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MR Myelography in Degenerative Spinal Disease
R Ruggiero1, A De Bellis, P Caiazzo
1Imaging Diagnostics Service, S.Anna Clinic; Caserta, Italy - rosrug@hotmail.com.
The Neuroradiology Journal
|December 5, 2013
Summary
Magnetic resonance myelography is a valuable tool for diagnosing severe spinal conditions when other imaging is insufficient. This technique aids in identifying herniated discs, tumors, and other degenerative diseases, confirming surgical outcomes.
Area of Science:
- Neuroradiology
- Medical Imaging
Background:
- Degenerative spinal diseases present diagnostic challenges.
- Advanced imaging techniques are crucial for accurate diagnosis and treatment planning.
Purpose of the Study:
- To evaluate the utility of magnetic resonance myelography (MRM) in diagnosing degenerative spinal disease.
- To assess MRM's role in cases with severe clinical symptoms and limited conventional imaging.
Main Methods:
- Utilized a high magnetic field strength MR system with a high slew rate.
- Employed a strongly T2-weighted TSE sequence with tissue and fat suppression.
- Processed data using the Maximum Intensity Projection (MIP) algorithm.
Main Results:
- Examined 278 patients between April 2004 and July 2006.
- Diagnosed various conditions including 210 herniated discs, 16 tumors, and 4 synovial cysts.
- 163 patients with degenerative disease underwent surgery, confirming MRM findings.
Conclusions:
- MR myelography is effective for neuroradiological diagnosis of spinal conditions.
- MRM is particularly useful for patients with severe symptoms lacking comprehensive CT or MR data.
- This technique aids in confirming surgical outcomes for degenerative spinal disease.
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