RAD CT Guide

INDICATIONS (1-3)

• Primary bone tumour suspected suspected on radiography or clinical exam

• Suspected fracture in setting of axial spondyloarthritis or ankylosis

• Spinal tumours or vertebral metastasis

• Suspected axial spondyloarthritis with lumbar symptoms

• Low back pain (particular if red flags are present):
  - New, history of multiple vertebral compression fractures
  - New, previously treated vertebral compression fracture

• Radiculopathy, paraesthesia or myopathy, initial exam or if MRI unavailable

• Lumbar vertebral compression fracture on x-ray:
  - Asymptomatic, history of malignancy, next imaging study
  - Symptomatic, new, history of malignancy, next imaging study
  - Symptomatic, new, no malignancy, next imaging study

• Age ≥16 years. Blunt trauma meeting criteria for lumbar imaging. Initial imaging.

• Pre-operative and post-operative evaluation

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• Red Flags for Spinal Imaging (this applies to all regions)

  • Sinister pain

  • Fever

  • Loss of Weight

  • Prior history of malignancy

  • Infection risk

  • Falls

  • Difficulty walking