Summary
Magnetic resonance imaging (MRI) and plain X-ray and CT studies were performed in patients with a history of lumbar back pain due to spinal disc disease. Spin-echo pulse sequences (SE), phase-contrast techniques (partial saturation sequences with delayed read-out, PS), and fat-suppressing inversion recovery sequences (STIR) were employed. In 74 of 325 patients, PS and STIR images displayed vertebral marrow changes adjacent to the end-plates of the affected segments. Bacterial infection, however, could be excluded. In six patients histological diagnosis showed substitution of hematopoietic marrow by fatty tissue, cartilaginous particles, degeneration of fat cells, and an increase in extracellular fluid with different components. The etiology is still unclear, but a correlation with lumbar disc disease is demonstrated. These vertebral marrow changes were best displayed with STIR and phase-contrast MR sequences, both providing contrast changes superior to T2-weighted
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References
Aguila LA, Piraino DW, Modic MT, Dudley AW, Duchesneau PM, Weinstein MA (1985) The intranuclear cleft of the intervertebral disk: magnetic resonance imaging. Radiology 155:155–158
Baker HL, Berquist TH, Kispert DB, Reese DF, Houser OW, Earnest F, Forbes GS, May GR (1985) Magnetic resonance imaging in a routine clinical setting. Mayo Clin Proc 60:75–90
Bydder GM, Steiner RE, Young IR, Hall AS, Thomas DJ, Marshall J, Pallis CA, Legg NJ (1982) Clinical NMR imaging of the brain: 140 cases. Am J Radiol 139:215–236
Bydder GM, Young IR (1985) MR imaging: clinical use of the inversion recovery sequence. J Comput Assist Tomogr 9:659–675
Bydder GM, Young IR (1985) Clinical use of the partial saturation and saturation recovery sequences in MR imaging. J Comput Assist Tomogr 9:1020–1032
Lenz G, Bromley JW, Gomez J (1984) Die Discolyse lumbaler Bandscheibenvorfälle mit Kollagenase. Neuroorthopadie 2:511–516
Modic MT, Pavlicek WP, Weinstein MA, Boumphrey F, Ngo F, Hardy R, Duchesneau PM (1984) Magnetic resonance imaging of intervertebral disk disease. Clinical and pulse-sequence considerations. Radiology 152:103–111
Medic MT, Feiglin DH, Piraino DW, Boumphrey F, Weinstein MA, Duchesneau PM, Rehm S (1985) Vertebral osteomyelitis: assessment using MR. Radiology 157:157–166
Wiesel SW, Tsourmas N, Feffer HC, Citrin CM, Patronas N (1984) A study of computer tomography: the incidence of positive CAT scans in an asymptomatic group of patients. Spine 9:549–555
Wismer GL, Rogen BR, Buxton R, Stark DD, Brady TJ (1985) Chemical shift imaging of bone marrow: preliminary experience. Am J Radiol 145:1031–1037
Young IR, Bailes DR, Burl M, Collins AG, Smith DT, Mc Donnell MU, Orr JS, Banks LM, Bydder GM, Greenspan RH, Steiner RE (1982) Initial clinical evaluation of a wholebody nuclear magnetic resonance (NMR) tomograph. J Comput Assist Tomogr 6:1–18
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Lenz, GP., Assheuer, J., Lenz, W. et al. New aspects of lumbardisc disease. Arch Orthop Trauma Surg 109, 75–82 (1990). https://doi.org/10.1007/BF00439383
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DOI: https://doi.org/10.1007/BF00439383