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Related Experiment Videos

Diagnostic imaging algorithm for cervical soft disc herniation

E Van de Kelft1, M van Vyve

  • 1Department of Neurosurgery, Universitair Ziekenhuis Antwerpen, OLV Middelares Ziekenhuis Sint-Niklaas, Belgium.

Acta Chirurgica Belgica
|May 1, 1995
PubMed
Summary

0.5 Tesla MRI accurately detects cervical soft disc herniation in selected patients with radiculopathy when combined with plain films. This noninvasive approach improves diagnostic specificity for neural foraminal canal pathology.

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Area of Science:

  • Radiology
  • Neurology
  • Orthopedics

Context:

  • Cervical soft disc herniation diagnosis can be challenging with MRI, especially differentiating from osteophytic spurs.
  • 0.5 Tesla MRI specificity for neural foraminal canal pathology is a concern.

Purpose:

  • To evaluate the accuracy of 0.5 Tesla MRI in diagnosing cervical soft disc herniation in selected patients.
  • To compare MRI findings with CT myelography and surgical outcomes.

Summary:

  • A prospective study of 100 patients with cervical radicular symptoms assessed 0.5 Tesla MRI accuracy.
  • MRI identified herniation in 55/59 patients; CT myelography found one additional case.
  • Surgical confirmation showed 94% MRI specificity, with two cases of missed spurs.

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Impact:

  • 0.5 Tesla MRI combined with plain films provides an accurate, noninvasive diagnostic tool for selected cervical radiculopathy cases.
  • This approach enhances diagnostic confidence for neural foraminal canal pathology.