Academy of Chiropractic Personal Injury & Primary Spine Care Program

Quickie Consult 55 CI

From the Desk of Dr. Mark Studin
Academy of Chiropractic
Preamble: Many of the issues I bring to you are very small, yet each issue is just that, an issue. If you take care of the small issues, then you will be able to build and more importantly, focus on the bigger issues...a larger practice and more family time.

"10mm MRI Slice"

Just When You Thought It Couldn't Get Worse!

The above picture is what you could drive through a 10 mm slice. If you look at the axial view below you'll see the slice thickness is reported as 5.0 mm. The American College of Radiology's appropriateness criteria was updated in 2011. For the sagittal view in the lumbar spine, the ACR recommends a maximum slice thickness of 4 mm. Please note the thickness on the sagittal view in the image below. It reports a thickness of 10 mm. This is unconscionable, irresponsible and at best "non-diagnostic."

There is a reason why I urge each and every one of you to get certified in MRI spine interpretation. In this particular scan (scam), the imaging company actually missed entire discs, let alone hoping for a partial disc and an end plate. I did not go through the process of copying the slices with missed discs because I would not be able to show you what isn't there. Suffice it to say the imaging companies reporting of 10 mm says it all. Thankfully, you know better but an unsuspecting public and trusting (stupid) doctors will treat these patients with false information.



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