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Updated: Dec 28, 2025
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Diffusion Tensor Magnetic Resonance Imaging in Chronic Spinal Cord Compression
Published on: May 7, 2019
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CT Myelography: Clinical Indications and Imaging Findings.
Dhruv M Patel1, Brent D Weinberg1, Michael J Hoch1
1From the Division of Neuroradiology, Department of Radiology and Imaging Sciences, Emory University, Atlanta, Ga.
Summary
CT myelography remains crucial for evaluating the thecal sac when MRI is contraindicated. This imaging technique offers detailed insights into spinal pathology, guiding patient treatment effectively.
Area of Science:
- Radiology
- Medical Imaging
- Spinal Diagnostics
Background:
- CT myelography integrates myelography benefits with CT resolution for detailed spine imaging.
- Its use has declined due to noninvasive MRI, which excels in soft tissue visualization.
- However, CT myelography remains essential for specific patient groups and conditions.
Purpose of the Study:
- To review current indications for CT myelography.
- To highlight its vital role in diagnosing spinal pathologies.
- To demonstrate its utility in the era of advanced MRI.
Main Methods:
- Review of common and uncommon indications for CT myelography.
- Demonstration of various pathologic conditions visualized with CT myelography.
- Analysis of CT myelography's role in patient management.
Main Results:
- CT myelography provides detailed delineation of thecal sac and spinal conditions.
- It is indicated when MRI is contraindicated or insufficient.
- Specific pathologies benefit significantly from this imaging modality.
Conclusions:
- CT myelography retains a critical role in spinal imaging, particularly for thecal sac evaluation.
- It is indispensable for patients with MRI contraindications.
- Understanding its indications ensures optimal patient treatment pathways.
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