The following case occurred earlier this year and is fairly representative of the benefit of imaging in the Chiropractic setting and demonstrates the service that an astute Doctor of Chiropractic can provide.
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In this column, I would like to review some of the typical signal intensities that various tissues exhibit on MRI in order to build a foundation that we can use to help distinguish normal from abnormal.
Read MoreThe physics of MRI image generation is a fairly complex subject. Nevertheless, it is useful to have a rough knowledge of how an image is generated, if for no other reason than to be able to confidently explain it to our patients if they happen to raise the issue. Even so, they may not be able to understand it, but if we are confident in our explanation, the patient will be confident in us as well.
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If you asked 10 doctors, you might get 10 different answers. One answer might actually be “I don’t take x-rays.” I have worked with many DCs and have found a widely varying view on the indications for an x-ray. It ranges from some doctors who insist on x-raying every patient, to some who x-ray no one. In fact, some almost hold in disdain those that do x-ray their patients.
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Diffuse idiopathic skeletal hyperostosis, more commonly referred to as DISH, is often confused or misdiagnosed as a degenerative change in the spine. Next, to degenerative disc disease and the associated spondylosis, DISH is the most common spinal arthropathy that I see in my radiology practice.
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What is arthrography? The original arthrogram studies that predated MRI utilized plain film x-ray after the injection of contrast material into a joint. This type of arthrogram suffers the same deficiencies when compared to MRI imaging, as does plain film x-ray in comparison to MRI.
Read MoreRadiology has historically been a very important part of the chiropractic profession, and I felt honored to be able to share whatever x-ray knowledge I may have accumulated over the past 29 years in practice with others in our profession.
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