Dragsbæk Line, Jensen Tue Secher, Arnbak Bodil, Thomsen Janus Laust, Axelsen Susanne, Isaksen Christin, Muff Estrid, Jensen Rikke Krüger
Afdeling for Anvendt Sundhedsforskning, UCL Erhvervsakademi og Professionshøjskole.
Diagnostisk Center, Røntgen og Skanning, Regionshospitalet Silkeborg.
Ugeskr Laeger. 2023 Feb 13;185(7).
Magnetic resonance imaging (MRI) is commonly used in the management of low back pain (LBP). This review provides an overview of the clinical relevance of degenerative MRI findings in the lumbar spine. The association between degenerative MRI findings and LBP is relatively consistent at population level, but very little research exists on the prognostic value of MRI findings and based on the current evidence, MRI cannot be used to guide treatment. Lumbar spine MRI is only recommended for patients with progressive neurological deficits, suspicion of specific pathology or in absence of progress of conservative treatment.
磁共振成像(MRI)常用于下腰痛(LBP)的治疗。本综述概述了腰椎退行性MRI表现的临床相关性。在人群水平上,退行性MRI表现与LBP之间的关联相对一致,但关于MRI表现的预后价值的研究很少,并且基于目前的证据,MRI不能用于指导治疗。仅建议对有进行性神经功能缺损、怀疑有特定病理情况或保守治疗无进展的患者进行腰椎MRI检查。