{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T01:16:51Z","timestamp":1790731011243,"version":"4.1.0"},"reference-count":59,"publisher":"Scientific Scholar","content-domain":{"domain":["clinicalimagingscience.org"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:p>Lower back pain (LBP) is one of the most common chief complaints encountered in primary care. Advanced imaging studies, including computerized tomography (CT) and magnetic resonance imaging (MRI), are frequently ordered in the setting of LBP. Structural abnormalities are commonly identified by CT and MRI in patients complaining of low back pain, however, these findings are also found in asymptomatic patients. In the past decade, multiple guidelines have been published to help providers identify patients in whom the use of advanced imaging is appropriate. In this article, we review common conditions associated with LBP that require advanced imaging along with their clinical and associated imaging findings.<\/jats:p>","DOI":"10.4103\/jcis.jcis_16_18","type":"journal-article","created":{"date-parts":[[2018,8,24]],"date-time":"2018-08-24T08:17:47Z","timestamp":1535098667000},"page":"30","update-policy":"https:\/\/doi.org\/10.25259\/crossmark_policy","source":"Crossref","is-referenced-by-count":47,"title":["The Use of Imaging in Management of Patients with Low Back Pain"],"prefix":"10.25259","volume":"8","author":[{"given":"Dinesh","family":"Rao","sequence":"first","affiliation":[{"name":"Department of Radiology, University of Florida College of Medicine, Jacksonville, Florida, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gaelyn","family":"Scuderi","sequence":"additional","affiliation":[{"name":"Ackerman Cancer Center, Jacksonville, Florida, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chris","family":"Scuderi","sequence":"additional","affiliation":[{"name":"Department of Community Health and Family Medicine, University of Florida College of Medicine, Jacksonville, Florida, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Reetu","family":"Grewal","sequence":"additional","affiliation":[{"name":"Department of Community Health and Family Medicine, University of Florida College of Medicine, Jacksonville, Florida, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sukhwinder JS","family":"Sandhu","sequence":"additional","affiliation":[{"name":"Department of Radiology, University of Florida College of Medicine, Jacksonville, Florida, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"10894","published-online":{"date-parts":[[2018,8,24]]},"reference":[{"key":"10.4103\/jcis.JCIS_16_18\/ref-1","doi-asserted-by":"crossref","first-page":"448","DOI":"10.1056\/NEJMra1201534","article-title":"Measuring the global burden of disease","volume":"369","author":"Murray","year":"2013","journal-title":"N Engl J Med"},{"key":"10.4103\/jcis.JCIS_16_18\/ref-2","doi-asserted-by":"crossref","first-page":"141","DOI":"10.1146\/annurev.pu.12.050191.001041","article-title":"Cost, controversy, crisis: Low back pain and the health of the public","volume":"12","author":"Deyo","year":"1991","journal-title":"Annu Rev Public Health"},{"key":"10.4103\/jcis.JCIS_16_18\/ref-3","doi-asserted-by":"crossref","first-page":"1067","DOI":"10.1001\/jamainternmed.2014.1541","article-title":"Measuring low-value care in medicare","volume":"174","author":"Schwartz","year":"2014","journal-title":"JAMA Intern Med"},{"key":"10.4103\/jcis.JCIS_16_18\/ref-4","doi-asserted-by":"crossref","first-page":"1502","DOI":"10.1056\/NEJM199211193272107","article-title":"Increased costs and rates of use in the California workers' compensation system as a result of self-referral by physicians","volume":"327","author":"Swedlow","year":"1992","journal-title":"N Engl J Med"},{"key":"10.4103\/jcis.JCIS_16_18\/ref-5","doi-asserted-by":"crossref","first-page":"811","DOI":"10.3174\/ajnr.A4173","article-title":"Systematic literature review of imaging features of spinal degeneration in asymptomatic populations","volume":"36","author":"Brinjikji","year":"2015","journal-title":"AJNR Am J Neuroradiol"},{"key":"10.4103\/jcis.JCIS_16_18\/ref-6","doi-asserted-by":"crossref","first-page":"403","DOI":"10.2106\/00004623-199072030-00013","article-title":"Abnormal magnetic-resonance scans of the lumbar spine in asymptomatic subjects. 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