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

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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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