Clinical Reporting of Magnetic Resonance Imaging, the Way Forward for Patients With Lumbar Disc Herniation: A Prospective Correlational Study

Abstract

BackgroundLower back pain (LBP) is a major cause of increasing years lived with disability. Many adults suffer from LBP once in their lifetime. Multiple environmental, genetic, and acquired factors lead to disc degeneration. Spinal stenosis can be caused due to bony, ligamentous, or discogenic origin. The majority of cases have a combined etiology of bony, ligamentous, and disc disease. Lumbar disc disease (LDD) has been mentioned by various terminologies in the literature. A standardized nomenclature is needed for better research and communication. Our study is based on the correlation between lumbar disc herniation (LDH) and magnetic resonance imaging (MRI) findings. MethodologyA prospective observational study was undertaken on patients presenting with signs and symptoms suggestive of LDD to the Department of Orthopaedics at a tertiary care hospital in southern Rajasthan. The purposive sampling technique with a consecutive scheme was used. MRI is a valuable tool for diagnosing LDH. ResultsMany studies have concluded false-positive results for MRI in cases of LDH. Hence, interpretation with grading systems (Pfirrmann's and Scizas grading) and correlation with clinical findings are mandatory for accurate diagnosis and management of patients. ConclusionsWe suggest clinicians adopt clinical reporting of MRI to improve the diagnostic accuracy with clinical and radiological correlation. Reporting can guide professionals in deciding the course of treatment in the form of conservative or surgical management.

A fully automatic MRI‐guided decision support system for lumbar disc herniation using machine learning

“…Radiographic evidence is an indispensable basis for surgeons to choose the appropriate treatment. Magnetic resonance imaging (MRI) is the most reliable tool to assess the state of intervertebral discs (IVDs) due to its advantage of soft‐tissue contrast, noninvasive, radiation‐free, and appropriate representation of IVD changes 4–6 …”

“…Magnetic resonance imaging (MRI) is the most reliable tool to assess the state of intervertebral discs (IVDs) due to its advantage of soft-tissue contrast, noninvasive, radiation-free, and appropriate representation of IVD changes. [4][5][6] Composed of annulus fibrosus and nucleus pulposus, IVD always serves as a shock absorber between the adjacent vertebrates. Due to age-related degeneration, annulus fibrosus will wear out and cause the leakage of the nucleus pulposus, which could lead to direct compression and inflammation.…”

Research Progress in Lumbar Interbody Fusion (LIF) Techniques and Bone Biomaterials

“…Low back pain (LBP) is one of the most prevalent musculoskeletal disorders. Approximately 75% to 80% of adults experience low back pain at least once in their lifetime [1]. Low back pain can be categorized into two types: primary (nonspecific/idiopathic) and secondary.…”