MRI Thoracic Spine Without and With IV Contrast There is no relevant literature to support the use of MRI thoracic spine without and with IV contrast in the initial evaluation of acute uncomplicated TBP. MRI Thoracic Spine Without IV Contrast There is no relevant literature to support the use of MRI thoracic spine without IV contrast in the initial evaluation of acute uncomplicated TBP. Radiography Thoracic Spine There is no relevant literature to support the use of radiography in the initial evaluation of acute uncomplicated TBP. Variant 2: Adult. Subacute or chronic thoracic back pain without myelopathy or radiculopathy. No red flags. Failed conservative management. Initial imaging. As with acute TBP, few studies support or refute imaging for patients with subacute or chronic midback pain without neurologic symptoms. However, as with LBP, imaging is typically not considered useful in this setting [6,7]. For patients with subacute (4-12 weeks duration) or chronic (>12 weeks duration) TBP without red flags or prior management, conservative therapy should still be considered first-line [25]. Bone Scan Whole Body There is no relevant literature to support the use of bone scans whole body in the initial evaluation of subacute or chronic TBP without red flags or neurologic deficits. Bone Scan with SPECT or SPECT/CT Thoracic Spine There is no relevant literature to support the use of bone scans with SPECT or SPECT/CT thoracic spine in the initial evaluation of subacute or chronic TBP without red flags or neurologic deficits. CT Myelography Thoracic Spine There is no relevant literature to support the use of CT myelography thoracic spine in the initial evaluation of subacute or chronic TBP without red flags or neurologic deficits. 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 evaluation of subacute or chronic TBP without red flags or neurologic deficits.
Thoracic Back Pain. MRI Thoracic Spine Without and With IV Contrast There is no relevant literature to support the use of MRI thoracic spine without and with IV contrast in the initial evaluation of acute uncomplicated TBP. MRI Thoracic Spine Without IV Contrast There is no relevant literature to support the use of MRI thoracic spine without IV contrast in the initial evaluation of acute uncomplicated TBP. Radiography Thoracic Spine There is no relevant literature to support the use of radiography in the initial evaluation of acute uncomplicated TBP. Variant 2: Adult. Subacute or chronic thoracic back pain without myelopathy or radiculopathy. No red flags. Failed conservative management. Initial imaging. As with acute TBP, few studies support or refute imaging for patients with subacute or chronic midback pain without neurologic symptoms. However, as with LBP, imaging is typically not considered useful in this setting [6,7]. For patients with subacute (4-12 weeks duration) or chronic (>12 weeks duration) TBP without red flags or prior management, conservative therapy should still be considered first-line [25]. Bone Scan Whole Body There is no relevant literature to support the use of bone scans whole body in the initial evaluation of subacute or chronic TBP without red flags or neurologic deficits. Bone Scan with SPECT or SPECT/CT Thoracic Spine There is no relevant literature to support the use of bone scans with SPECT or SPECT/CT thoracic spine in the initial evaluation of subacute or chronic TBP without red flags or neurologic deficits. CT Myelography Thoracic Spine There is no relevant literature to support the use of CT myelography thoracic spine in the initial evaluation of subacute or chronic TBP without red flags or neurologic deficits. 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 evaluation of subacute or chronic TBP without red flags or neurologic deficits.