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Rapid magnetic resonance of the lumbar spine was not better than radiographs for evaluating low back pain
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 Q In patients with low back pain (LBP), are there clinical or economic consequences when replacing lumbar spine radiography (LSR) with rapid magnetic resonance imaging (MRI)?

Clinical impact ratings GP/FP/Primary care ★★★★★☆☆ Rheumatology ★★★★★☆☆

METHODS

Embedded ImageDesign:

randomised controlled trial with 12 months of follow up.

Embedded ImageAllocation:

concealed.*

Embedded ImageBlinding:

blinded (outcome assessors.)*

Embedded ImageFollow up period:

12 months.

Embedded ImageSetting:

4 imaging centres in Western Washington State, USA.

Embedded ImagePatients:

380 patients >18 years of age (mean age 53 y, 56% women) who had LBP with or without radiating leg pain referred for radiographs of their lumbar spine. Exclusion criteria included lumbar surgery within 1 year before enrolment, history of acute external trauma, metallic implants in the lumbar spine, any contraindications for MRI, lack of a telephone, pregnancy, and inability to speak English.

Embedded ImageIntervention:

190 patients each …

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