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Updated: Jul 12, 2026

Diffusion Tensor Magnetic Resonance Imaging in Chronic Spinal Cord Compression
Published on: May 7, 2019
Magnetic resonance imaging of spinal infection
Bernhard J Tins1, Victor N Cassar-Pullicino, Radhesh K Lalam
1Department of Radiology, The Robert Jones & Agnes Hunt Orthopaedic Hospital, Oswestry, Shropshire, United Kingdom. Bernhard.Tins@rjah.nhs.uk
Abstract:
This article reviews the pathophysiology of spinal infection and its relevance for imaging. Magnetic resonance imaging (MRI) is the modality with by far the best sensitivity and specificity for spinal infection. The imaging appearances of spinal infection in MRI are outlined, and imaging techniques are discussed. The problems of clinical diagnosis are outlined. There is some emphasis on the MRI differentiation of pyogenic and nonpyogenic infection and on the differential diagnosis of spinal infection centered on the imaging presentation.
Insights
This review highlights magnetic resonance imaging (MRI) as the top diagnostic tool for spinal infections. It details MRI techniques and appearances to differentiate infection types and aid clinical diagnosis.
Area of Science:
- Radiology
- Infectious Diseases
- Orthopedics
Background:
- Spinal infections pose diagnostic challenges.
- Accurate imaging is crucial for effective treatment.
- Understanding pathophysiology aids interpretation.
Purpose of the Study:
- To review the pathophysiology of spinal infection.
- To discuss the role and techniques of imaging, particularly MRI.
- To outline differential diagnoses based on imaging findings.
Main Methods:
- Review of existing literature on spinal infections and imaging.
- Emphasis on Magnetic Resonance Imaging (MRI) principles and applications.
- Analysis of imaging features differentiating infection types.
Main Results:
- MRI offers superior sensitivity and specificity for diagnosing spinal infections.
- Specific MRI appearances are characteristic of different infection types.
- Clinical diagnosis can be difficult, underscoring imaging's importance.
Conclusions:
- MRI is the gold standard for imaging spinal infections.
- Understanding pathophysiology and imaging techniques improves diagnostic accuracy.
- Differentiating pyogenic and non-pyogenic infections via MRI is feasible and clinically relevant.
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