GPs have direct access for MR imaging of the lumbar spine for patients with suspected malignancy or spinal stenosis If your patient does not fulfil the criteria below please consider referring to the Community Integrated Back ID: 930309
Download Presentation The PPT/PDF document "MRI Lumbar Spine Request Guidance" is the property of its rightful owner. Permission is granted to download and print the materials on this web site for personal, non-commercial use only, and to display it on your personal computer provided you do not modify the materials and that you retain all copyright notices contained in the materials. By downloading content from our website, you accept the terms of this agreement.
Slide1
MRI Lumbar Spine Request Guidance
GPs have direct access for MR imaging of the lumbar spine for patients with suspected malignancy or spinal stenosis. If your patient does not fulfil the criteria below, please consider referring to the Community Integrated Back Pain Service
SUSPECTED MALIGNANCY Is there a history of cancer and new onset leg or back pain?If yes to both - On ICE request - MRI Lumbar / Thoracic / Cervical spine - URGENTPlease also consider requesting the following tests:CRP yes / noFBC yes / noBone Profile yes / noLFTs yes / noMyeloma screen yes / no
SUSPECTED SPINAL STENOSIS Clinical history suggestive of spinal stenosis (Back / leg pain on walking which settles with stopping and sitting and recurs after walking a similar distance. Usually patients have little or no leg pain at rest ) Yes / NoHIP Pain/osteoarthritis hip excluded Yes / NoVascular Claudication excluded Yes / NoPatient would consider surgical intervention. Yes / NoIf yes to all - On ICE request - MRI Lumbar - ROUTINEIf no to any of the above questions then consider referral to Community Integrated Back Pain Service.
If you suspect your patient has acute cauda equina syndrome please refer to ED
If you suspect your patient has
discitis
please discuss with acute medical admissions.