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how to read spine MRI - Coggle Diagram
how to read spine MRI
sequence
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t1
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normal appearance
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bone marrow is increased,
indication of MRI
- Degenerative disease (including radicular symptoms)
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- Cord compression/bone metastases
- Infection (disk or epidural/intradural lesion)
Degenerative changes
Disk
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abnormal disk
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based on morphology
disk bulge
A diffusely bulging disk extends symmetrically and circumferentially by more than 2 mm beyond the margins of the adjacent vertebral bodies.
protrusion
disk protrusion is a focal, asymmetric extension of disk tissue beyond the vertebral body margin,usually into the spinal canal or neural foramen
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Diseases
sponal stenosis
causes
narrowing of the central spinal canal,
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lateral recess stenosis
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tampakan
jika ada abnormality pada recess, maka bisa dikatakan terdapat lateral recess stenosis
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Causes
degenerative
• Disk contour abnormalities (bulges, herniations)
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• Facet joint degeneration, osteophytes, synovial cysts
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inflammatory changes
spondylodiscitis
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tampakan MRI
- Low signal intensity on T1W images in vertebral bone marrow
2, Contrast enhancement of marrow on T1W images, and possibly of the disk if an abscess has not formed
- High signal intensity of the disk on T2W images
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