Results of an International Survey on Spinal Imaging by the ASNR/ASSR/ESNR/ESSR “Nomenclature 3.0” Working Group

Gennaro D'Anna; Lubdha Shah; Peter G. Kranz; Joshua A. Hirsch; M. Khan; Michele Johnson; Antoine Feydy; J. Nathan; L. Manfre; Dan T. Nguyen; Gordan Sze; Johan Van Goethem; Filip M. Vanhoenacker

doi:10.1055/s-0043-1768247

Seminars in Musculoskeletal Radiology, Table of Contents

Semin Musculoskelet Radiol 2023; 27(05): 561-565
DOI: 10.1055/s-0043-1768247

Review Article

Results of an International Survey on Spinal Imaging by the ASNR/ASSR/ESNR/ESSR “Nomenclature 3.0” Working Group

Gennaro D'Anna

¹Neuroimaging Unit, ASST Ovest Milanese, Legnano, Milan, Italy

,

Lubdha Shah

²Department of Radiology, University of Utah, Salt Lake City, Utah

,

Peter G. Kranz

³Department of Radiology, Duke University Medical Center, Durham, North Carolina

,

Joshua A. Hirsch

⁴Department of Neurointerventional Radiology, Massachusetts General Hospital, Boston, Massachusetts

,

M. Khan

⁵Department of Radiology, Johns Hopkins Hospital, Baltimore, Maryland

,

Michele Johnson

⁶Departments of Radiology and Biomedical Imaging and Neurosurgery, Yale University School of Medicine, New Haven, Connecticut

,

Antoine Feydy

⁷Université de Paris Cité, F-75006, Paris, France

,

J. Nathan

⁸Department of Neuroradiology, Emory School of Medicine, Atlanta, Georgia

,

L. Manfre

⁹Minimal Invasive Spine Department of Neurosurgery, Istituto Oncologico del Mediterraneo IOM, Viagrande, Italy

,

Dan T. Nguyen

¹⁰Neuroradiology and Pain Solutions of Oklahoma, Oklahoma City, Oklahoma

,

Gordan Sze

¹¹Department of Radiology, Yale School of Medicine, New Haven, Connecticut

,

Johan Van Goethem

¹²Department of Radiology, University Hospital Antwerp, Antwerp, Belgium

¹³Department of Medical and Molecular Imaging, General Hospital VITAZ, Sint-Niklaas, Belgium

,

Filip M. Vanhoenacker

¹⁴Department of Radiology General Hospital Sint-Maarten Mechelen, Antwerp University Hospital, Edegem, Belgium

¹⁵Antwerp/Ghent University Faculty of Medicine and Health Sciences, Faculty of Medicine KU Leuven, Leuven, Belgium

› Author Affiliations

Abstract

Our goal was to determine if “Nomenclature 2.0,” the classification of lumbar disk pathology consensus, should be updated. We conducted a social media and e-mail-based survey on preferences regarding the use of classification on magnetic resonance spine reporting. Members of the European Society of Neuroradiology, European Society of Musculoskeletal Radiology, American Society of Neuroradiology, and American Society of Spine Radiology received a 15-question online survey between February and March 2022. A total of 600 responses were received from 63 countries. The largest number of responses came from Italy and the United States. We found that 71.28% of respondents used Nomenclature 2.0, Classification of Lumbar Disk Pathology. But classification on stenosis is used less often: 53.94% and 60% of respondents do not use any classification of spinal canal stenosis and foraminal stenosis, respectively. When queried about which part of Nomenclature needs improving, most respondents asked for a Structured Reporting Template (SRT), even though 58.85% of respondents do not currently use any template and 54% routinely use a clinical information questionnaire. These results highlight the importance of an updated Nomenclature 3.0 version that integrates the classifications of lumbar disk disease and spinal canal and foraminal stenosis. Further attention should also be directed toward developing a robust endorsed SRT.

Keywords

spine - imaging - nomenclature - disk - magnetic resonance imaging

Full Text

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Supplementary Material