Ländryggsröntgen ger falsk säkerhet och ringa nytta för patienten: MRT och DT ger bättre och billigare resultat

Forskningsoutput: TidskriftsbidragArtikel i vetenskaplig tidskrift

Abstract

In 2016 140 000 lumbar spine radiographies were performed in Sweden (14 000 per million inhabitants) to a cost of about 85 million SEK (≈8.5 million Euro) and a negligible value for the patients with low back pain. In the work-up of low back pain, when imaging is indicated, lumbar spine radiography should be replaced by limited magnetic resonance imaging including a whole lower body coronal STIR sequence or computed tomography with radiation dose adapted to indication and patient age. Indication for imaging should be restricted to 1) low back pain with more than 3-4 weeks duration in combination with at least one »red flag«, 2) radicular pain without improvement on conservative treatment, or 3) low back pain with more than 8 weeks duration in combination with »yellow flags«.

Detaljer

Författare
Enheter & grupper
Externa organisationer
  • Skåne University Hospital
  • Karolinska Institute
  • Örebro University Hospital
  • Region Skåne
Forskningsområden

Ämnesklassifikation (UKÄ) – OBLIGATORISK

  • Radiologi och bildbehandling
Bidragets titel på inmatningsspråkLumbar spine radiography – Unreliable diagnostic accuracy and negligible value for the patients
Originalspråksvenska
Sidor (från-till)1962
Antal sidor1
TidskriftLakartidningen
Volym114
Utgivningsnummer46
StatusPublished - 2017
PublikationskategoriForskning
Peer review utfördNej