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Updated: May 7, 2026

Diffusion Tensor Magnetic Resonance Imaging in Chronic Spinal Cord Compression
Published on: May 7, 2019
Assessment of the Correlation between Apparent Diffusion Coefficient and Intervertebral Disk Degeneration Using 3
K Maasumi1, J Tehranzadeh, L T Muftuler
1Department of Neurology, University of California; Irvine, CA, USA - kmaasumi@uci.edu.
Abstract:
The objective is to use DW-MR imaging using 3 Tesla MRI to assess the correlation between the mean ADC with degenerative disk disease (DDD). We recruited 34 subjects and used DWI-MR to image lumbar intervertebral disks. We acquired a T2W scan and DWIs. The disks were graded for DDD. Assessment of correlation between mean ADC was made. 170 disks were evaluated. The observed sample correlation between mean ADC and disk degeneration was r = 0.65 [0.55-0.73]. The observed sample correlation between mid-sagittal ADC and disk degeneration was r = 0.61 [0.51-0.70]. The differences between mean ADC of each grade were significant, except between grades 4 and 5. There is a correlation of 0.65 between the mean ADC and disk degeneration. This correlation is not strong enough to use the ADC to determine DDD in clinical settings. There was no evident difference in ADC between the studied anatomic lumbar levels.
Insights
Diffusion-weighted magnetic resonance (DW-MR) imaging shows a moderate correlation between apparent diffusion coefficient (ADC) values and degenerative disc disease (DDD). However, this correlation is insufficient for clinical diagnosis of DDD.
Area of Science:
- Radiology and Imaging Science
- Orthopedics and Musculoskeletal Research
- Biomedical Engineering
Background:
- Degenerative disc disease (DDD) is a common cause of low back pain.
- Accurate assessment of DDD is crucial for effective treatment.
- Diffusion-weighted magnetic resonance (DW-MR) imaging offers potential for non-invasive tissue characterization.
Purpose of the Study:
- To evaluate the correlation between mean apparent diffusion coefficient (ADC) values and the severity of degenerative disc disease (DDD).
- To assess the utility of DW-MR imaging in quantifying lumbar intervertebral disc degeneration.
Main Methods:
- Recruited 34 subjects for lumbar spine imaging.
- Utilized 3 Tesla MRI with diffusion-weighted imaging (DWI) sequences.
- Acquired T2-weighted (T2W) scans and DWIs for 170 intervertebral discs.
- Graded discs for DDD and calculated mean ADC values.
Main Results:
- A moderate positive correlation (r = 0.65) was observed between mean ADC and disc degeneration.
- Mid-sagittal ADC also showed a significant correlation (r = 0.61) with DDD.
- Mean ADC values differed significantly across degeneration grades, except between grades 4 and 5.
- No significant difference in ADC was found between different lumbar levels.
Conclusions:
- DW-MR imaging demonstrates a moderate correlation between ADC values and DDD.
- The current correlation is not strong enough for routine clinical determination of DDD.
- Further research may explore advanced DWI techniques for improved diagnostic accuracy.
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