New Book: MRI of Degenerative Disease of the Spine: A Case-Based Atlas

MRI of Degenerative Disease of the Spine: A Case-Based Atlas
By Paola D’Aprile

MRI of Degenerative Disease of the Spine: A Case-Based Atlas

This richly illustrated case-based atlas thoroughly depicts the role of MR imaging in the assessment of patients presenting with pain due to degenerative disease of the spine and will serve as an excellent guide to differential diagnosis. Importantly, generic radicular compression is the main reason for the painful symptomatology in only a limited number of cases, and this book illustrates and emphasizes how various anatomic elements of the spine can be responsible. The imaging features of a range of disorders involving both the anterior and posterior elements of the spine are described, including active inflammatory osteochondrosis, atypical herniated discs, facet joint disorders, spondylolysis, and degenerative-inflammatory changes of the spinal ligaments and posterior perispinal muscles. Each example is supported by clinical data, and a series of unusual cases are also presented. MR study protocols include T2-weighted sequences with fat saturation and contrast-enhanced T1-weighted sequences with fat saturation to allow better visualization or highlighting of various inflammatory changes in the spine. Radiologists, neuroradiologists, neurosurgeons, orthopedists, and rehabilitation physicians will all find this atlas a valuable asset in their practice.

This is an excerpt from the content
  • A 48-year-old woman

  • Chronic low back pain

  • Improvement with rest

Fig. 1

(ac) Sagittal SE T1-weighted image (a), sagittal TSE T2-weighted image with fat saturation (b), sagittal SE T1-weighted image with fat saturation following administration of contrast medium (c). The opposing L4 and L5 vertebral bodies present a hypointense band in T1 (aarrows), with hyperintense signal in T2 (barrows) and contrast enhancement (carrows). The L4/L5 intervertebral disc is collapsed. The same disc shows hyperintense signal in T2 (b) and marginal contrast enhancement (c), due to sterile inflammation. Diagnosis: osteochondrosis in active-inflammatory phase (i.e. osteochondritis)

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