PMID- 33088582
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20220417
IS  - 2055-7647 (Print)
IS  - 2055-7647 (Electronic)
IS  - 2055-7647 (Linking)
VI  - 6
IP  - 1
DP  - 2020
TI  - Diagnostic accuracy of MRI for identifying posterior element bone stress injury 
      in athletes with low back pain: a systematic review and narrative synthesis.
PG  - e000764
LID - 10.1136/bmjsem-2020-000764 [doi]
LID - e000764
AB  - OBJECTIVE: To investigate the diagnostic accuracy of MRI for identifying 
      posterior element bone stress injury (PEBSI) in the athletic population with low 
      back pain (LBP). STUDY DESIGN: A systematic review searched for published sources 
      up until July 2020. Eligibility criteria: prospective cohort design, MRI 
      diagnosis, adolescents/young adults, chief symptoms of LBP, PEBSI as the clinical 
      diagnosis and SPECT-CT as reference standard. Risk of bias and overall quality 
      were assessed using QUADAS-2 and GRADE, respectively. A narrative synthesis was 
      conducted. RESULTS: Four studies were included, with three included in the 
      quantitative synthesis. Compared with SPECT-CT, two studies involving MRI 
      demonstrated sensitivity and specificity of 80% and 100%, and 88% and 97%, 
      respectively. Compared with CT, one study involving MRI demonstrated sensitivity 
      and specificity of 97% and 91%, respectively. Risk of bias was moderate to high 
      although consistency across studies was noted. CONCLUSION: Findings support 
      further research to consider MRI as the modality of choice for diagnosing PEBSI. 
      MRI was consistent with SPECT-CT for ruling-in PEBSI, but the clinical value of 
      cases where MRI had false negatives remains uncertain due to possible 
      over-sensitivity by SPECT-CT. PROSPERO REGISTRATION NUMBER: CRD42015023979.
CI  - (c) Author(s) (or their employer(s)) 2020. Re-use permitted under CC BY. Published 
      by BMJ.
FAU - Esh, Roy
AU  - Esh R
AD  - School of Sport, Exercise and Rehabilitation Sciences, University of Birmingham, 
      Birmingham, UK.
FAU - Grodahl, Linn Helen J
AU  - Grodahl LHJ
AD  - The Norwegian Sport Medicine Clinic, Oslo, Norway.
FAU - Kerslake, Robert
AU  - Kerslake R
AD  - Radiology, Queen's Medical Centre Nottingham University Hospital NHS Trust, 
      Nottingham, UK.
FAU - Strachan, Kate
AU  - Strachan K
AD  - Loughborough Performance Centre, English Institute of Sport, Loughborough 
      University, Loughborough, UK.
FAU - Spencer, Simon
AU  - Spencer S
AD  - Physiotherapy, English Institute of Sport, Manchester, UK.
FAU - Fawcett, Louise
AU  - Fawcett L
AD  - British Gymnastics, English Institute of Sport, Newport, UK.
FAU - Rushton, Alison
AU  - Rushton A
AUID- ORCID: 0000-0001-8114-7669
AD  - Centre of Precision Rehabilitation for Spinal Pain (CPR Spine), School of Sport, 
      Exercise and Rehabilitation Sciences, University of Birmingham, Birmingham, UK.
FAU - Heneghan, Nicola R
AU  - Heneghan NR
AUID- ORCID: 0000-0001-7599-3674
AD  - Centre of Precision Rehabilitation for Spinal Pain (CPR Spine), School of Sport, 
      Exercise and Rehabilitation Sciences, University of Birmingham, Birmingham, UK.
LA  - eng
PT  - Journal Article
DEP - 20201002
PL  - England
TA  - BMJ Open Sport Exerc Med
JT  - BMJ open sport & exercise medicine
JID - 101681007
PMC - PMC7547544
OTO - NOTNLM
OT  - Athlete
OT  - Back injuries
OT  - Diagnosis
OT  - Evidence based review
OT  - MRI
COIS- Competing interests: None declared.
EDAT- 2020/10/23 06:00
MHDA- 2020/10/23 06:01
PMCR- 2020/10/02
CRDT- 2020/10/22 05:37
PHST- 2020/09/06 00:00 [accepted]
PHST- 2020/10/22 05:37 [entrez]
PHST- 2020/10/23 06:00 [pubmed]
PHST- 2020/10/23 06:01 [medline]
PHST- 2020/10/02 00:00 [pmc-release]
AID - bmjsem-2020-000764 [pii]
AID - 10.1136/bmjsem-2020-000764 [doi]
PST - epublish
SO  - BMJ Open Sport Exerc Med. 2020 Oct 2;6(1):e000764. doi: 
      10.1136/bmjsem-2020-000764. eCollection 2020.