European Radiology

, Volume 2, Issue 6, pp 583–588 | Cite as

Gadolinium DTPA-enhanced MRI of degenerative cervical spine disease*

  • P. Schubeus
  • W. Schörner
  • B. Sander
  • T. Heim
  • N. Hosten
  • R. Felix
Original Articles Neuroradiology


Thirty-two patients with 30 disc herniations and 5 bony stenoses were investigated together with 5 control subjects, using plain and contrast-enhanced Magnetic resonance imaging. Compared with the control group, additional non-enhancing epidural tissue was found in all patients. The enhancing epidural structures demostrated characteristics change. Compared with plain images, disease definition was improved in 7 of 35 cases after contrast administration. This was especially true for lateral and intraforaminal disc herniations, whereas no diagnostic benefit was seen in cases of posterior and posterolateral herniations or bony changes.

Key words

Gadolinium Magnetic resonance imaging Spinal diseases 


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  1. 1.
    Russel EJ (1990) Cervical disk disease. Radiology 177: 313–325Google Scholar
  2. 2.
    Batzdorf U, Flannigan BD (1991) Surgical decompressive procedures for cervical spondylotic myelopathy: a study using magnetic resonance imaging. Spine 16: 123–127Google Scholar
  3. 3.
    Brown BM, Schwartz RH, Frank E, Blank NK (1988) Preoperative evaluation of cervical radiculopathy and myelopathy by surface-coil MR imaging. AJNR 9: 859–866Google Scholar
  4. 4.
    Modic MT, Masaryk TJ, Mulopulos GP, Bundschuh C, Han JS, Bohlman H (1986) Cervical radiculopathy: prospective evaluation with surface coil MR imaging, CT with metrizamide, and metrizamide myelography. Radiology 161: 753–759PubMedGoogle Scholar
  5. 5.
    Statham PF, Hadley DM, Macpherson P, Johnston RA, Bone I, Teasdale GM (1991) MRI in the management of suspected cervical spondylotic myelopathy. J Neurol Neurosurg Psychiatry 54: 484–489Google Scholar
  6. 6.
    Wilson DW, Pezzuti RT, Place JN (1991) Magnetic resonance imaging in the preoperative evaluation of cervical radiculopathy. Neurosurgery 28: 175–179Google Scholar
  7. 7.
    Tsuruda JS, Norman D, Dillon W, Newton TH, Mills DG (1990) Three-dimensional gradient-recalled MR imaging as a screening tool for the diagnosis of cervical radiculopathy. AJR 154: 375–383Google Scholar
  8. 8.
    VanDyke C, Ross JS, Tkach J, Masaryk TJ, Modic MT (1989) Gradient-echo MR imaging of the cervical spine: evaluation of extradural disease. AJNR 10: 627–632Google Scholar
  9. 9.
    Haughton VM (1988) MR imaging of the spine. Radiology 166: 297–301Google Scholar
  10. 10.
    Ross JS, Modic MT, Masaryk TJ, Carter J, Marcus RE, Bohlman H (1989) Assessment of extradural degenerative disease with Gd-DTPA-enhanced MR imaging: correlation with surgical and pathologic findings. AJNR 10: 1243–1249Google Scholar
  11. 11.
    Schubeus P, Sander B, Schörner W, Tosch U, Lanksch WR, Felix R (1990) MRI of the cervical spine with T1-weighted multislice FLASH-sequences. ROFO 153: 461–466Google Scholar
  12. 12.
    Czervionke LF, Daniels DL, Ho PSP et al. (1988) Cervical neural foramina: correlative anatomic and MR imaging study. Radiology 169: 753–759Google Scholar
  13. 13.
    Daniels DL, Hyde JS, Kneeland JB et al. (1986) The cervical nerves and foramina: local-coil MR imaging. AJNR 7: 129–133Google Scholar
  14. 14.
    Pech P, Daniels DL, Williams AL, Haughton VM (1985) The cervical neural foramina: correlation of microtomy and CT anatomy. Radiology 155: 143–146Google Scholar
  15. 15.
    Hueftle MG, Modic MT, Ross JS et al. (1988) Lumbar spine: postoperative MR imaging with Gd-DTPA. Radiology 167: 817–824PubMedGoogle Scholar
  16. 16.
    Russel EJ, D'Angelo CM, Zimmerman RD, Czervionke LF, Huckmann MS (1984) Cervical disk herniation: CT demonstration after contrast enhancement. Radiology 152: 703–712Google Scholar

Copyright information

© Springer-Verlag 1992

Authors and Affiliations

  • P. Schubeus
    • 1
  • W. Schörner
    • 1
  • B. Sander
    • 1
  • T. Heim
    • 1
  • N. Hosten
    • 1
  • R. Felix
    • 1
  1. 1.Strahlenklinik mit PoliklinikUniversitätsklinikum Rudolf Virchow, Freie Universität BerlinBerlin 65Germany

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