Module

MRI Lumbar Spine

The basic principles of the MRI scan of the lumbar spine.

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Checklist

The following 10 points can be used as a guideline for evaluating an MRI lumbar spine examination. For all items, try to assess as many structures/tissues in two directions (both anatomy and pathology). This will help you familiarize yourself with the extensive anatomy/pathology and improve your radiological detection and interpretation skills.

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Literature: sources and author

Text

drs. A. van der Plas (MSK radiologist Maastricht UMC+)

With special thanks to:
dr. W. Henneman (neuroradiologist Maastricht UMC+)

Illustrations

drs. A. van der Plas (MSK radiologist Maastricht UMC+)

Sources:

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C. Colosimo et al; Contrast-enhanced MR imaging of the spine: When, why and how? How to optimize contrast protocols in MR imaging of the spine. Neuroradiology (2006)
M. Farshad et al; Spondylophyte classification based on biomechanical effects on segmental stiffness. Spine J (2022)
T.S. Jensen et al.; Vertebral endplate signal changes (Modic change): a systematic literature review of prevalence and association with non-specific low back pain. Eur Spine J. (2008)
A. Pietrok; Schmorl’s Node: An Uncommon Case of Back Pain and Radiculopathy. Orthop Rev (Pavia). 2022
A.C Gellhorn, J.N Katz, P. Suri; Osteoarthritis of the spine: the facet joints. Nat Rev Rheumatol (2013)
D.F. Fardon et al; Lumbar disc nomenclature: version 2.0: Recommendations of the combined task forces of the North American Spine Society, the American Society of Spine Radiology and the American Society of Neuroradiology. Spine J (2014)
S. Boudabbous et al; Spinal disorders mimicking infection. Insights into Imaging (2021)
J. Lotz; The Role of the Vertebral End Plate in Low Back Pain. Global Spine Journal (2013)
J.S. Kim et.al; Clinical Significance of Redundant Nerve Roots of the Cauda Equina in Spine MRI. iMRI (2022)
L. Cottle, T. Riordan; Infectious spondylodiscitis. J Infec (2008)
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08/10/2023

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