Lumbar Spine MRI Report False Positive

MRI Report False Positive

Degenerative changes are commonly found in spine imaging but often occur in pain-free individuals as well as those with back pain.

In this study, they have investigated 3110 individual by age, of common degenerative spine conditions by performing a systematic review studying the prevalence of spine degeneration on imaging in asymptomatic individuals.

Thirty-three articles reporting imaging findings for 3110 asymptomatic individuals met our study inclusion criteria.

The prevalence of disk degeneration in asymptomatic individuals increased from 37% of 20-year-old individuals to 96% of 80-year-old individuals.

Disk bulge prevalence increased from 30% of those 20 years of age to 84% of those 80 years of age.

Disk protrusion prevalence increased from 29% of those 20 years of age to 43% of those 80 years of age.

The prevalence of annular fissure increased from 19% of those 20 years of age to 29% of those 80 years of age.

They have conclude:

Imaging findings of spine degeneration are present in high proportions of asymptomatic individuals, increasing with age.

Many imaging-based degenerative features are likely part of normal aging and unassociated with pain. These imaging findings must be interpreted in the context of the patient's clinical condition.

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