Recommendations for Medical Imaging Procedures
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Universitätsspital Balgrist, Zürich Chiropraktische Medizin Kommissarischer Leiter: Prof
Universitätsspital Balgrist, Zürich Chiropraktische Medizin Kommissarischer Leiter: Prof. Dr. Armin Curt, MD, FRCPC Betreuung der Masterarbeit: Dr. Brigitte Wirth, PT, PhD Leitung der Masterarbeit: Prof. em. Dr. Barry Kim Humphreys, BSc, DC, PhD A SYSTEMATIC REVIEW ON QUANTIFIABLE PHYSICAL RISK FACTORS FOR NON-SPECIFIC ADOLESCENT LOW BACK PAIN MASTERARBEIT zur Erlangung des akademischen Grades Master in Chiropraktischer Medizin (M Chiro Med) der Medizinischen Fakultät der Universität Zürich vorgelegt von Tobias Potthoff (09-712-712) 2017 Table of Content 1. Scientific Accompanying Text .......................................................................................................... 3 2. Abstract ......................................................................................................................................... 13 3. Introduction ................................................................................................................................... 14 4. Methods ........................................................................................................................................ 15 a. Search strategy .......................................................................................................................... 15 b. Inclusion criteria ........................................................................................................................ 15 c. Study selection ......................................................................................................................... -
Injuries and Affections of the Spine ศ.นพ.พิบูลย์ อิทธิระวิวงศ์ ภาควิชาออร์โธปิดิกส์ I
Injuries and Affections of the Spine ศ.นพ.พิบูลย์ อิทธิระวิวงศ์ ภาควิชาออร์โธปิดิกส์ I. Injuries of the spine and thorax :- Classification 1. Major fractures and displacements of the cervical spine - Wedge compression fracture of vertebral body - Burst fracture of vertebral body - Extension subluxation - Flexion subluxation - Dislocation and fracture-dislocation - Fracture of the aieas - Fracture-dislocation of atlanto-axial joint - Intra-spinal displacements of soft tissue 2. Major fractures and displacements of the thoracic and lumbar vertebrae - Wedge compression fracture of vertebral body - Burst fracture of vertebral body - Dislocation and fracture-dislocation 3. Paraplegia from spinal injuries 4. Minor fractures of the spinal column - Fracture of transverse processes - Fracture of spinous processes - Fracture of the sacrum - Fracture of the coccyx 5. Fractures of the thoracic case - Fracture of the ribs - Fracture of the sternum II. Orthopaedic disorders of the spine Disorders Neck and cervical spine Trunk and spine (T,L,S) Congenital - Lumbar and sacral variations, abnormalities Hemivertebra. Spina bifida. Deformities Infantile torticollis Scoliosis. Congenital short neck Kyphosis. Congenital high spcapula Lordosis. Infections of bone Tuberculosis of C-spine Tuberculosis of T or L-spine Pyogenic infection of C- Pyogenic infection of T of L-spine. spine Arthritis of the spinal Ankylosing spondylitis Rheumatoid arthritis Osteoarthritis joints Cervical spondylosis Ankylosing spondylitis Osteochondritis - Scheuermann’s disease Calve’s -
Evicore Spine Imaging Guidelines
CLINICAL GUIDELINES Spine Imaging Policy Version 1.0 Effective February 14, 2020 eviCore healthcare Clinical Decision Support Tool Diagnostic Strategies: This tool addresses common symptoms and symptom complexes. Imaging requests for individuals with atypical symptoms or clinical presentations that are not specifically addressed will require physician review. Consultation with the referring physician, specialist and/or individual’s Primary Care Physician (PCP) may provide additional insight. CPT® (Current Procedural Terminology) is a registered trademark of the American Medical Association (AMA). CPT® five digit codes, nomenclature and other data are copyright 2017 American Medical Association. All Rights Reserved. No fee schedules, basic units, relative values or related listings are included in the CPT® book. AMA does not directly or indirectly practice medicine or dispense medical services. AMA assumes no liability for the data contained herein or not contained herein. © 2019 eviCore healthcare. All rights reserved. Spine Imaging Guidelines V1.0 Spine Imaging Guidelines Procedure Codes Associated with Spine Imaging 3 SP-1: General Guidelines 5 SP-2: Imaging Techniques 14 SP-3: Neck (Cervical Spine) Pain Without/With Neurological Features (Including Stenosis) and Trauma 22 SP-4: Upper Back (Thoracic Spine) Pain Without/With Neurological Features (Including Stenosis) and Trauma 26 SP-5: Low Back (Lumbar Spine) Pain/Coccydynia without Neurological Features 28 SP-6: Lower Extremity Pain with Neurological Features (Radiculopathy, Radiculitis, or Plexopathy and Neuropathy) With or Without Low Back (Lumbar Spine) Pain 32 SP-7: Myelopathy 36 SP-8: Lumbar Spine Spondylolysis/Spondylolisthesis 39 SP-9: Lumbar Spinal Stenosis 42 SP-10: Sacro-Iliac (SI) Joint Pain, Inflammatory Spondylitis/Sacroiliitis and Fibromyalgia 44 SP-11: Pathological Spinal Compression Fractures 47 SP-12: Spinal Pain in Cancer Patients 49 SP-13: Spinal Canal/Cord Disorders (e.g. -
The Effectiveness and Harms of Spinal Manipulative
Effectiveness and Harms of Spinal Manipulative Therapy Evidence-based Synthesis Program for the Treatment of Acute Neck and Lower Back Pain APPENDIX A. SEARCH STRATEGIES 1. SYSTEMATIC REVIEW SEARCH STRATEGIES SEARCH STRATEGY FOR “CHIROPRACTIC” SYSTEMATIC REVIEWS DATABASE SEARCHED: Cochrane Database of Systematic Reviews and Other Reviews NO DATE OR LANGUAGE LIMITATIONS SEARCH STRATEGY: 'chiroprac* in Title, Abstract, Keywords Cochrane Reviews (17) Other Reviews (44) SEARCH STRATEGY: "Manipulation, Spinal" Cochrane Database Search Strategy #2: spine or spinal or neck or back or cervi* and (smt or manipulat* or chiropract*):ti,ab,kw Dates: 2011-present, Limit to the Cochrane Systematic Reviews, Other Reviews (DARE), Technology Assessments, and Economic Evaluations databases. Forward search on: Hurwitz EL, Aker PD, Adams AH, Meeker WC, Shekelle PG. Manipulation and mobilization of the cervical spine. A systematic review of the literature. Spine (Phila Pa 1976). Aug 1 1996;21(15):1746-1759; discussion 1759-1760. 2. UPDATE SEARCH STRATEGIES SPINAL MANIPULATION THERAPY – 2015 UPDATE SEARCH METHODOLOGY DATABASE SEARCHED & TIME PERIOD COVERED: COCHRANE CENTRAL – 1/1/2011-2/06/2017 SEARCH STRATEGY: #1 MeSH descriptor: [Back] explode all trees #2 MeSH descriptor: [Buttocks] this term only #3 MeSH descriptor: [Leg] this term only 54 Effectiveness and Harms of Spinal Manipulative Therapy Evidence-based Synthesis Program for the Treatment of Acute Neck and Lower Back Pain #4 MeSH descriptor: [Back Pain] explode all trees #5 MeSH descriptor: [Back Pain] -
Evicore Breast Imaging Guidelines
CLINICAL GUIDELINES Breast Imaging Guidelines Version 2.0 Effective September 1, 2021 eviCore healthcare Clinical Decision Support Tool Diagnostic Strategies: This tool addresses common symptoms and symptom complexes. Imaging requests for individuals with atypical symptoms or clinical presentations that are not specifically addressed will require physician review. Consultation with the referring physician, specialist and/or individual’s Primary Care Physician (PCP) may provide additional insight. CPT® (Current Procedural Terminology) is a registered trademark of the American Medical Association (AMA). CPT® five digit codes, nomenclature and other data are copyright 2017 American Medical Association. All Rights Reserved. No fee schedules, basic units, relative values or related listings are included in the CPT® book. AMA does not directly or indirectly practice medicine or dispense medical services. AMA assumes no liability for the data contained herein or not contained herein. © 2021 eviCore healthcare. All rights reserved. Breast Imaging Guidelines V2.0 Breast Imaging Guidelines Abbreviations for Breast Guidelines 3 BR-Preface1: General Considerations 5 BR-1: Breast Ultrasound 8 BR-2: MRI Breast 10 BR-3: Breast Reconstruction 12 BR-4: MRI Breast is NOT Indicated 13 BR-5: MRI Breast Indications 14 BR-6: Nipple Discharge/Galactorrhea 18 BR-7: Breast Pain (Mastodynia) 19 BR-8: Alternative Breast Imaging Approaches 20 BR-9: Suspected Breast Cancer in Males 22 BR-10: Breast Evaluation in Pregnant or Lactating Females 23 ______________________________________________________________________________________________________ -
Biopsy Needles and Drainage Catheters
Needles & Accessories | Catheters & Accessories Dilation & Accessories Spinal & Accessories | Implantable & Accessories Product Catalog ISO 13485 & ISO 9001 Certified Company Rev. 01 - 2019/03 About ADRIA Srl. Adria is a worldwide leader in developing, manufacturing and marketing healthcare products. The main focus is on Radiology, Oncology, Urology, Gynecology and Surgery . Adria' s corporate headquarter is based in Italy, it is ISO Certified and products are CE . marked. Adria was incorporated more than 20 years ago in Bologna , where the corporate headquarter and production plant is located. Adria is leader in developing and manufacturing healthcare products and keeps the status to be one of the first companies aimed to develop single patient use biopsy needles and drainage catheters. Over the time, thanks to the experience of specialized doctors and engineers , Adria product range and quality have been progressively enhanced, involving and developing the spine treatment line. Nowadays Adria has a worldwide presence . Reference markets are France, Spain, Turkey and products are distributed in more than 50 countries, through a large and qualified network of dealers. Since far off the very beginning, many things have changed, but Adria' s philosophy and purpose have always remained unchanged: helping healthcare providers to fulfill their mission of caring for patients. Table of Contents Needles & Accessories …………………………………………….....…...3 Catheters & Accessories ……………………….………………..…...…...18 Dilation & Accessories ……………………………………………...…...25 Spinal & Accessories ……………………………………………...…...30 Implantables & Accessories……………………………………………...…...35 Needles & Accessories HYSTO SYSTEM Automatic Biopsy Instrument……………………….……….…….. 4 HYSTO SYSTEM II Automatic Biopsy Instrument…………………….……….……...5 SAMPLE MASTER Semi-Automatic Biopsy Instrument…………………………….. 6 HYSTO-ONE Automatic Reusable Biopsy Instrument & MDA Biopsy Needle ....... 7 HYSTO-TWO Automatic Reusable Biopsy Instrument & MDS Biopsy Needle…... -
Coccydynia: a Story Retold
Open Access Austin Journal of Surgery Special Article - Brain Tumor Surgery Coccydynia: A Story Retold Sarmast AH*, Kirmani AR and Bhat AR Department of Neurosurgery, Sher I Kashmir Institute of Abstract Medical Sciences, India Coccydynia refers to a pathological condition in which pain occurs in the *Corresponding author: Arif Hussain Sarmast, coccyx or its immediate vicinity. The pain is usually provoked by sitting or rising Department of Neurosurgery, Sher I Kashmir Institute of from sitting. Most cases are associated with abnormal mobility of the coccyx, Medical Sciences, Dalipora Kawadara Srinagar Kashmir, which may trigger a chronic inflammatory process leading to degeneration of this India structure. The exact incidence of coccydynia has not been reported; however, factors associated with increased risk of developing coccydynia include obesity Received: May 06, 2016; Accepted: October 20, 2016; and female gender. Several non operative interventions are currently used Published: October 26, 2016 for the management of coccydynia including Non-Steroidal Anti-Inflammatory Drugs (NSAIDs), hot baths, ring-shaped cushions, intrarectal massage and manipulation (manual therapy), steroid injection, dextrose prolotherapy, ganglion impar blocks, pulsed Radio Frequency Thermocoagulation (RFT) and psychotherapy. Several studies have reported good or excellent results after coccygectomy especially in patients who are refractory to conservative treatment. Keywords: Coccydynia; Coccygectomy; Sacrococcygeal joint Introduction those with type I [10]. Anterior subluxation is a rare lesion and tends to occur in type III and type IV patterns. Posterior subluxation is The word ‘coccyx’ has its ancestry from the Greek word used the more common in the straighter type I configuration [11]. beak of the cuckoo bird due to remarkable resemblance in appearance when viewed from the side [1-3]. -
Recent Advances in Radiological and Radionuclide Imaging and Therapy
European Journal of Endocrinology (2004) 151 15–27 ISSN 0804-4643 REVIEW Recent advances in radiological and radionuclide imaging and therapy of neuroendocrine tumours Gregory Kaltsas, Andrea Rockall1, Dimitrios Papadogias, Rodney Reznek1 and Ashley B Grossman Departments of Endocrinology and 1Academic Radiology, St Bartholomew’s Hospital, London ECIA 7BE, UK (Correspondence should be addressed to Ashley B Grossman, Department of Endocrinology, St Bartholomew’s Hospital, London EC1A 7BE, UK; Email: [email protected]) Abstract Neuroendocrine tumours (NETs) constitute a heterogeneous group of tumours that are able to express cell membrane neuroamine uptake mechanisms and/or specific receptors, such as somatostatin receptors, which can be of great value in the localization and treatment of these tumours. Scintigra- phy with 111In-pentetreotide has become one of the most important imaging investigations in the initial identification and staging of gastro-enteropancreatic (GEP) tumours, whereas helical computed tomography (CT), magnetic resonance imaging (MRI), endoscopic and/or peri-operative ultrason- ography are used for the precise localization of GEPs and in monitoring their response to treatment. Scintigraphy with 123I-MIBG (meta-iodobenzylguanidine) is sensitive in the identification of chromaf- fin cell tumours, although scintigraphy with 111In-pentetreotide may also have a role in the localiz- ation of malignant chromaffin cell tumours and medullary thyroid carcinoma; for further localization and monitoring of the response to treatment both CT and MRI are used with high diagnostic accu- racy. More recently, positron emission tomography (PET) scanning is being increasingly used for the localization of NETs, particularly when other imaging modalities have failed, although its precise role and utility remain to be defined. -
Evaluation of Nipple Discharge
New 2016 American College of Radiology ACR Appropriateness Criteria® Evaluation of Nipple Discharge Variant 1: Physiologic nipple discharge. Female of any age. Initial imaging examination. Radiologic Procedure Rating Comments RRL* Mammography diagnostic 1 See references [2,4-7]. ☢☢ Digital breast tomosynthesis diagnostic 1 See references [2,4-7]. ☢☢ US breast 1 See references [2,4-7]. O MRI breast without and with IV contrast 1 See references [2,4-7]. O MRI breast without IV contrast 1 See references [2,4-7]. O FDG-PEM 1 See references [2,4-7]. ☢☢☢☢ Sestamibi MBI 1 See references [2,4-7]. ☢☢☢ Ductography 1 See references [2,4-7]. ☢☢ Image-guided core biopsy breast 1 See references [2,4-7]. Varies Image-guided fine needle aspiration breast 1 Varies *Relative Rating Scale: 1,2,3 Usually not appropriate; 4,5,6 May be appropriate; 7,8,9 Usually appropriate Radiation Level Variant 2: Pathologic nipple discharge. Male or female 40 years of age or older. Initial imaging examination. Radiologic Procedure Rating Comments RRL* See references [3,6,8,10,13,14,16,25- Mammography diagnostic 9 29,32,34,42-44,71-73]. ☢☢ See references [3,6,8,10,13,14,16,25- Digital breast tomosynthesis diagnostic 9 29,32,34,42-44,71-73]. ☢☢ US is usually complementary to mammography. It can be an alternative to mammography if the patient had a recent US breast 9 mammogram or is pregnant. See O references [3,5,10,12,13,16,25,30,31,45- 49]. MRI breast without and with IV contrast 1 See references [3,8,23,24,35,46,51-55]. -
SPR 2013 Postgraduate Course May 14-15, 2013 SAM Questionnaire Tuesday, May 14, 2013 CHEST Digital Radiography Robert Macdougal
SPR 2013 Postgraduate Course May 14-15, 2013 SAM Questionnaire Tuesday, May 14, 2013 CHEST Digital Radiography Robert MacDougall, MSc 1. Which of the following is unaffected by the selection of Value of Interest Look Up Table (VOI-LUT): A. Diagnostic information in the processed image B. Target Exposure (ET) C. Exposure Index (EI) D. Deviation Index (DI) E. Brightness and contrast of the displayed image Correct Answer: B 2. Exposure Index (EI) represents: A. The exposure at the entrance to the patient B. The exposure at the detector plane measured with an ion chamber C. The brightness of the displayed image D. The exposure at the detector calculated from the mean signal response of the detector within the Values of Interest E. The deviation from a target exposure Correct Answer: D References 1. An Exposure Indicator for Digital Radiography: Report of AAPM Task Group 116. American Association of Physicists in Medicine. Accessed April 10, 2013. https://www.aapm.org/pubs/reports/RPT_116.pdf 2. Internation Electrotechnical Commission. Medical Electrical Equipment. Exposure Index of Digital X-ray Imaging Systems - Part 1: Definitions and Requirements for General Radiography. IEC Publication No. 62494-1. Geneva, Switzerland: International Electrotechnical Commission, 2002. Functional Chest MR Imaging Hyun Woo Goo, MD, PhD 3. Which one of the followings is the LEAST likely limitation of thoracic MR imaging? A. Low signal-to-noise ratio due to the low proton density of the lung B. Potential hazards from ionizing radiation C. Motion artifacts from respiratory motion and cardiac pulsation D. Relatively long examination time E. Susceptibility artifacts from multiple air-tissue interfaces Correct Answer: B References 1. -
Updated December 13, 2020
WWW.SNMMI.ORG October 2020 Compared to Final 2021 Rates Medicare Hospital Outpatient Prospective Payment System HOPPS (APC) Medicine Procedures, Radiopharmaceuticals, and Drugs October 2020 Rates CY 2021 Final Rule Updated December 13, 2020 Status Item/Code/Service OPPS Payment Status Indicator Services furnished to a hospital outpatient that are paid under a fee schedule or Not paid under OPPS. Paid by MACs under a fee schedule or payment system other than OPPS. payment system other than OPPS,* for example: A ● Separately Payable Clinical Diagnostic Laboratory Services (Not subject to Services are subject to deductible or coinsurance unless indicated otherwise. deductible or coinsurance.) D Discontinued Codes Not paid under OPPS or any other Medicare payment system. Items and Services: ● Not covered by any Medicare outpatient benefit category Not paid by Medicare when submitted on outpatient claims (any outpatient bill type). E1 ● Statutorily excluded by Medicare ● Not reasonable and necessary Items and Services: E2 ● for which pricing information and claims data are not Not paid by Medicare when submitted on outpatient claims (any outpatient bill type). available G Pass-Through Drug/ Biologicals Paid under OPPS; separate APC payment NonPass-Through Drugs and nonimplantable Biologicals, including Therapeutic Paid under OPPS; separate APC payment K Radiopharmaceuticals Paid under OPPS; payment is packaged into payment for other services. Therefore, Items and Services packaged into APC rate N there is no separate APC payment. Paid under OPPS; Addendum B displays APC assignments when services are separately payable. (1) Packaged APC payment if billed on the same claim as a HCPCS code assigned STV-Packaged status indicator “S,” “T,” or “V.” Q1 Codes (2) Composite APC payment if billed with specific combinations of services based on OPPS composite-specific payment criteria. -
Criteria for Acceptability of Medical Radiological Equipment Used in Diagnostic Radiology, Nuclear Medicine and Radiotherapy
EUROPEAN COMMISSION RADIATION PROTECTION N° 162 Criteria for Acceptability of Medical Radiological Equipment used in Diagnostic Radiology, Nuclear Medicine and Radiotherapy Directorate-General for Energy Directorate D — Nuclear Safety & Fuel Cycle Unit D4 — Radiation Protection 2012 This report was prepared by Quality Assurance Reference Centre for the European Commission under contract N°. ENER/10/NUCL/SI2.581655 and represents those organisations’ views on the subject matter. The views and opinions expressed herein do not necessarily state or reflect those of the European Commission and should not be relied upon as a statement of the Commission’s views. The European Commission does not guarantee the accuracy of the data included in this report, nor does it accept responsibility for any use made thereof. Europe Direct is a service to help you find answers to your questions about the European Union Freephone number (*): 00 800 6 7 8 9 10 11 (*) Certain mobile telephone operators do not allow access to 00 800 numbers or these calls may be billed. More information on the European Union is available on the Internet (http://europa.eu). Luxembourg: Publications Office of the European Union, 2012 ISBN 978-92-79-27747-4 doi: 10.2768/22561 © European Union, 2012 Reproduction is authorised provided the source is acknowledged. Printed in Luxembourg 2 FOREWORD Luxembourg, October 2012 The work of the European Commission in the field of radiation protection is governed by the Euratom Treaty and the secondary legislation adopted under it. Council Directive 97/43/Euratom (the Medical Exposure Directive, MED) is the legal act defining the Euratom requirements on radiation protection of patients and of other individuals submitted to medical exposure.