Spine Imaging Guidelines

Covers spine imaging and appropriate use of advanced diagnostic modalities (e.g., MRI, CT, SPECT/SPECT‑CT, plain radiographs and nuclear studies) for common spine-related presentations including cervical, thoracic and lumbar pain, radiculopathy/radiculitis, myelopathy, spinal stenosis, spondylolysis/spondylolisthesis, compression fractures, cancer-related spine disease, deformities and post‑operative disorders. Major limitations/requirements: atypical presentations require physician review; advanced imaging generally requires an in-person clinical evaluation with documented detailed neurological exam and a failed trial of conservative therapy followed by re‑evaluation, and in many cases a recent plain x‑ray must be obtained and available prior to advanced imaging.

"Tomographic (SPECT) technique required"

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