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The only indication for lumbar spine MRI among the 1,000 outpatient referrals examined that routinely received a rating of “appropriate” by the expert panel was postoperative leg or back pain.

Reference: Cheung KMC, Karppinen J, Guo GG, et al. Relationship between MRI changes of the lumbar spine and low back pain: an MRI study of 1,043 population-based subjects. #1.