Scoliosis diagnostic study of choice
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Rohan A. Bhimani, M.B.B.S., D.N.B., M.Ch.[2]
Overview
Diagnostic Study of Choice
Study of choice
- M.R.I. is the gold standard test for the diagnosis of scoliosis.
- In addition, x-rays of the spine must be performed when:
- The patient presents with atypical curve, low back pain, stiffness, and abnormal posture.
- X-rays also help in monitoring the progression of the curve.
The comparison of various diagnostic studies for scoliosis
| Test | Sensitivity | Specificity |
|---|---|---|
| M.R.I. | 94.4% | 95.5% |
| X-ray | 95% | 35% |
Thus M.R.I. is the preferred investigation based on the sensitivity and specificity
Diagnostic results
The following finding(s) on performing M.R.I. are confirmatory for scoliosis:
- Abnormality that may be causing the deformity such as hemivertebra, wedge vertebra, and bilamina.
- Spinal cord abnormalities such as syringomyelia, tonsillar herniation, and meningomyelocoele.
Sequence of Diagnostic Studies
The various investigations must be performed in the following order:
- X-rays of spine
- M.R.I.
Name of Diagnostic Criteria
It is recommended that you include the criteria in a table. Make sure you always cite the source of the content and whether the table has been adapted from another source.
[Disease name] is primarily diagnosed based on clinical presentation. There are no established criteria for the diagnosis of [disease name].
OR
There is no single diagnostic study of choice for [disease name], though [disease name] may be diagnosed based on [name of criteria] established by [...].
OR
The diagnosis of [disease name] is made when at least [number] of the following [number] diagnostic criteria are met: [criterion 1], [criterion 2], [criterion 3], and [criterion 4].
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The diagnosis of [disease name] is based on the [criteria name] criteria, which includes [criterion 1], [criterion 2], and [criterion 3].
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[Disease name] may be diagnosed at any time if one or more of the following criteria are met:
- Criteria 1
- Criteria 2
- Criteria 3
OR
IF there are clear, established diagnostic criteria
The diagnosis of [disease name] is made when at least [number] of the following [number] diagnostic criteria are met: [criterion 1], [criterion 2], [criterion 3], and [criterion 4].
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The diagnosis of [disease name] is based on the [criteria name] criteria, which include [criterion 1], [criterion 2], and [criterion 3].
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The diagnosis of [disease name] is based on the [definition name] definition, which includes [criterion 1], [criterion 2], and [criterion 3].
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IF there are no established diagnostic criteria
There are no established criteria for the diagnosis of [disease name].