Whole-body MRI is moving beyond diagnosis and into prevention, but is the technology ready and are clinicians prepared to interpret and act on what they find? On this episode of BackTable Bone & Sport Podcast, host Dr. Larry Balle welcomes back physical therapist/athletic trainer, Dr. Andy Glidewell to dive into the controversy of whole-body MRI screening for athletes and fitness-focused patients. They discuss how imaging has evolved from simple diagnosis to clinical mapping for rehab and performance planning, drawing on experiences like the NFL Combine’s extensive MRI use, and examine both the clinical opportunities and the practical barriers to broader adoption.

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Timestamps

00:00 - Introduction
04:57 - Athletes Hunger for Knowledge
13:22 - Preventive Care vs. Reactive Care
15:53 - Understanding Limitations and Liability
20:00 - Evolution of MRI Technology
34:53 - When to Order Whole Body MRI
44:24 - “If You Go Looking”: Addressing Incidental Findings
56:51 - Identifying Good Candidates for Whole Body MRI?
58:56 - Addressing Cost and Marketing Reality
01:05:24 - Vision for Preventive Care
01:07:18 - Final Thoughts and Wrap Up

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More about this episode

The conversation covers the latest in MRI technology, including how AI can improve image quality and reduce scan time, as well as typical whole-body protocols and their limitations. Dr. Glidewell shares personal stories about incidental findings and offers insight into issues like cost, radiologist expertise, and the importance of a single communicator for care. Together, they explore who might benefit most from whole-body MRI, how it could influence preventive care and long-term healthcare costs, and the challenges and opportunities that lie ahead.

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Resources

Dr. Andy Glidewell

https://www.trainrecovermove.com/andyglidewellpt

https://uamshealth.com/provider/michael-a-glidewell/

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BackTable Bone & Sports is the go-to podcast for orthopedic surgeons, sports medicine docs, pain specialists, and MSK radiologists.

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