{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,6]],"date-time":"2026-04-06T12:32:58Z","timestamp":1775478778472,"version":"3.50.1"},"reference-count":29,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2021,3,18]],"date-time":"2021-03-18T00:00:00Z","timestamp":1616025600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2021,3,18]],"date-time":"2021-03-18T00:00:00Z","timestamp":1616025600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Insights Imaging"],"published-print":{"date-parts":[[2021,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Background<\/jats:title>\n                <jats:p>There are limited data discussing long-term pain relief and comparability of different image-guided sacroiliac joint (SIJ) injection. This study compared CT and fluoroscopic-guided SIJ injections regarding statistically and clinically significant differences in numeric pain reduction, radiation doses, and patient\u2019s satisfaction.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methods<\/jats:title>\n                <jats:p>A prospective study conducted on 52 patients who met specific inclusion criteria of SIJ pain. A mixture of 1\u00a0ml of 40\u00a0mg methylprednisolone acetate diluted in 2\u00a0ml of lidocaine 2% was injected under either CT or fluoroscopic guidance. Numeric rating score (NRS) and Oswestry disability index (ODI) were assessed and recorded for each patient before procedure and one-week, and one-, three-, six-, and 12-months after procedure. The results were compared between both groups.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>Analysis of NRS one-month post-procedure showed a significant decrease from baseline in both groups: 12.5% in CT group (<jats:italic>p<\/jats:italic>\u2009=\u20090.002) and 9.5% in fluoroscopic group (<jats:italic>p<\/jats:italic>\u2009=\u20090.006). No significant difference in NRS between two groups at one- and three-months post-procedure (<jats:italic>p<\/jats:italic>\u2009=\u20090.11 and 0.1, respectively). There was a significant difference in NRS between two groups at six- and 12-months post-procedure (<jats:italic>p<\/jats:italic>\u2009=\u20090.001 and &lt;\u20090.0001, respectively). Comparison of ODI at six-month post-procedure revealed that both groups had a statistically significant improvement (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.0001). There was a significant difference in ODI between two groups at six-months post-procedure (<jats:italic>p<\/jats:italic>\u2009=\u20090.01).<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusions<\/jats:title>\n                <jats:p>CT-guided SIJ injection compares favorably with fluoroscopic guidance and offers statistically and clinically significant long-term pain relief. The use of dose reduction protocol in CT is important for decreasing the radiation dose.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s13244-021-00982-y","type":"journal-article","created":{"date-parts":[[2021,3,18]],"date-time":"2021-03-18T19:12:32Z","timestamp":1616094752000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":14,"title":["Computed tomography versus fluoroscopic guided-sacroiliac joint injection: a prospective comparative study"],"prefix":"10.1186","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1921-5581","authenticated-orcid":false,"given":"Ahmed A. 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Written informed consent was obtained from all patients and archived in hospital files.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Not applicable.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare that they have no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"38"}}