Janssen Meaghan, Nabih Aliaa, Moussa Walied, Kawchuk Gregory N, Carey Jason P
Department of Mechanical Engineering, University of Alberta, Edmonton, AB, Canada T6G 2G8.
Pain Res Treat. 2011;2011:478798. doi: 10.1155/2011/478798. Epub 2011 Jun 13.
Back pain is a prevalent condition affecting much of the population at one time or the other. Complications, including neurological ones, can result from missed or mismanaged spinal abnormalities. These complications often result in serious patient injury and require more medical treatment. Correct diagnosis enables more effective, often less costly treatment methods. Current diagnosis technologies focus on spinal alterations. Only approximately 10% of back pain is diagnosable, with current diagnostic technologies. The objective of this paper is to investigate and evaluate based on specific criteria current diagnosis technique. Nine diagnostic techniques were found in the literature, namely, discography, myelography, single photon emission computer tomography (SPECT), computer tomography (CT), combined CT & SPECT, magnetic resonance imaging (MRI), upright and kinematic MRI, plain radiography and cineradiography. Upon review of the techniques, it is suggested that improvements can be made to all the existing techniques for diagnosing back pain. This review will aid health service developers to focus on insufficient areas, which will help to improve existing technologies or even develop alternative ones.
背痛是一种普遍存在的病症,在不同时期影响着许多人。包括神经方面的并发症可能源于脊柱异常未被发现或处理不当。这些并发症常常导致患者严重受伤,需要更多的医疗救治。正确的诊断能够采用更有效且通常成本更低的治疗方法。当前的诊断技术侧重于脊柱的变化。利用现有的诊断技术,只有约10%的背痛能够被诊断出来。本文的目的是基于特定标准对当前的诊断技术进行调查和评估。在文献中发现了九种诊断技术,即椎间盘造影术、脊髓造影术、单光子发射计算机断层扫描(SPECT)、计算机断层扫描(CT)、CT与SPECT联合、磁共振成像(MRI)、直立和动态MRI、普通X线摄影和电影X线摄影。在对这些技术进行审查后,建议对所有现有的背痛诊断技术进行改进。这一综述将有助于医疗服务开发者关注不足之处,从而有助于改进现有技术,甚至开发替代技术。