Nuclear magnetic resonance of the spine: clinical potential and limitation.

Abstract:

:Magnetic resonance can visualize the vertebral bodies, discs, neural structures, cerebrospinal fluid (CSF), neural foramina, and extradural structures in the sagittal, axial, and coronal planes. The normal nucleus pulposus can be differentiated from the anulus and changes associated with degeneration. Infection, trauma, and neoplastic conditions can be identified. The signal intensity of the CSF relative to extradural and neural structures can be increased to provide evaluation of the size and configuration of the contents of the thecal sac without the use of an intrathecal contrast medium. Impingement by disc, tumors, fracture segments, and expansile masses can then be accurately evaluated. It is the most accurate modality for the evaluation of the foramen magnum, Chiari malformation, syringomyelia, infection, and degeneration of intervertebral discs. It can identify paravertebral soft tissue and bony changes when plain films and computed tomographic (CT) studies are negative or equivocal. Not only can lesions be localized, but significant information regarding the nature of the process can be obtained. Using variations of the spin-echo technique with appropriate T1 and T2-weighted images, magnetic resonance can produce tissue contrast distinctions not possible with CT scans or conventional angiography.

journal_name

Neurosurgery

journal_title

Neurosurgery

authors

Modic MT,Hardy RW Jr,Weinstein MA,Duchesneau PM,Paushter DM,Boumphrey F

doi

10.1227/00006123-198410000-00022

subject

Has Abstract

pub_date

1984-10-01 00:00:00

pages

583-92

issue

4

eissn

0148-396X

issn

1524-4040

journal_volume

15

pub_type

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