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All our posts on Spine MRI Radiology . We regularly post on Spine MRI with all the posts on this page.

 

Spine MRI Radiology can be difficult due to the complex anatomy and the many pathologies that occur. In our posts we have concise explanation of the Spine MRI anatomy, the macroscopic pathology that’s relevant to the Imaging and the Imaging findings in various pathologies.

 

Learn where to Look, What to Look for and How to Report More Confidently

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MRI Spinal Cord Compression : When to give Contrast (Updated 2021)

MRI SPINAL CORD COMPRESSION: WHEN TO GIVE CONTRAST MRI SPINAL CORD COMPRESSION. MRI LEPTOMENINGEAL DISEASE ENHANCEMENT. When you get a referral for a patient with KNOWN carcinoma for ” MRI ? cord compression” , when do you give contrast? There is a wide variation in when contrast is given for patients who come in with …

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ANKYLOSING SPONDYLITIS SPINE IMAGING DAGGER SIGN: WHAT DOES IT MEAN

ANKYLOSING SPONDYLITIS SPINE IMAGING DAGGER SIGN RADIOLOGY RHEUMATOLOGY WITH DR JOE THOMAS (RHEUMATOLOGIST) WHAT IS THE DAGGER SIGN In Ankylosing spondylitis the dagger sign refers to a solid central line of bone along in AP spine view.   WHAT DO I LOOK FOR Linear density in the midline connecting the spinous processes (Pink arrows). Image …

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ANKYLOSING SPONDYLITIS PERIPHERAL JOINT HIP INVOLVEMENT

Ankylosing spondylitis peripheral joint Hip involvement.   This post has been made in conjunction with Dr Joe Thomas, a Senior Consultant Rheumatologist in Kochi India with a vast amount of clinical experience. He also happens to have a very strong interest in Imaging of Arthropathies and has joined us to bring a clinical perspective to …

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Tuesday Tip: Romanus Lesions 3: MRI Findings

Today’s Tuesday Tip is the last in the series on Romanus lesions in ankylosing spondylitis and looks at the MRI findings in both acute and chronic changes. The changes seen at the endplate corners in enthesitis are progressive. In the acute stage inflammatory changes are present at the vertebral endplate corners ( anterior > posterior) …

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Tuesday Tip: Romanus Lesions 2 X-Ray & CT Findings

Today’s Tuesday Tip continues with Enthesitis and Romanus lesions in ankylosing spondylitis. The changes seen at the endplate corners in enthesitis are progressive. It starts with inflammation, then erosion and as the inflammation reduces that region is replaced by fatty infiltration and at the end stage, by sclerosis. This post looks at the CT and …

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Tuesday Tip: Romanus Lesions Anatomy of the Endplate and Enthesis

Today’s Tuesday Tip is the first in a series on Romanus Lesions jointly done with Dr Joe Thomas, starting with the anatomy of the endplate and enthesis as it relates to Romanus Lesions. We will have more radiologists and clinicians contribute to Tuesday Tips this year, starting with Dr Joe Thomas who is a very …

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HOW TO ASSESS BASILAR INVAGINATION IN RHEUMATOID ARTHRITIS

WHAT IS BASILAR INVAGINATION/ IMPRESSION     Subluxation at C1/2 in Rheumatoid Arthritis can occur in three directions.   Axial ( Horizontal), Vertical and Lateral. Vertical subluxation is when C2 moves proximally towards the foramen magnum and is called Basilar Invagination or Basilar Impression.   Basilar Invagination is when there is abnormal underlying bone and …

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