Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Surgical smoke exposure in minimally-invasive <i>vs.</i> open spine surgery.

Journal of spine surgery (Hong Kong)·2026
Same author

Imaging of Intramedullary Spinal Cord Lesions Neuroradiologic and Advanced Imaging Perspectives for Surgical Decision-Making.

Neurosurgery clinics of North America·2026
Same author

"Mind the Gap"-enlarged perivascular spaces as a potential magnetic resonance imaging biomarker of impaired glymphatic clearance in brain disorders.

Frontiers in cellular neuroscience·2026
Same author

Comparing risk stratification indices in predicting perioperative adverse events following posterior atlantoaxial and occipitocervical fusion.

Journal of neurosurgery. Spine·2026
Same author

Expert Consensus on the Rational Approach to Isotretinoin Usage for Effective Management of Acne: ERAISE ACNE Recommendations.

Dermatology and therapy·2026
Same author

Effect of dexmedetomidine, lignocaine and combination infusion for postoperative outcomes in abdominal surgery.

Bioinformation·2026

Related Experiment Video

Updated: Mar 29, 2026

Utility of Dissociated Intrinsic Hand Muscle Atrophy in the Diagnosis of Amyotrophic Lateral Sclerosis
08:16

Utility of Dissociated Intrinsic Hand Muscle Atrophy in the Diagnosis of Amyotrophic Lateral Sclerosis

Published on: March 4, 2014

33.6K

ACR Appropriateness Criteria Myelopathy.

Christopher J Roth1, Peter D Angevine2, Joseph M Aulino3

  • 1Duke University Medical Center, Durham, North Carolina.

Journal of the American College of Radiology : JACR
|December 15, 2015
PubMed
Summary

Imaging is crucial for diagnosing myelopathy. MRI is preferred for non-traumatic cases, while CT is best for acute trauma, guiding effective treatment to prevent paralysis.

Keywords:
Appropriateness Criteriamyelopathyspinal stenosisspinevertebral fracture

More Related Videos

Clinical Testing and Spinal Cord Removal in a Mouse Model for Amyotrophic Lateral Sclerosis ALS
12:35

Clinical Testing and Spinal Cord Removal in a Mouse Model for Amyotrophic Lateral Sclerosis ALS

Published on: March 17, 2012

28.8K
Screening of Axonal Degeneration in Carpal Tunnel Syndrome Using Ultrasonography and Nerve Conduction Studies
06:40

Screening of Axonal Degeneration in Carpal Tunnel Syndrome Using Ultrasonography and Nerve Conduction Studies

Published on: January 11, 2019

12.5K

Related Experiment Videos

Last Updated: Mar 29, 2026

Utility of Dissociated Intrinsic Hand Muscle Atrophy in the Diagnosis of Amyotrophic Lateral Sclerosis
08:16

Utility of Dissociated Intrinsic Hand Muscle Atrophy in the Diagnosis of Amyotrophic Lateral Sclerosis

Published on: March 4, 2014

33.6K
Clinical Testing and Spinal Cord Removal in a Mouse Model for Amyotrophic Lateral Sclerosis ALS
12:35

Clinical Testing and Spinal Cord Removal in a Mouse Model for Amyotrophic Lateral Sclerosis ALS

Published on: March 17, 2012

28.8K
Screening of Axonal Degeneration in Carpal Tunnel Syndrome Using Ultrasonography and Nerve Conduction Studies
06:40

Screening of Axonal Degeneration in Carpal Tunnel Syndrome Using Ultrasonography and Nerve Conduction Studies

Published on: January 11, 2019

12.5K

Area of Science:

  • Neurology
  • Radiology
  • Spinal Cord Imaging

Background:

  • Myelopathic symptoms stem from diverse spinal pathologies, including degenerative disc disease, masses, infections, and fractures.
  • Delayed treatment of myelopathy can lead to irreversible paralysis.
  • Accurate diagnosis is essential for timely and effective therapeutic intervention.

Purpose of the Study:

  • To outline appropriate imaging modalities for diagnosing myelopathy based on clinical presentation.
  • To guide clinicians in selecting the most effective imaging techniques for various myelopathic etiologies.
  • To emphasize the role of imaging in predicting surgical candidacy and patient outcomes.

Main Methods:

  • Review of evidence-based guidelines, specifically the ACR Appropriateness Criteria.
  • Analysis of current medical literature on spinal cord imaging for myelopathy.
  • Application of a modified Delphi consensus methodology by a multidisciplinary expert panel.

Main Results:

  • Noncontrast CT is the primary imaging choice for acute traumatic myelopathy to detect vertebral fractures.
  • MRI is the preferred modality for evaluating nontraumatic myelopathy, assessing severity, and identifying causative factors.
  • Contrast administration in MRI enhances visualization for specific myelopathic conditions, while it may be omitted for spinal stenosis and osteoarthritis.

Conclusions:

  • Appropriate imaging selection, guided by clinical presentation and guidelines, is critical for diagnosing myelopathy.
  • Imaging findings, particularly from MRI, help determine the need for surgical intervention.
  • Adherence to evidence-based imaging protocols ensures optimal patient management and outcomes in myelopathy.