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Diagnostic Approach to Intrinsic Abnormality of Spinal Cord Signal Intensity.

Author information

Affiliations

  • 1. From the Department of Radiology, Division of Neuroradiology, University of Michigan Health System, 1500 E Medical Center Dr, UH B1-D502, Ann Arbor, MI 48109.
      Authors
    • Lee MJ 1
    • Aronberg R 1
    • Manganaro MS 1
    • Ibrahim M 1
    • Parmar HA 1
    (5 authors)

ORCIDs linked to this article

Radiographics : a Review Publication of the Radiological Society of North America, Inc, 01 Oct 2019, 39(6):1824-1839
https://doi.org/10.1148/rg.2019190021 PMID: 31589577 

Review

Abstract 

Intramedullary cord hyperintensity at T2-weighted MRI is a common imaging feature of disease in the spinal cord, but it is nonspecific. Radiologists play a valuable role in helping narrow the differential diagnosis by integrating patient history and laboratory test results with key imaging characteristics. The authors present an algorithmic approach to evaluating intrinsic abnormality of spinal cord signal intensity (SI), which incorporates clinical evaluation results, time of onset (acute vs nonacute), cord expansion, and pattern of T2 SI abnormality. This diagnostic approach provides a practical framework to aid both trainees and practicing radiologists in workup of myelopathy.©RSNA, 2019.

Full text links 

Read article at publisher's site: https://doi.org/10.1148/rg.2019190021

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