Pain, Back Clinical Trial
Official title:
Diagnostic Value of 18F-Fluoride-PET/MRI in the Management of Suspected Facet Joint Arthropathy: A Prospective Cohort Study
Prior to the injection, the facet joints have to be defined according to standard
radiological techniques (e.g. MRI and physical correlation). Patients are then sent to
18F-Fluoride-PET/MRI imaging, in order to localize facet joints with increased uptake. Facet
joints to be injected are again defined according to the location(s) of highest uptake as
demonstrated by 18F-Fluoride-PET/MRI.
The defined injection sites before and after PET/MRI are compared. In equal defined injection
sites, patients are sent for infiltration as scheduled, otherwise patients are randomized
into two groups.
One group will undergo facet injection(s) according to the 18F-Fluoride-PET/MRI result, with
standard injections performed under CT-guidance by the radiology department of the study
site. The control group will undergo facet injections blinded to the 18F-Fluoride-PET/MRI
results, but based on current standard clinical practise (MRI and clinical correlation).
The patients are asked to complete a validated pain and function questionnaire immediately
before the facet joint injection, at 15 minutes, 1 day, 1 week and 1 month after the
injection, as performed routinely in our institution.
The purpose of this study is to prospectively evaluate the value of 18F-Fluoride-PET/MRI
imaging in patients with low back pain with evidence of painful facet joint arthropathy,
which would potentially benefit from facet joint injections.
n/a
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