[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-1-en-105":3,"doc-seo-563771-105":53,"doc-detail-563771-en":126},{"code":4,"msg":5,"data":6},0,"success",[7,14,19,24,29,34,39,44,49],{"id":8,"doc_module":9,"doc_module_name":10,"category_name":11,"show_sort_weight":12,"slug":13},11,1,"Template","Presentations",90,"presentations",{"id":15,"doc_module":9,"doc_module_name":10,"category_name":16,"show_sort_weight":17,"slug":18},12,"Resumes",80,"resumes",{"id":20,"doc_module":9,"doc_module_name":10,"category_name":21,"show_sort_weight":22,"slug":23},14,"Invoices",70,"invoices",{"id":25,"doc_module":9,"doc_module_name":10,"category_name":26,"show_sort_weight":27,"slug":28},15,"Posters",60,"posters",{"id":30,"doc_module":9,"doc_module_name":10,"category_name":31,"show_sort_weight":32,"slug":33},16,"Social Media",50,"social-media",{"id":35,"doc_module":9,"doc_module_name":10,"category_name":36,"show_sort_weight":37,"slug":38},17,"Forms",40,"forms",{"id":40,"doc_module":9,"doc_module_name":10,"category_name":41,"show_sort_weight":42,"slug":43},18,"Letters",30,"letters",{"id":45,"doc_module":9,"doc_module_name":10,"category_name":46,"show_sort_weight":47,"slug":48},21,"Paper Templates",5,"papers-templates",{"id":50,"doc_module":9,"doc_module_name":10,"category_name":51,"show_sort_weight":4,"slug":52},158,"General","general-158",{"code":4,"msg":54,"data":55},"ok",{"site_id":56,"language":57,"slug":58,"title":59,"keywords":60,"description":61,"schema_data":62,"social_meta":119,"head_meta":121,"extra_data":123,"updated_unix":125},105,"en","acute-low-back-pain-education-modules-for-appropriate-imaging-referrals-2015","Acute Low Back Pain - Education Modules for Appropriate Imaging Referrals - 2015","","Education Modules for Appropriate Imaging Referrals—Acute Low Back Pain (2015) provides health professionals guidance to improve the appropriateness of referrals for medical imaging. The module explains how clinical decision rules can standardise pre-test risk evaluation for adults with acute low back pain, supporting consideration of medically serious causes. It outlines imaging decision-making across key etiologies such as fracture, malignancy, infection, cauda equina syndrome, and inflammatory arthropathy, with modality guidance, references, and evidence summaries.",{"@graph":63,"@context":118},[64,80,101],{"@type":65,"itemListElement":66},"BreadcrumbList",[67,71,74,77],{"item":68,"name":69,"@type":70,"position":9},"https://docshare.wps.com","Home","ListItem",{"item":72,"name":10,"@type":70,"position":73},"https://docshare.wps.com/template/",2,{"item":75,"name":11,"@type":70,"position":76},"https://docshare.wps.com/template/presentations/",3,{"item":78,"name":59,"@type":70,"position":79},"https://docshare.wps.com/template/acute-low-back-pain-education-modules-for-appropriate-imaging-referrals-2015/563771/",4,{"url":78,"name":59,"@type":81,"image":82,"author":87,"headline":59,"publisher":90,"fileFormat":93,"inLanguage":57,"description":61,"dateModified":94,"datePublished":95,"encodingFormat":93,"isAccessibleForFree":96,"interactionStatistic":97},"DigitalDocument",{"url":83,"@type":84,"width":85,"height":86},"https://docshare.wps.com/thumbnails/acute-low-back-pain-education-modules-for-appropriate-imaging-referrals-2015/563771.png","ImageObject",442,249,{"name":88,"@type":89},"Aria Callaghan","Person",{"url":68,"name":91,"@type":92},"DocShare","Organization","application/pdf","2026-10-22","2026-10-12",true,{"@type":98,"interactionType":99,"userInteractionCount":79},"InteractionCounter",{"@type":100},"ViewAction",{"@type":102,"mainEntity":103},"FAQPage",[104,110,114],{"name":105,"@type":106,"acceptedAnswer":107},"How do clinical decision rules help with acute low back pain imaging referrals?","Question",{"text":108,"@type":109},"They help standardise pre-test risk evaluation by determining the pre-test risk of medically serious causes of acute low back pain, supporting more consistent referral decisions.","Answer",{"name":111,"@type":106,"acceptedAnswer":112},"When should imaging be considered beyond pre-test probability?",{"text":113,"@type":109},"The module addresses what else needs to be considered besides pre-test probability when imaging an acute low back pain patient.",{"name":115,"@type":106,"acceptedAnswer":116},"Which serious causes are covered in the module’s imaging approach?",{"text":117,"@type":109},"It includes acute low back pain due to fracture, malignancy, discitis/osteomyelitis/epidural abscess, cauda equina syndrome, and inflammatory arthropathy.","https://schema.org",{"og:url":78,"og:type":120,"og:title":59,"og:site_name":91,"og:description":61},"article",{"robots":122,"canonical":78},"index,follow",{"doc_id":124,"site_id":56},563771,1792479100,{"code":4,"msg":5,"data":127},{"doc_id":124,"user_id":128,"nickname":88,"user_avatar":129,"doc_module":9,"category_id":8,"category_name":11,"doc_title":59,"doc_description":61,"doc_content":130,"file_id":131,"file_url":132,"file_type":133,"file_size":134,"view_count":79,"is_deleted":4,"is_public":9,"is_downloadable":9,"audit_status":9,"page_count":135,"language":136,"language_code":57,"site_id":56,"html_lang":57,"table_of_contents":137,"faqs":138,"seo_title":139,"seo_description":61,"update_tm":140,"read_time":15},962084926284,"https://ap-avatar.wpscdn.com/davatar_29158cc5080c5b710cf443261637dec0","For Information Only  \nThis document has been archived, much of the original content remains relevant; however, practice in this area develops continually, therefore the content of this document must be used for information only and is only valid as per  \nthe original approval date.  \nHead Office: Level 9, 51 Druitt Street, Sydney NSW 2000, Australia Ph: +61 2 9268 9777 Email: [ranzcr@ranzcr.com](ranzcr@ranzcr.com)[ ](ranzcr@ranzcr.com)New Zealand Office: Floor 6, 142 Lambton Quay, Wellington 6011, New Zealand Ph: +64 4 472 6470 Email: [nzbranch@ranzcr.com](nzbranch@ranzcr.com)  \n[Web:](Web: www.ranzcr.com)[ ](Web: www.ranzcr.com)[www.ranzcr.com](Web: www.ranzcr.com) ABN 37 000 029 863  \n2015  \nEducation Modules for Appropriate Imaging Referrals  \nACUTE LOW BACK PAIN  \nThis document is part of a set of ten education modules which are aimed at improving the appropriateness of referrals for medical imaging by educating health professionals about the place of imaging in patient care.  \nPUBLICATION INFORMATION:  \n©Royal Australian and New Zealand College of Radiologists􀂣 2015  \nMore information is available on The Royal Australian and New Zealand College of Radiologists website: URL: [http://www.ranzcr.edu.au/quality-a-safety/program/key-projects/education-modules-for](http://www.ranzcr.edu.au/quality-a-safety/program/key-projects/education-modules-for)appropriate-imaging-referrals  \nFor educational purposes only.  \nThe preferred citation for this document is:  \nGoergen S, Maher C, Leech M, Kuang R. Acute Low Back Pain. Education Modules for Appropriate Imaging Referrals: Royal Australian and New Zealand College of Radiologists; 2015.  \nACKNOWLEDGEMENTS:  \nThe Education Modules for Appropriate Imaging Referrals project is fully funded by the Australian Government Department of Health and Ageing under the Diagnostic Imaging Quality Projects Program.  \nThe project has been supported by the RANZCR’s Quality and Safety Program Team:  \nAdministrative support: Madeleine Bromhead Jessica Brown Claire King  \nProject management:  \nJane Grimm  \nTABLE OF CONTENTS  \nAuthors: .............................................................................................................................................................................. 3  \n1. Introduction .................................................................................................................................................................... 3  \nHow can clinical decision rules help to standardise pre-test risk evaluation of patients with Acute LBP? .................... 4  \nWhat else do you need to think about when you consider imaging a patient with Acute LBP apart from pre-test probability? ..................................................................................................................................................................... 6  \n2. Clinical Decision Rules..................................................................................................................................................... 8  \nHow can Clinical Decision Rules help determine the pre-test risk of medically serious causes of acute low back pain in patients with acute low back pain .............................................................................................................................. 8  \nOverview Of the approach to the use Of diagnostic imaging for the adult with acute low back pain ........................... 9  \nALBP due to fracture ..................................................................................................................................................... 11  \nALBP due to malignancy ............................................................................................................................................... 13  \nALBP due to discitis/osteomyelitis/epidural abscess.................................................................................................... 16  \nALBP associated with ","cbCaiq3hVBeNDbVg","https://ap.wps.com/l/cbCaiq3hVBeNDbVg","pdf",1489375,34,"English","# Introduction\n## Clinical Decision Rules\n## Overview of diagnostic imaging approach for acute low back pain\n## Acute low back pain due to fracture\n## Acute low back pain due to malignancy\n## Acute low back pain due to discitis/osteomyelitis/epidural abscess\n## Acute low back pain associated with cauda equina syndrome\n## Acute low back pain due to inflammatory arthropathy\n## Modality Table\n# References\n# Appendix One – Evidence Summary Table\n# Appendix Two – Image Decision Flow Chart\n# Appendix Three – Acute Low Back Pain due to Fracture\n# Appendix Four – Acute Low Back Pain due to Malignancy","[{\"question\":\"How do clinical decision rules help with acute low back pain imaging referrals?\",\"answer\":\"They help standardise pre-test risk evaluation by determining the pre-test risk of medically serious causes of acute low back pain, supporting more consistent referral decisions.\"},{\"question\":\"When should imaging be considered beyond pre-test probability?\",\"answer\":\"The module addresses what else needs to be considered besides pre-test probability when imaging an acute low back pain patient.\"},{\"question\":\"Which serious causes are covered in the module’s imaging approach?\",\"answer\":\"It includes acute low back pain due to fracture, malignancy, discitis/osteomyelitis/epidural abscess, cauda equina syndrome, and inflammatory arthropathy.\"}]","Acute Low Back Pain - Education Modules for Appropriate Imaging Referrals - 2015 | PDF",1791838261]