Persistent low back pain in patients suspected of having herniated nucleus pulposus: radiologic predictors of functional outcome--implications for treatment selection.

Abstract:

PURPOSE:To assess the relationship between imaging findings, therapy, and functional outcome in patients with persistent low back pain who are suspected of having herniated nucleus pulposus. MATERIALS AND METHODS:Data collected during a multicenter, longitudinal study were retrospectively analyzed (n = 1,084). Multivariate regression was used to determine the association between imaging findings, therapy, and functional outcome. The patient outcome measure was disability days: the number of days the patient was unable to perform work-related activities. RESULTS:In patients with at least one normal advanced (imaging other than plain radiography) diagnostic study or with an unconfirmed diagnosis of herniated nucleus pulposus, outcome at 2-year follow-up was no better in patients who were treated than in those who were not. In patients with only abnormal advanced imaging results or with a concordant diagnosis based on clinical and imaging findings, outcome was better in patients who underwent surgery than in those treated nonsurgically. Patients with a free fragment, protrusion, or extrusion that was treated surgically had fewer disability days than patients treated nonsurgically. CONCLUSION:Advanced diagnostic imaging studies can play an important role in treatment selection in patients with persistent low back pain who are suspected of having herniated nucleus pulposus.

journal_name

Radiology

journal_title

Radiology

authors

Ackerman SJ,Steinberg EP,Bryan RN,BenDebba M,Long DM

doi

10.1148/radiology.203.3.9169710

subject

Has Abstract

pub_date

1997-06-01 00:00:00

pages

815-22

issue

3

eissn

0033-8419

issn

1527-1315

journal_volume

203

pub_type

杂志文章,多中心研究
  • Carcinoma of the prostate gland: MR imaging with pelvic phased-array coils versus integrated endorectal--pelvic phased-array coils.

    abstract:PURPOSE:To compare the performance of pelvic phased-array (PPA) coils and integrated endorectal PPA coils in evaluation of local extent of prostate cancer. MATERIALS AND METHODS:Seventy-one men underwent magnetic resonance (MR) imaging within 3 weeks of radical prostatectomy. MR findings of tumor, extracapsular extens...

    journal_title:Radiology

    pub_type: 临床试验,杂志文章

    doi:10.1148/radiology.193.3.7972810

    authors: Hricak H,White S,Vigneron D,Kurhanewicz J,Kosco A,Levin D,Weiss J,Narayan P,Carroll PR

    更新日期:1994-12-01 00:00:00

  • Step-wedge sensitometry.

    abstract::An aluminum step-wedge filter placed far from the film cassette provides the constant variation of subject contrast required for quantitative sensitometry while virtually eliminating scatter radiations. Attenuation curves made with this configuration are almost exponentially linear. ...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/128.3.820

    authors: Hale J,Bloch P

    更新日期:1978-09-01 00:00:00

  • Elective irradiation of the lower cervical region in patients at high risk for recurrent cancer at the tracheal stoma.

    abstract::The results of treatment for recurrent cancer at the tracheal stoma have been poor. From 1971 to 1976, elective postoperative irradiation of the neck was given to 26 high-risk patients with carcinoma of the larynx and hypopharynx. None of the 22 patients whose stomas were irradiated developed stomal or peristomal recu...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/124.3.809

    authors: Tong D,Moss WT,Stevens KR Jr

    更新日期:1977-09-01 00:00:00

  • Functionally relevant coronary artery disease: comparison of 64-section CT angiography with myocardial perfusion SPECT.

    abstract:PURPOSE:To prospectively determine the accuracy of 64-section computed tomographic (CT) angiography for the depiction of coronary artery disease (CAD) that induces perfusion defects at myocardial perfusion imaging with single photon emission computed tomography (SPECT), by using myocardial perfusion imaging as the refe...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiol.2482071307

    authors: Gaemperli O,Schepis T,Valenta I,Koepfli P,Husmann L,Scheffel H,Leschka S,Eberli FR,Luscher TF,Alkadhi H,Kaufmann PA

    更新日期:2008-08-01 00:00:00

  • Transdiaphragmatic jejunal duplication: a report of five cases.

    abstract::Five infants with intrathoracic transdiaphragmatic duplication cysts are presented. Diagnosis was possible from the combination of several features on plain chest radiographs: (a) right-sided cystic areas lying posteriorly in the chest, (b) lower cervical or upper dorsal spinal dysraphism, and (c) unusual gas collecti...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/131.3.663

    authors: Hall CM

    更新日期:1979-06-01 00:00:00

  • Age dependency of the renal resistive index in healthy children.

    abstract::It has recently been suggested that the resistive index (RI) in native kidneys of healthy children is age dependent; however, this relationship has not been completely defined or explained. In 110 kidneys in 71 healthy children aged newborn to 11 years, RIs were determined from peripheral sites (presumed to be arcuate...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiology.184.2.1620850

    authors: Bude RO,DiPietro MA,Platt JF,Rubin JM,Miesowicz S,Lundquist C

    更新日期:1992-08-01 00:00:00

  • Lymphographic Demonstration of a Retroperitoneal Lymphangioma.

    abstract::Lymphangiomas are rare, benign tumors which may become opacified during lymphography and may be confused with malignant lymph node disease. A case is reported in which lymphography showed focal collections of contrast material retained for several days in dilated lymphatic spaces which initially simulated metastatic d...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/115.2.355

    authors: Castellino RA,Finkelstein S

    更新日期:1975-05-01 00:00:00

  • Prediction of Hip Failure Load: In Vitro Study of 80 Femurs Using Three Imaging Methods and Finite Element Models-The European Fracture Study (EFFECT).

    abstract::Purpose To evaluate the performance of three imaging methods (radiography, dual-energy x-ray absorptiometry [DXA], and quantitative computed tomography [CT]) and that of a numerical analysis with finite element modeling (FEM) in the prediction of failure load of the proximal femur and to identify the best densitometri...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiol.2016142796

    authors: Pottecher P,Engelke K,Duchemin L,Museyko O,Moser T,Mitton D,Vicaut E,Adams J,Skalli W,Laredo JD,Bousson V

    更新日期:2016-09-01 00:00:00

  • Laser therapy for breast cancer: MR imaging and histopathologic correlation.

    abstract:PURPOSE:To investigate magnetic resonance (MR) imaging guidance of interstitial laser photocoagulation to treat primary breast cancer. MATERIALS AND METHODS:Twenty female patients with symptomatic breast cancers diagnosed at cytologic examination underwent interstitial laser photocoagulation by means of a single fiber...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiology.200.3.8756910

    authors: Mumtaz H,Hall-Craggs MA,Wotherspoon A,Paley M,Buonaccorsi G,Amin Z,Wilkinson I,Kissin MW,Davidson TI,Taylor I,Bown SG

    更新日期:1996-09-01 00:00:00

  • Report from the International Commission on Radiation Units and Measurements.

    abstract::A summary of the activities of the International Commission on Radiation Units and Measurements since 1973 is presented. ...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/127.2.549

    authors: Wyckoff HO

    更新日期:1978-05-01 00:00:00

  • Improving Patient Experience in Radiology: Impact of a Multifaceted Intervention on National Ranking.

    abstract::Purpose To assess the impact of a patient experience improvement program on national ranking in patient experience in a large academic radiology department. Materials and Methods This Health Insurance Portability and Accountability Act-compliant study was exempted from institutional review board approval. After initia...

    journal_title:Radiology

    pub_type: 杂志文章,多中心研究

    doi:10.1148/radiol.2019182307

    authors: Kapoor N,Yan Z,Wang A,Wickner P,Kachalia A,Boland G,Khorasani R

    更新日期:2019-04-01 00:00:00

  • Fractional moving blood volume: estimation with power Doppler US.

    abstract:PURPOSE:To estimate the fraction of moving blood in tissue with power Doppler ultrasound (US). MATERIALS AND METHODS:Power Doppler US measurements of moving scatterers in a flow tube were made as a function of successive dilutions of the perfusate. Measurements were normalized relative to the maximum Doppler power in ...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiology.197.1.7568820

    authors: Rubin JM,Adler RS,Fowlkes JB,Spratt S,Pallister JE,Chen JF,Carson PL

    更新日期:1995-10-01 00:00:00

  • Cavernosal venocclusive insufficiency in male impotence: evaluation of degree and location.

    abstract::The author's experience with 72 patients with impotence, one patient with Peyronie disease (no impotence), and two healthy volunteers indicates that incompetence of the venocclusive mechanism of the corpora cavernosa is probably the most common cause of vasculogenic impotence. Manometric and angiographic studies are t...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiology.164.1.3588900

    authors: Bookstein JJ

    更新日期:1987-07-01 00:00:00

  • Congenital anorectal anomaly: CT evaluation.

    abstract::Anorectal anomalies were evaluated by computed tomography (CT) scanning in 23 patients. CT scans showed clearly the anatomy of the anal sphincter muscles in relation to the intestine and the amount of muscle mass present. These findings correlated well with the results of direct visualization and electromyograms in pa...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiology.157.2.4048440

    authors: Kohda E,Fujioka M,Ikawa H,Yokoyama J

    更新日期:1985-11-01 00:00:00

  • Search and nonsearch protocols for radiographic consultation.

    abstract::Six radiologists, acting as radiograph reviewers, used two different consultation protocols to differentiate among 292 ambiguous chest radiographic findings: 120 simulated nodules and 172 normal findings (previous readers' false-positive reports of nodules). The nonsearch protocol identified each finding (by film loca...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiology.177.3.2244000

    authors: Swensson RG,Theodore GH

    更新日期:1990-12-01 00:00:00

  • Vena caval filter splaying: potential complication of use of the titanium Greenfield filter.

    abstract::Significant structural and mechanical differences exist between the titanium and stainless steel versions of the Greenfield filter (GF). The titanium GF has a longer leg length (49 mm vs 43 mm), a greater span (38.5 mm vs 28.0 mm), and a larger hook angle (41 degrees vs 23.5 degrees). In vitro tests demonstrated appro...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiology.173.3.2813790

    authors: Teitelbaum GP,Jones DL,van Breda A,Matsumoto AH,Fellmeth BD,Chespak LW,Barth KH

    更新日期:1989-12-01 00:00:00

  • Aplasia or hypoplasia of the pancreatic uncinate process: comparison in patients with and patients without intestinal nonrotation.

    abstract:PURPOSE:To investigate whether the pancreatic uncinate process is hypoplastic in patients with intestinal nonrotation, and to evaluate the association of hypoplasia or aplasia of the uncinate process with mesenteric vascular inversion. MATERIALS AND METHODS:Computed tomographic (CT) scans of the pancreas in five patie...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiology.205.2.9356640

    authors: Inoue Y,Nakamura H

    更新日期:1997-11-01 00:00:00

  • High resolution computed tomography of the temporal bone.

    abstract::The radiation dose and the anatomic detail of computed tomography (CT) and conventional tomography were studied in 18 patients with suspected acoustic neuroma, cholesteatoma, malignant tumor, and temporal bone fracture. It is concluded that CT is the technique of choice in patients suspected of having acoustic neuroma...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiology.134.2.7352220

    authors: Shaffer KA,Haughton VM,Wilson CR

    更新日期:1980-02-01 00:00:00

  • Brain tumor resection: intraoperative monitoring with high-field-strength MR imaging-initial results.

    abstract:PURPOSE:To investigate the challenges and benefits of magnetic resonance (MR) imaging during brain tumor resection. MATERIALS AND METHODS:A short-bore 1.5-T MR system equipped with echo-planar-capable gradients was used in resection of brain tumors in 30 patients. MR sequences and need for contrast material enhancemen...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiology.215.1.r00ap31221

    authors: Martin AJ,Hall WA,Liu H,Pozza CH,Michel E,Casey SO,Maxwell RE,Truwit CL

    更新日期:2000-04-01 00:00:00

  • Pressure erosions of bone in rheumatoid arthritis: a subject review.

    abstract::Pressure, or compressive, erosions of bone in various locations in patients with rheumatoid arthritis are described. Possible pathophysiologic mechanisms that account for the appearance and distribution of these erosions include osteopenia, soft-tissue laxity, soft-tissue pressure on bone, bone pressure on bone, and m...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiology.155.1.3975420

    authors: Monsees B,Destouet JM,Murphy WA,Resnick D

    更新日期:1985-04-01 00:00:00

  • Eccentric cortical metastases to the skeleton from bronchogenic carcinoma.

    abstract::Six cases of bronchogenic carcinoma metastatic to bone are reported in which the radiographic pattern of the skeletal metastases was remarkably similar. In each case, the osseous involvement was predominantly cortical, producing a focal area of geographic bone destruction. Predominant roentgen involvement of the corte...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiology.137.1.7422860

    authors: Deutsch A,Resnick D

    更新日期:1980-10-01 00:00:00

  • Obstruction of the lacrimal system: treatment with a covered, retrievable, expandable nitinol stent versus a lacrimal polyurethane stent.

    abstract:PURPOSE:To compare the clinical effectiveness of a covered nitinol stent with that of a polyurethane stent for treatment of lacrimal system obstructions. MATERIALS AND METHODS:A nitinol stent was knit from a single thread of 0.1-mm nitinol wire in a tubular configuration and was covered by dipping the stent into a pol...

    journal_title:Radiology

    pub_type: 临床试验,杂志文章

    doi:10.1148/radiol.2271011674

    authors: Ko GY,Song HY,Seo TS,Kim TH,Sung KB,Yoon HK

    更新日期:2003-04-01 00:00:00

  • Vertebral bone marrow perfusion evaluated with dynamic contrast-enhanced MR imaging: significance of aging and sex.

    abstract:PURPOSE:To investigate blood perfusion of nonfractured, normal-appearing vertebral bodies with regard to age and sex. MATERIALS AND METHODS:Dynamic magnetic resonance imaging (160 images obtained in 80 seconds) was performed from T10 to L5 in 66 patients. Patients were assigned to three groups: group 1, those 50 years...

    journal_title:Radiology

    pub_type: 临床试验,杂志文章

    doi:10.1148/radiology.220.1.r01jl32213

    authors: Chen WT,Shih TT,Chen RC,Lo SY,Chou CT,Lee JM,Tu HY

    更新日期:2001-07-01 00:00:00

  • Imaging Follow-up of Low-Risk Incidental Pancreas and Kidney Findings: Effects of Patient Age and Comorbidity on Projected Life Expectancy.

    abstract::Purpose To determine the effects of patient age and comorbidity level on life expectancy (LE) benefits associated with imaging follow-up of Bosniak IIF renal cysts and pancreatic side-branch (SB) intraductal papillary mucinous neoplasms (IPMNs). Materials and Methods A decision-analytic Markov model to evaluate LE ben...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiol.2018171701

    authors: Raphel TJ,Weaver DT,Berland LL,Herts BR,Megibow AJ,Knudsen AB,Pandharipande PV

    更新日期:2018-05-01 00:00:00

  • Recurrent renovascular hypertension. Report of an unusual case.

    abstract::A 7-year-old girl with histologically proved fibromuscular dysplasia underwent renal autotransplantation with prompt return of the blood pressure to normal. Two months later, immediately after tonsillectomy, severe hypertension recurred with marked narrowing of the previously patent anastomosis. After 4 weeks on antih...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/120.1.149

    authors: Gyepes MT,Kaufman JJ,Dornfeld L

    更新日期:1976-07-01 00:00:00

  • Breast calcifications: analysis of imaging properties.

    abstract::The imaging characteristics of microcalcifications in both benign and malignant breast conditions were analyzed in 48 digitized film mammograms. Each case included in this analysis had findings considered suggestive of malignancy by the radiologist, with the underlying histologic structure determined by excisional bio...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiology.169.2.3174980

    authors: Olson SL,Fam BW,Winter PF,Scholz FJ,Lee AK,Gordon SE

    更新日期:1988-11-01 00:00:00

  • Liver metabolite concentrations measured with 1H MR spectroscopy.

    abstract:PURPOSE:To determine the feasibility of measuring choline and glycogen concentrations in normal human liver in vivo with proton (hydrogen 1 [1H]) magnetic resonance (MR) spectroscopy. MATERIALS AND METHODS:Signed consent to participate in an institutional review board-approved and HIPAA-compliant study was obtained fr...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiol.12112344

    authors: Ouwerkerk R,Pettigrew RI,Gharib AM

    更新日期:2012-11-01 00:00:00

  • Learning curve for coronary CT angiography: what constitutes sufficient training?

    abstract:PURPOSE:To prospectively evaluate the effect of experience with coronary computed tomographic (CT) angiography on the capability to detect coronary stenoses of 50% or more. MATERIALS AND METHODS:The institutional review board approved the study protocol. All patients gave consent to undergo CT angiography before conve...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiol.2512080384

    authors: Pugliese F,Hunink MG,Gruszczynska K,Alberghina F,Malagó R,van Pelt N,Mollet NR,Cademartiri F,Weustink AC,Meijboom WB,Witteman CL,de Feyter PJ,Krestin GP

    更新日期:2009-05-01 00:00:00

  • Pulsed arterial spin labeling: comparison of multisection baseline and functional MR imaging perfusion signal at 1.5 and 3.0 T: initial results in six subjects.

    abstract::Flow-alternating inversion-recovery magnetic resonance imaging was performed at 3.0 T to measure cerebral perfusion during rest and motor activation in six healthy adult volunteers. Results were compared with those at 1.5 T. The mean signal-to-noise ratio for both gray matter and white matter perfusion measured with a...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiol.2222001697

    authors: Yongbi MN,Fera F,Yang Y,Frank JA,Duyn JH

    更新日期:2002-02-01 00:00:00

  • CSF rhinorrhea: detection and localization using overpressure cisternography with Tc-99m-DTPA.

    abstract::We performed 32 overpressure radionuclide cisternography (ORNC) studies to examine 26 patients who were clinically suspected of having cerebrospinal fluid (CSF) fistula with rhinorrhea. Fifteen (47%) of these cisternography studies were positive, and the site of the leak was identified. No leak could be demonstrated i...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiology.154.3.3881800

    authors: Curnes JT,Vincent LM,Kowalsky RJ,McCartney WH,Staab EV

    更新日期:1985-03-01 00:00:00