Braunschweig R, Janka R, Spahn G, Tiemann A
, von Wedderkopstr. 2-4, 23847, Steinhorst, Deutschland.
Radiologisches Institut, Universitätsklinikum , Erlangen, Deutschland.
Radiologe. 2020 Feb;60(2):123-131. doi: 10.1007/s00117-019-00623-y.
Pain in general and back pain in particular are associated with a variety of pathological, clinical, and sociocultural factors. There are numerous clinical and therapeutic treatment as well as imaging-options available and comprehensive knowledge is required to meet the individual clinical needs of those affected. This requires a high degree of interdisciplinary cooperation. In addition, back pain is covered differently by various numbers of insurance companies. Imaging methods, including the example of periradicular image-assisted interventions, are presented with regard to their indication and efficiency. The existing guidelines and evaluation recommendations with different structural and targeted approaches are discussed in addition to extensive legal aspects in the literature. In addition, the structured reports and the certificated curricula of the AG Bildgebende Verfahren des Bewegungsapparates (Working Group "Imaging Procedures of the Musculoskeletal System") of the Deutsche Röntgengesellschaft ("German Society of Radiology") are recommended for the quality assurance.
一般疼痛，尤其是背痛，与多种病理、临床和社会文化因素相关。有众多临床和治疗方法以及影像学选择，需要具备全面知识才能满足患者的个体临床需求。这需要高度的跨学科合作。此外，不同保险公司对背痛的承保范围有所不同。文中介绍了包括神经根周围图像辅助干预示例在内的成像方法的适应证和有效性。除了文献中广泛的法律方面内容外，还讨论了具有不同结构和针对性方法的现有指南及评估建议。此外，推荐德国放射学会（“德国放射学协会”）运动系统成像程序工作组（“肌肉骨骼系统成像程序”工作组）的结构化报告和认证课程用于质量保证。
