Ces radiol. 2019, 73(3):183-190 | DOI: 10.55095/CesRadiol2019/027

MRI of the acute pathologic conditions of spineReview article

Jiří Jandura, Radka Dvořáková, Pavel Ryška, Antonín Krajina
Radiologická klinika, Lékařská fakulta v Hradci Králové a Fakultní nemocnice Hradec Králové

MRI is a method of choice for the evaluation of spinal canal (chord), ligament apparate and other soft tissue structures of the spine. MRI provides additional information to the CT and X ray of the spine. Urgent MRI should be performed in the cases expressed by relevant neurologic symptomatology, with supposed follow of early surgery or essential change of therapy. Such examples of clinical indications: trauma with suspected chord injury or spinal instability, sudden onset of nontraumatic myelopathy or rapid impairment of neurologic functions and also suspicion of osteomyelitis. Native MRI is usually diagnostically sufficient in most cases. Nevertheless, diffuse weighted imaging or eventually gadolinium enhanced MRI can provide valuable supplementary information. The disadvantage of MRI compared to CT (not only in acute states) is a relatively long examination time, with limited access to the patient during data acquisition. Utmost of importace is a respect to the contraindications for MRI, especially when there are only limited anamnestic data. For that reason, the indication of acute MRI must be well considered.

Keywords: spine, magnetic resonance imaging, spinal injuries, spinal cord diseases, osteomyelitis, low back pain

Accepted: September 15, 2019; Published: September 1, 2019  Show citation

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Jandura J, Dvořáková R, Ryška P, Krajina A. MRI of the acute pathologic conditions of spine. Ces radiol. 2019;73(3):183-190. doi: 10.55095/CesRadiol2019/027.
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