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Here's Looking at You
The diagnosis of what is causing back pain is often made by
interpreting x-rays. But the type of health care provider
interpreting those films may have a great influence on what is
found (or missed). When various providers were tested for the
ability to interpret abnormal lumbosacral spine radiographs, here
is how they placed:
(horizontal graphs using x-ray graphic in different colors)
Provider Group Average correct
Chiropractic Radiologist - 71%
Skeletal Radiologist & Fellows - 70.18%
Chiropractic Radiology Residents - 61.54%
General Medical Radiologists - 51.64%
Medical Radiology Residents - 44.64%
Medical Clinicians - 31.26%
Chiropractic Clinicians - 28.38%
Chiropractic Students - 20.45%
Medical Students - 5.74%
While one would expect a difference between the provider groups,
specialists appear to be twice as accurate as non-specialists.
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SOURCE: Taylor JAM, et al. Interpretation of abnormal lumbosacral
spine radiographs. Spine 1995;20:1147-1154.
DC
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