。结论在骨科、神经科、神经外科和物理医学专家治疗的非外伤性腰痛患者中,腰骶部MRI阳性结果的频率没有差异。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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