Please use this identifier to cite or link to this item:
https://doi.org/10.21256/zhaw-4715
Publication type: | Article in scientific journal |
Type of review: | Peer review (publication) |
Title: | Advancing imaging technologies for patients with spinal pain : with a focus on whiplash injury |
Authors: | Elliott, James M. Hancock, Mark J. Crawford, Rebecca J. Smith, Andrew C. Walton, David M. |
DOI: | 10.21256/zhaw-4715 10.1016/j.spinee.2017.06.015 |
Published in: | The Spine Journal |
Volume(Issue): | 18 |
Issue: | 8 |
Page(s): | 1489 |
Pages to: | 1497 |
Issue Date: | Aug-2018 |
Publisher / Ed. Institution: | Elsevier |
ISSN: | 1529-9430 1878-1632 |
Language: | English |
Subjects: | Biopsychosocial; Imaging; Low back pain; MRI; Neck pain; Whiplash |
Subject (DDC): | 617.5: Orthopaedic surgery |
Abstract: | Background: Radiological observations of soft-tissue changes that may relate to clinical symptoms in patients with traumatic and non-traumatic spinal disorders are highly controversial. Studies are often of poor quality and findings are inconsistent. A plethora of evidence suggests some pathoanatomical findings from traditional imaging applications are common in asymptomatic participants across the life span, which further questions the diagnostic, prognostic, and theranostic value of traditional imaging. Although we do not dispute the limited evidence for the clinical importance of most imaging findings, we contend that the disparate findings across studies may in part be due to limitations in the approaches used in assessment and analysis of imaging findings. Purpose: This clinical commentary aimed to (1) briefly detail available imaging guidelines, (2) detail research-based evidence around the clinical use of findings from advanced, but available, imaging applications (eg, fat and water magnetic resonance imaging and magnetization transfer imaging), and (3) introduce how evolving imaging technologies may improve our mechanistic understanding of pain and disability, leading to improved treatments and outcomes. Study Design/Setting: A non-systematic review of the literature is carried out. Methods: A narrative summary (including studies from the authors' own work in whiplash injuries) of the available literature is provided. Results: An emerging body of evidence suggests that the combination of existing imaging sequences or the use of developing imaging technologies in tandem with a good clinical assessment of modifiable risk factors may provide important diagnostic information toward the exploration and development of more informed and effective treatment options for some patients with traumatic neck pain. Conclusions: Advancing imaging technologies may help to explain the seemingly disconnected spectrum of biopsychosocial signs and symptoms of traumatic neck pain. |
URI: | https://digitalcollection.zhaw.ch/handle/11475/11482 |
Fulltext version: | Accepted version |
License (according to publishing contract): | CC BY-NC-ND 4.0: Attribution - Non commercial - No derivatives 4.0 International |
Restricted until: | 2019-08-01 |
Departement: | School of Health Sciences |
Organisational Unit: | Institute of Public Health (IPH) |
Appears in collections: | Publikationen Gesundheit |
Files in This Item:
File | Description | Size | Format | |
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2018_Elliott_Crawford_Advancing_imaging_technologies_for_patients_with_spinal_pain.pdf | Accepted Manuscript | 1.14 MB | Adobe PDF | View/Open |
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Elliott, J. M., Hancock, M. J., Crawford, R. J., Smith, A. C., & Walton, D. M. (2018). Advancing imaging technologies for patients with spinal pain : with a focus on whiplash injury. The Spine Journal, 18(8), 1489–1497. https://doi.org/10.21256/zhaw-4715
Elliott, J.M. et al. (2018) ‘Advancing imaging technologies for patients with spinal pain : with a focus on whiplash injury’, The Spine Journal, 18(8), pp. 1489–1497. Available at: https://doi.org/10.21256/zhaw-4715.
J. M. Elliott, M. J. Hancock, R. J. Crawford, A. C. Smith, and D. M. Walton, “Advancing imaging technologies for patients with spinal pain : with a focus on whiplash injury,” The Spine Journal, vol. 18, no. 8, pp. 1489–1497, Aug. 2018, doi: 10.21256/zhaw-4715.
ELLIOTT, James M., Mark J. HANCOCK, Rebecca J. CRAWFORD, Andrew C. SMITH und David M. WALTON, 2018. Advancing imaging technologies for patients with spinal pain : with a focus on whiplash injury. The Spine Journal. August 2018. Bd. 18, Nr. 8, S. 1489–1497. DOI 10.21256/zhaw-4715
Elliott, James M., Mark J. Hancock, Rebecca J. Crawford, Andrew C. Smith, and David M. Walton. 2018. “Advancing Imaging Technologies for Patients with Spinal Pain : With a Focus on Whiplash Injury.” The Spine Journal 18 (8): 1489–97. https://doi.org/10.21256/zhaw-4715.
Elliott, James M., et al. “Advancing Imaging Technologies for Patients with Spinal Pain : With a Focus on Whiplash Injury.” The Spine Journal, vol. 18, no. 8, Aug. 2018, pp. 1489–97, https://doi.org/10.21256/zhaw-4715.
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