Advancing imaging technologies for patients with spinal pain: with a focus on whiplash injury

Radiological observations of soft-tissue changes that may relate to clinical symptoms in patients with traumatic and non-traumatic spinal disorders are highly controversial. Studies are often of poor quality and findings inconsistent. A plethora of evidence suggests some pathoanatomical findings from traditional imaging applications are common in asymptomatic participants across the life span, which further questions the diagnostic, prognostic, and theranostic value of traditional imaging. While we do not dispute the limited evidence for the clinical importance of most imaging findings, we contend that the disparate findings across studies, may in part be due to limitations in the approaches used in assessment and analysis of imaging findings.

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