User Ratings

Easy to Follow Achieved Expected Results Overall Rating Add your comments

Spondylosis Deformans

J. Randy Jinkins¹, David D. Stark¹

¹Downstate Medical Center, State University of New York, Brooklyn, New York

Publication Name:

Current Protocols in Magnetic Resonance Imaging

Unit Number:

Unit A8.3

DOI:

10.1002/0471142719.mia0803s01

Online Posting Date:

August, 2001

GO TO THE FULL TEXT:

PDF or HTML at Wiley Online Library

Are you the author of this protocol? Login or register and return to this page.

Abstract

This unit presents a basic protocol of conventional and fast spin echo acquisition for detecting spondolysis deformans. The margins of the osteophytosis associated with spondylosis deformans are generally well defined utilizing fast spin echo acquisitions. An alternate protocol is presented for gradient recalled echo acquisitions that may be used in the sagittal and/or transverse planes to clearly distinguish between discs and soft tissue, and to clarify the spinal neural foramen in the cervical region.

GO TO THE FULL PROTOCOL:

PDF or HTML at Wiley Online Library

Unit Introduction
Basic Protocol: Conventional and Fast Spin Echo Acquisitions
Alternate Protocol: Gradient Recalled Echo Acquisitions
Commentary
Literature Cited
Figures
Tables

GO TO THE FULL PROTOCOL:

PDF or HTML at Wiley Online Library

Figures

Figure A8.3.1

Cervical spondylosis. (A) Sagittal T₁-weighted (T_R = 500 msec, T_E = 10 msec) image shows diffuse cervical intervertebral disc space narrowing and posterior disc protrusions at multiple levels. (B) Sagittal T₂-weighted (T_R = 4000 msec, T_E = 100 msec) image with fat suppression shows the degenerative anterior and posterior protrusive changes at multiple levels.

View Image
Figure A8.3.2

Degenerative spinal musculoligamentous alterations. (A) Sagittal T₂-weighted (T_R = 4000 msec, T_E = 100 msec) fat suppressed image shows interspinous ligament hyperintensity (arrows) indicating degeneration/rupture. (B) Transverse T₁-weighted (T_R = 500 msec, T_E = 10 msec) image shows the multifidus muscle (arrow) to be swollen and relatively hyperintense on the right side. (C) Transverse T₂-weighted (T_R = 4000 msec, T_E = 100 msec) fat suppressed image shows hyperintense degeneration of the multifidus muscle (asterisk) on the right side.

View Image

Literature Cited

Literature Cited
	Resnick, D. 1985. Degenerative diseases of the vertebral column. Radiology 156:3-14.
	Schneck, C. 1985. The anatomy of lumbar spondylosis. Clin. Orthop. 193:20-37.
	Tsuruda, J.S., Norman, D., Dillon, W., Newton, T.H., and Mills, D.G. 1990. Three-dimensional gradient recalled MR imaging as a screening tool for the diagnosis of cervical radiculopathy. Am. J. Neurol. 1263-1271.
	Van Dyke, C., Ross, J.S., Tkach, L., Masaryk, T.J., and Modic, M.T. 1989. Gradient-echo MR imaging of the cervical spine: Evaluation of extradural disease. Am. J. Neuroradiol. 10:627-632.
	Yousem, D.M., Atlas, S.W., Goldberg, H.I., and Grossman, R.I. 1991. Degenerative narrowing of the cervical spine neural foramina: Evaluation with high-resolution 3DFT gradient-echo imaging. Am. J. Neuroradiol. 12:229-230.