{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,11]],"date-time":"2026-09-11T16:17:46Z","timestamp":1789143466422,"version":"build-2803163510"},"reference-count":27,"publisher":"CSIRO Publishing","issue":"3","license":[{"start":{"date-parts":[[2025,9,1]],"date-time":"2025-09-01T00:00:00Z","timestamp":1756684800000},"content-version":"vor","delay-in-days":908,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"name":"RadiologySA, radiologysa.com.au"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023,9,27]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Low back pain (LBP) is common and a significant cause of morbidity. Many patients receive inappropriate imaging for LBP in primary care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>To explore the incidence and type of spinal imaging conducted for LBP patients referred from general practice for specialist surgical opinion, and evaluate whether imaging conformed to clinical guidelines.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Audit of a sequential cohort (n\u00a0=\u00a0100) of new LBP patients referred from primary care for specialist opinion at a suburban Australian capital city independent Spinal Centre.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>In the 6\u00a0months before referral, 90% (95% CI 83\u201395%) of patients underwent spinal imaging. Imaging was performed in 95% of those who did and 79% of those who did not meet guidelines for radiological investigation. 35% of patients were inappropriately imaged and 3% inappropriately not imaged. Spinal computed tomography (CT) imaging was used in 52% of patients, magnetic resonance imaging (MRI) in 42% and image-guided lumbar spinal interventional procedures in 28%.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>Most patients with LBP referred for surgical opinion have diagnostic radiological investigations whether or not it is indicated by clinical guidelines. The more frequent use of spinal CT compared to MRI may be due to idiosyncrasies of the Australian Medicare Benefits Schedule (MBS) rebate system. The findings of this pilot study provide support for the changes recommended by the 2016 MBS Review Taskforce on LBP that permit GP access to subsidised lumbar MRI, while constraining access to lumbar CT, and provide novel data about spinal imaging and practice in this cohort of patients.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1071\/hc22127","type":"journal-article","created":{"date-parts":[[2023,3,7]],"date-time":"2023-03-07T18:03:30Z","timestamp":1678212210000},"page":"262-266","source":"Crossref","is-referenced-by-count":3,"title":["Imaging incidence and type in primary care patients with low back pain: a cross-sectional study on new referrals to an Australian specialist spinal surgical centre"],"prefix":"10.1071","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3488-951X","authenticated-orcid":true,"given":"Isaac J.","family":"Tennant","sequence":"first","affiliation":[{"name":"AFaculty of Health and Medical Sciences, University of Adelaide, SA, Australia."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yun-Hom","family":"Yau","sequence":"additional","affiliation":[{"name":"AFaculty of Health and Medical Sciences, University of Adelaide, SA, Australia."},{"name":"BThe International Spine Centre, Norwood, SA 5067, Australia."},{"name":"CThe Spinal Unit, Royal Adelaide Hospital, Adelaide, SA 5000, Australia."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Derek","family":"Yull","sequence":"additional","affiliation":[{"name":"AFaculty of Health and Medical Sciences, University of Adelaide, SA, Australia."},{"name":"BThe International Spine Centre, Norwood, SA 5067, Australia."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter","family":"Murphy","sequence":"additional","affiliation":[{"name":"BThe International Spine Centre, Norwood, SA 5067, Australia."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ian R.","family":"Whittle","sequence":"additional","affiliation":[{"name":"AFaculty of Health and Medical Sciences, University of Adelaide, SA, Australia."},{"name":"BThe International Spine Centre, Norwood, SA 5067, Australia."},{"name":"DThe Centre for Clinical Brain Sciences, University of Edinburgh, Edinburgh, Scotland, UK."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"67","published-online":{"date-parts":[[2023,3,8]]},"reference":[{"issue":"6","key":"2025111812122932200_R1","doi-asserted-by":"publisher","first-page":"968","DOI":"10.1136\/annrheumdis-2013-204428","article-title":"The global burden of low back pain: estimates from the Global Burden of Disease 2010 study.","volume":"73","author":"Hoy","year":"2014","journal-title":"Ann Rheum Dis"},{"issue":"4","key":"2025111812122932200_R2","doi-asserted-by":"publisher","first-page":"238","DOI":"10.1016\/j.jmpt.2004.02.002","article-title":"Low back pain in Australian adults: prevalence and associated disability.","volume":"27","author":"Walker","year":"2004","journal-title":"J Manipulative Physiol Ther"},{"issue":"7555","key":"2025111812122932200_R3","doi-asserted-by":"publisher","first-page":"1430","DOI":"10.1136\/bmj.332.7555.1430","article-title":"Diagnosis, and treatment of low back pain.","volume":"332","author":"Koes","year":"2006","journal-title":"BMJ"},{"issue":"9814","key":"2025111812122932200_R4","doi-asserted-by":"publisher","first-page":"482","DOI":"10.1016\/S0140-6736(11)60610-7","article-title":"Non-specific low back pain.","volume":"379","author":"Balagu\u00e9","year":"2012","journal-title":"Lancet"},{"key":"2025111812122932200_R5"},{"key":"2025111812122932200_R6"},{"issue":"12","key":"2025111812122932200_R7","doi-asserted-by":"publisher","first-page":"2266","DOI":"10.1016\/j.spinee.2018.05.004","article-title":"Imaging for low back pain: is clinical use consistent with guidelines? 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