Priority 6 from the Scoliosis PSP

UNCERTAINTY: What is the best method of imaging scoliosis that also reduces exposure to radiation?  (JLA PSP Priority 6)
Overall ranking 6
JLA question ID 0059/6
Explanatory note Not available for this PSP

Previous related research studies - 

Wade R, Yang H, McKenna C, Faria R, Gummerson N, Woolacott N. A systematic review of the clinical effectiveness of EOS 2D/3D X-ray imaging system. European Spine Journal 2013; 22(2): 296-304

Sedrez JA, Candotti CT. [Noninvasive assessment of postural scoliosis: a systematic review] Motricidade 2013; 9(4): 100-111

NICE has developed diagnostics guidance on the EOS 2D/3D imaging system. (

Health Research Classification System category Musculoskeletal
Extra information provided by this PSP
Original uncertainty examples Can we reliably use alternative imaging modalities to monitor curve progression in scoliosis apart from Radiographs?  i.e reduce radiation exposure in children and young adults ~ In children with neurodisability, does interval monitoring with 4D body scanning allow for earlier identification and regular review of scoliosis and its development? ~ How can we monitor/limit amount of radiation a person with scoliosis will be exposed to in their lifetime? ~ What are the best monitoring tools for scoliosis (caused by paralyses and growth) i.e. xray/MRI/photography/postural examination/physical function 
PSP information
PSP unique ID 0059
PSP name Scoliosis
Total number of uncertainties identified by this PSP. 54  (To see a full list of all uncertainties identified, please see the PSP final report held on the JLA website)
Date of priority setting workshop 4 November 2017