How to read a cervical MRI

how to read a cervical MRI

1. How to Read a Cervical MRI Spine Conference Upper Chesapeake Medical Center Friday May 1, 2015

2. Earth surface has 25-65 microtesla

3. Elemental composition

4. Equipment Magnet Gradient Coil RF Coil RF Coil 4T magnet gradient coil (inside) B

5. Sagittally oriented safranin -O–stained sections of an adult human lumbar intervertebral disk (top) and a degenerated intervertebral disk (bottom). Disk matrix stains purple and collagen blue. In the adult disk, the peripheral annulus fibrosus , containing collagen, stains blue (arrowhead). The inner annulus fibrosus and nucleus pulposus , containing GAGs, stains purple. The central portion of the nucleus pulposus , where reticulin , collagen, and elastin fibers are located, stains faintly blue. The degenerated disk has lost purple-staining GAGs from the nucleus pulposus and annulus fibrosus . It conforms to Pfirrmann grade IIII degeneration.

6. c2c3

7. c2c3

8. c3c4

9. c3c4

10. c4

11. c4c5

12. c5c6

13. c5c6

14. c6c7

15. c6c7

16. c6c7

17. 77 year old woman with h/o hand weakness/numbness/ataxia Prior acdf 14 years ago

18. Cephalomedullary angle 135-175

19. 48 year old man with right fifth finger pain and numbess

20. S/P C7T1 ACDF

21. persistent symptoms of ataxia, neck pain, fine motor hand dysfunction

22. 47 year old woman with 6 month h/o neck stiffness and pain with left UE paresthesias into The elbow forearm and hand especially IF/thumb

23. Note:the black line directly posterior to the vertebral bodies and relative Thinning of spinal cord, note normal disc height

24. C3

25. C3C4

26. C4C5

27. C4C5

28. C4C5

29. C5C6

30. C6C7

31. C7T1

32. Mid-sagittal diameter: width 1:5 ratio leads to necrosis of gray matter Ogino H: Canal diameter, anteroposterior compression ratio and spondylotic myelopathy of the cervical spine. Spine 1983; 8:1-15 Cord compression causes ischemia and direct mechanical trauma

33. Thanks

34. Raymond Damadian from Downstate NY published an article in Science 1971 on a technique to differentiate cancer and nomral cells with an MRI. He filed the first USP patent for an MRI on 3/17/72’ he created the first Mri machine

35. Peter Lauterbur chemist at Universtiy of Illinois created and published the first MRI image of a living mouse in 1973 Physicist Peter Mansfield of the Universtiy of Nottingham developed a mathemantical technique to refine inages 2003 3 Type equation here.  

36. Wilhem Rontgen 1845-1923 1895 xray discovery German physicist Expelled from high school for refusing to reveal a classmate who created a disparaging drawing of a teacher