Patients with low-velocity trauma, and without risk factors for osteoporosis, may not need dedicated thoracic spine imaging if asymptomatic. Bone Scan Whole Body Whole-body bone scans may be helpful in the setting of compression fracture(s) to help identify fracture acuity and to appropriately select patients for intervention [36], particularly if MRI cannot be safely/easily obtained. Bone Scan with SPECT or SPECT/CT Thoracic Spine Bone scan with SPECT or SPECT/CT may be helpful in the setting of compression fracture(s) to help identify fracture acuity and to appropriately select patients for intervention [36]. CT Myelography Thoracic Spine There is no relevant literature to support the use of CT myelography thoracic spine in the initial imaging assessment of this group. CT Thoracic Spine With IV Contrast There is no relevant literature to support the use of CT thoracic spine with IV contrast in the initial imaging assessment of this group. CT Thoracic Spine Without and With IV Contrast There is no relevant literature to support the use of CT thoracic spine without and with IV contrast in the initial imaging assessment of this group. CT Thoracic Spine Without IV Contrast CT thoracic spine without IV contrast may be useful as an initial study in the emergency room setting or for presurgical planning, particularly if radiographs are negative [36]. FDG-PET/CT Skull Base to Mid-Thigh There is no relevant literature to support the use of FDG-PET/CT skull base to mid-thigh in the initial imaging assessment of this group. MRI Thoracic Spine With IV Contrast MRI thoracic spine with IV contrast is not typically performed independently as an initial study, because its interpretation is most informative when correlated with standard noncontrast sequences included in MRI thoracic spine with and without IV contrast. Thoracic Back Pain
Thoracic Back Pain. Patients with low-velocity trauma, and without risk factors for osteoporosis, may not need dedicated thoracic spine imaging if asymptomatic. Bone Scan Whole Body Whole-body bone scans may be helpful in the setting of compression fracture(s) to help identify fracture acuity and to appropriately select patients for intervention [36], particularly if MRI cannot be safely/easily obtained. Bone Scan with SPECT or SPECT/CT Thoracic Spine Bone scan with SPECT or SPECT/CT may be helpful in the setting of compression fracture(s) to help identify fracture acuity and to appropriately select patients for intervention [36]. CT Myelography Thoracic Spine There is no relevant literature to support the use of CT myelography thoracic spine in the initial imaging assessment of this group. CT Thoracic Spine With IV Contrast There is no relevant literature to support the use of CT thoracic spine with IV contrast in the initial imaging assessment of this group. CT Thoracic Spine Without and With IV Contrast There is no relevant literature to support the use of CT thoracic spine without and with IV contrast in the initial imaging assessment of this group. CT Thoracic Spine Without IV Contrast CT thoracic spine without IV contrast may be useful as an initial study in the emergency room setting or for presurgical planning, particularly if radiographs are negative [36]. FDG-PET/CT Skull Base to Mid-Thigh There is no relevant literature to support the use of FDG-PET/CT skull base to mid-thigh in the initial imaging assessment of this group. MRI Thoracic Spine With IV Contrast MRI thoracic spine with IV contrast is not typically performed independently as an initial study, because its interpretation is most informative when correlated with standard noncontrast sequences included in MRI thoracic spine with and without IV contrast. Thoracic Back Pain