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Related Experiment Video

Updated: May 22, 2026

Evaluation of Respiratory Muscle Activation Using Respiratory Motor Control Assessment (RMCA) in Individuals with Chronic Spinal Cord Injury
09:37

Evaluation of Respiratory Muscle Activation Using Respiratory Motor Control Assessment (RMCA) in Individuals with Chronic Spinal Cord Injury

Published on: July 19, 2013

ACR Appropriateness Criteria(®) myelopathy.

David J Seidenwurm1, Franz J Wippold, Rebecca S Cornelius

  • 1Radiological Associates of Sacramento, Sacramento, CA, USA. seidenwurmd@radiological.com

Journal of the American College of Radiology : JACR
|May 5, 2012
PubMed
Summary

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Diagnosing myelopathy requires advanced imaging to identify treatable causes. Imaging choices depend on clinical presentation, prioritizing trauma assessment and differentiating intrinsic from extrinsic spinal cord compression.

Area of Science:

  • Radiology and Medical Imaging
  • Neurology
  • Spinal Cord Diseases

Background:

  • Myelopathy necessitates accurate imaging for diagnosis and treatment planning.
  • Distinguishing between mechanical instability, intrinsic disease, and extrinsic compression is critical.

Purpose of the Study:

  • To outline imaging strategies for diagnosing myelopathy.
  • To detail the ACR Appropriateness Criteria for myelopathy imaging.

Main Methods:

  • Clinical features (pain, fever, trauma, progression) guide imaging selection.
  • Computed Tomography (CT) for acute trauma; Magnetic Resonance Imaging (MRI) for other cases.
  • Contrast-enhanced MRI for suspected tumor/infection; vascular imaging for vascular abnormalities.

Related Experiment Videos

Last Updated: May 22, 2026

Evaluation of Respiratory Muscle Activation Using Respiratory Motor Control Assessment (RMCA) in Individuals with Chronic Spinal Cord Injury
09:37

Evaluation of Respiratory Muscle Activation Using Respiratory Motor Control Assessment (RMCA) in Individuals with Chronic Spinal Cord Injury

Published on: July 19, 2013

Main Results:

  • CT is the initial choice for acute trauma.
  • MRI is preferred for non-traumatic myelopathy.
  • Contrast-enhanced MRI and vascular imaging are used in specific clinical scenarios.

Conclusions:

  • Imaging selection for myelopathy is tailored to clinical presentation and suspected etiology.
  • Sequential imaging may be required for complex cases and treatment monitoring.
  • ACR Appropriateness Criteria provide evidence-based guidelines for optimal imaging selection.