Vertos Medical Blog

Image Review – Resources & Tips From APPs to Identify mild® Candidates

Published December 6, 2021

Interventional Pain Management is a fast-growing specialty. As new lumbar spinal stenosis (LSS) procedures become available, practices are evolving the way they collaborate and work together to optimize patient care. The mild® Procedure’s patient selection process is quite simple, but requires imaging review, which is often not a part of Advanced Practice Providers’ (APP) traditional education.

Although image review can be intimidating, APPs report that the learning curve is relatively short and there are resources available to help you get started. Below are some tips from mild® APPs on how they quickly established comfort with imaging review in their practice, allowing them to “look for the ligament,” identify hypertrophic ligamentum flavum (HLF), and educate mild® patients independently. You can access a CME webinar on the topic below as well.

Standardize MRI requests to request HLF be listed and measured: if it isn’t on the report, review and measure yourself.

Ashley Comer, NP
The Spine & Nerve Centers of the Virginias
Charleston, WV

Get comfortable with your imaging system and work alongside your physician to identify anatomical landmarks using the measuring tools.

Jane Hartigan, PA
Evolve Restorative Center
Santa Rosa, CA

Get comfortable with your imaging system and work alongside your physician to identify anatomical landmarks using the measuring tools.

Jane Hartigan, PA
Evolve Restorative Center
Santa Rosa, CA

Don’t rely on the MRI report alone: HLF is often overlooked, so be sure to look at the images yourself.

Kelsey Kimball, PA
The Orthopaedic Institute
Gainesville, FL

Practice reviewing imaging with patients. Usually, no one has explained their condition to them using imaging, so once you establish comfort with image review, incorporate this step into your patient education routine.

Christine Christensen, NP
Spine & Pain Institute of Florida
Lakeland, FL

Practice reviewing imaging with patients. Usually, no one has explained their condition to them using imaging, so once you establish comfort with image review, incorporate this step into your patient education routine.

Christine Christensen, NP
Spine & Pain Institute of Florida
Lakeland, FL

Use each image review as a training opportunity. Review the image yourself, then compare it with the report.

CME Webinar: Reviewing MRIs: A Collaborative Approach to Patient Selection

Webinar - ASPN CME Webinar Series: Reviewing MRIs: A Collaborative Approach to Patient Selection

In this American Society of Pain & Neuroscience (ASPN) webinar, moderators Timothy Deer, MD; Dawood Sayed, MD and faculty members Navdeep Jassal, MD; Eugene Paik, MD; Ashley Comer, NP-C; Christine Christensen, APRN; and Zohra Hussaini, MSN, FNP-BC, MBA, APRN discuss how physicians and APPs can match more patients with the right treatments sooner by working together.

Access the Webinar

Educational activity is jointly provided by Evolve Medical Education, LLC and Mantra Meetings, and is available for CME credit until its expiration date of June 23, 2022.

Looking for more info on mild® patient identification criteria? Check out our blog: Identifying & Educating mild® Patients – APP Guidance. Interested in APP-focused education and events? Sign up to stay informed and receive the latest updates!

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