Degenerative Spine: Modic Type I Changes

  • Rajesh GuptaEmail author
  • Robert Matthews


Degenerative Modic type I endplate changes in the lumbar spine can mimic infection on conventional MR sequences. FDG PET/MR imaging is an excellent modality to differentiate degenerative changes from osteomyelitis/discitis by combining MR signal characteristics and physiological information related to glucose metabolism.


Degenerative spine Modic changes Spine infection Discitis FDG Sodium fluoride PET bone Inflammation PET/MR 

Suggested Reading

  1. Modic MT, Steinberg PM, Ross JS, Masaryk TJ, Carter JR. Degenerative disk disease: assessment of changes in vertebral body marrow with MR imaging. Radiology. 1988;166(1 Pt 1):193–9.CrossRefPubMedGoogle Scholar
  2. Stumpe KD, Zanetti M, Weishaupt D, Hodler J, Boos N, Von Schulthess GK. FDG positron emission tomography for differentiation of degenerative and infectious endplate abnormalities in the lumbar spine detected on MR imaging. AJR Am J Roentgenol. 2002;179(5):1151–7.CrossRefPubMedGoogle Scholar

Copyright information

© Springer International Publishing AG 2018

Authors and Affiliations

  1. 1.Department of RadiologyStony Brook University HospitalStony BrookUSA

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