Clinical Reporting to Alleviate the Nocebo Effect

Terminology in radiology reports may cause patients harm by anchoring to or justifying a particular diagnosis. This phenomenon is known as the nocebo effect. MRI may cause patients to pursue more invasive procedures with little added benefit. This study aims to reproduce a study to determine the impact of clinical reporting on patient care and outcomes for those suffering from lower back pain.

Inclusion Criteria: * History of lower back pain undergoing MRI * Greater than 18 years of age * Able to understand and willing to comply with all study procedures and is available for the duration of the study Exclusion Criteria: * A potential subject who meets any of the following criteria will be excluded from participation in the study: * Acute lower back pain secondary to trauma within 1 months * Severe cord compression on MRI * Cord signal abnormality on MRI * Metastatic cancer * Spinal epidural abscess * Vertebral osteomyelitis * Judgement of the ordering physician (e.g. focal neurologic deficit) * Anything that, in the opinion of the investigator or team, would place the subject at increased risk or preclude the subject's full compliance with or completion of the study