The authors of a recent study published in Spine reviewed studies that “demonstrated the unreliability of magnetic resonance imaging (MRI)-based parameters to identify pathological pain generators of chronic low back pain.” The authors’ aim was to determine whether “advancements in computer image analysis provide objective measurements of lumbar disc features and pain conditions among older adults.” The authors enrolled 39 older adults age 65 and older who reported mild to severe back pain. The results indicate that the “study presents a potential new application of MR imaging in identifying pain generators of patients with chronic low back pain.”