Positivity rates and subsequent patient dispositions after utilisation of cervical spine imaging referral guidelines in Singapore
There are numerous imaging referral guidelines with unique methodologies, but the impact of individual imaging recommendations on imaging characteristics and patient dispositions remains unclear. There is minimal difference in the positivity rates across individual imaging recommendations from all three imaging referral guidelines. Inappropriate cervical spine imaging was associated with a lack of positive, significant findings. Guidelines are still effective in excluding significant pathology when imaging is not indicated.
Authors
- Robert Chun Chen
- May San Mak (ORCID: https://orcid.org/0000-0002-4610-3238)
- Wenlu Hou (ORCID: https://orcid.org/0000-0001-8657-677X)
- Jonathan P McNulty (ORCID: https://orcid.org/0000-0002-1365-8747)
- Lai Peng Chan (ORCID: https://orcid.org/0000-0002-3971-3476)
- Ronan P. Killeen (ORCID: https://orcid.org/0000-0002-9231-8133)
- Shane J. Foley (ORCID: https://orcid.org/0000-0002-9478-2802)
- Yi Xiang Tay (ORCID: https://orcid.org/0000-0001-8322-1500)
- Marcus Eng Hock Ong (ORCID: https://orcid.org/0000-0001-7874-7612)
- Eu Jin Tan
Institutions
- University College Dublin (IE)
- Singapore General Hospital (SG)
- St. Vincent's University Hospital (IE)
- Duke-NUS Medical School (SG)
- National Neuroscience Institute (SG)
Publication Details
- Journal
- Insights into Imaging
- Published
- 2025-08-08
- DOI
- https://doi.org/10.1186/s13244-025-02048-9
- Citations
- 1
- Primary Topic
- Spine and Intervertebral Disc Pathology
- Type
- article
- Field-Weighted Citation Impact
- 1.47
Funders
- SingHealth
- Singapore General Hospital