MRI Thoracic Spine Without and With IV Contrast MRI thoracic spine without and with IV contrast is not typically performed as an initial study in this group unless there is concern for underlying neoplasm, infection, or inflammation. MRI Thoracic Spine Without IV Contrast MRI thoracic spine without IV contrast may be useful as an initial study in this group due to its excellent soft tissue resolution, particularly if there is concern for soft tissue or neurologic compressive injury, to identify a compression fracture (even if radiographs are negative), or to plan intervention (identify marrow edema) [36]. Radiography Thoracic Spine Radiography may be useful as an initial screening study in TBP with risk factors for osteoporotic fractures in patients without neurologic deficits [35]. However, it should be noted that thoracic vertebral body fractures seen on radiographs may be difficult to estimate in terms of chronicity without priors to compare to. In those cases, MRI or bone scan may be needed to age the fracture acuity. Bone Scan Whole Body There is no relevant literature to support the use of whole-body bone scan in the initial imaging assessment of this group. 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 in the initial imaging assessment of this group. CT Myelography Thoracic Spine CT myelography of the thoracic spine may be helpful in patients or for treatment planning (surgery, radiation). 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.
Thoracic Back Pain. MRI Thoracic Spine Without and With IV Contrast MRI thoracic spine without and with IV contrast is not typically performed as an initial study in this group unless there is concern for underlying neoplasm, infection, or inflammation. MRI Thoracic Spine Without IV Contrast MRI thoracic spine without IV contrast may be useful as an initial study in this group due to its excellent soft tissue resolution, particularly if there is concern for soft tissue or neurologic compressive injury, to identify a compression fracture (even if radiographs are negative), or to plan intervention (identify marrow edema) [36]. Radiography Thoracic Spine Radiography may be useful as an initial screening study in TBP with risk factors for osteoporotic fractures in patients without neurologic deficits [35]. However, it should be noted that thoracic vertebral body fractures seen on radiographs may be difficult to estimate in terms of chronicity without priors to compare to. In those cases, MRI or bone scan may be needed to age the fracture acuity. Bone Scan Whole Body There is no relevant literature to support the use of whole-body bone scan in the initial imaging assessment of this group. 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 in the initial imaging assessment of this group. CT Myelography Thoracic Spine CT myelography of the thoracic spine may be helpful in patients or for treatment planning (surgery, radiation). 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.