Additionally, if spinal hardware is present, assessing hardware integrity and position is also a common indication for imaging. More than one imaging modality may be indicated for diagnosis and treatment planning. Bone Scan Whole Body There is no relevant literature to support the use of whole body bone scans 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 scan with SPECT or SPECT/CT in the initial imaging assessment of this group. CT Myelography Thoracic Spine CT myelography may be useful in this setting in patients with spinal hardware. 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 CT thoracic spine without and with IV contrast may be useful in this clinical scenario. CT Thoracic Spine Without IV Contrast In patients with TBP with or without myelopathy or radiculopathy when there is evidence of osseous destruction or spinal deformity on radiographs, both MRI and CT may be useful as an initial imaging modality [11,46]. CT can better depict the osseous detail, and MRI is more useful for assessing the integrity of the soft tissue and neural structures, particularly that of the spinal canal. 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. Additionally, if spinal hardware is present, assessing hardware integrity and position is also a common indication for imaging. More than one imaging modality may be indicated for diagnosis and treatment planning. Bone Scan Whole Body There is no relevant literature to support the use of whole body bone scans 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 scan with SPECT or SPECT/CT in the initial imaging assessment of this group. CT Myelography Thoracic Spine CT myelography may be useful in this setting in patients with spinal hardware. 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 CT thoracic spine without and with IV contrast may be useful in this clinical scenario. CT Thoracic Spine Without IV Contrast In patients with TBP with or without myelopathy or radiculopathy when there is evidence of osseous destruction or spinal deformity on radiographs, both MRI and CT may be useful as an initial imaging modality [11,46]. CT can better depict the osseous detail, and MRI is more useful for assessing the integrity of the soft tissue and neural structures, particularly that of the spinal canal. 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.