Academy of Chiropractic Personal Injury & Primary Spine Care Program

Quickie Consult 54 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.

"Missed MRI Diagnosis"


This was reported (see below) by a board certified GENERAL radiologist as a "left posterior fissure tear." If you look closely, you can see that the annulus broke through and by definition, this is a herniation. Yes, there is a fissure, but there is a concomitant herniation.

When the doctor who found this reported it to the lawyer, you know he was happy...and it was all based on clinical excellence with a high level of integrity and ethics. Needless to say, this lawyer will be using this doctor of chiropractic regularly.

The real winner...the patient...who now has an accurate diagnosis, which is the basis for healthcare. In today's clinical setting, the doctor of chiropractic MUSTknow how to interpret his/her own MRI images because general radiologists misread 42.2% of all images.(1)

Beyond rendering excellent care, this is the basis for working with lawyers in the personal injury arena and the difference between being a trauma specialist who is both credentialed and trained vs. simply someone who guesses and hopes for the best as too many do. This is what is taught in the Lawyers PI Program ( You can also get certified in MRI interpretation at

EVERY DC in the world must learn to interpret these images to protect their patients, their licenses and their practices. Win through clinical excellence!

You must get certified in MRI interpretation...It is non-negotiable. It is the only way to spiral upwards in personal injury!

(1) Lurie, J. D., Doman, D. M., Spratt, K. F., Tosteson, A. N. A., & Weinstein, J. N. (2009). Magnetic resonance imaging interpretation in patients with symptomatic lumbar spine disc herniations. Spine, 34(7), 701-705.

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