MRI Clinical Apps: Spine Imaging

The vertebral column consists of _____ articulating vertebrae and ____ fused vertebrae in the sacrum and coccyx.

24 9

On T1 weighted images of the spine, the CSF appears _____ to the spinal cord.

hypointense

On T2 weighted images of the spine, the CSF appears _____ to the spinal cord.

hyperintense

The ligamenta flava are ligaments which connect the laminae of adjacent vertebrae from the _____ axis to the first segment of the sacrum.

C1/2

Sagittal spine sequences are ideal to evaluate both the ____ of the intervertebral bodies/disc as well as _______ disc herniation.

height, posterior

Coronal scan plane: optimal to measure the degree of curvature found in patients with _______, most commonly found in the _______ spine region.

scoliosis, thoracic

The sagittal scan plane best demonstrates the degree of spinal _______.

stenosis

The axial scan plane best visualizes both _____ and ______ nerve roots.

dorsal and ventral

The intervertebral disc is comprised of the ______ and the nucleus pulposus.

annulus fibrosus

The annulus fibrosus is the _______, multilayer, fiber structure.

outermost

The nucleus pulposus is the soft, gelatinous, ______ portion of the intervertebral disc, comprised of _______% water.

innermost, 80%

One would expect to see ______ signal intensity on T2 weighted images of a healthy nucleus pulposus.

bright

Gradient echo T2* axial images are mandatory in cervical spine imaging for eval of cord anatomy, investigating ________ disease, and/or the discrimination of osteophyte vs disc herniation.

extramedullary

When performing lumbar spine images thru the intervertebral disc spaces, slices oriented in the _______ transverse plane would be selected.

oblique

The lumbar region is the spinal region that is ______ affected by CSF pulsation.

least

During a post surgical MRI of the lumbar spine, the evaluation of post operative surgical regions and/or the possibility of scar tissue can be best accomplished by:

sagittal T1 weighted post gad images

Post-op scar tissue enhances shortly after administration of gad contrast and appears _____ to disc on T1 post contrast images.

hyperintense

Approx _____ minutes post contrast, disc will begin to enhance.

20

Disc enhances more ______ than post-op scar.

slowly

the terminal end of the spinal cord

conus medullaris

The conus medullaris occurs near the ______ region.

T12-L1

After the spinal cord tapers out, the spinal nerves continue as dangling nerve roots called:

cauda equina

The terminal nerve root tail is referred to as the:

filum terminale

The conus and cauda equina are best visualized with a ______ image of the L-spine/

sagittal

Fracture, infection, or neoplasm causes a _____in signal intensity on T1 weighted images due to the reduction/replacement of bone marrow, which normally has T1 hyperintense signal intensity.

reduction

A condition in which the spinal cord is pulled lower than its natural position and is generally found in children or patients with spina bifida or chiari malformation

tehtered cord

a group of neurological disorders related to malformations of the spinal cord

tethered spinal cord syndrome or occult spinal dysraphism sequence