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Research ArticleSPINE

Serial MR Imaging of Annular Tears in Lumbar Intervertebral Disks

Fletcher M. Munter, Bruce A. Wasserman, Hsiu-Mei Wu and David M. Yousem
American Journal of Neuroradiology August 2002, 23 (7) 1105-1109;
Fletcher M. Munter
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Bruce A. Wasserman
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Hsiu-Mei Wu
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David M. Yousem
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  • Fig 1.
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    Fig 1.

    Contrast enhancement of an annular tear at initial and follow-up imaging.

    A, Annular tear shows contrast enhancement. Sagittal T1-weighted contrast-enhanced MR image (600/14 [TR/TE]) of the lumbar spine shows focal contrast enhancement at the posterior margin of the L5-S1 disk.

    B, Image of the same patient shown in A. Sagittal T1-weighted contrast-enhanced MR image (600/14) obtained 24 months later reveals persistent enhancement of the annular tear at the posterior margin of the L5-S1 disk.

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    Fig 2.

    Hyperintensity at initial and follow-up imaging.

    A, An initial sagittal fast spin-echo (2800/98) T2-weighted MR image shows the lumbar spine has abnormal focal hyperintensity in the posterior margin of the L5-S1 disk, indicating annular tear.

    B, Image of the same patient shown in A. Sagittal fast spin-echo T2-weighted MR image (2800/98) obtained 26 months later reveals persistent abnormal focal hyperintensity at the posterior margins of the L5-S1 disk.

Tables

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    TABLE 1:

    Annular tears studied with consecutive T2-weighted and contrast-enhanced T1-weighted imaging (n = 10)

    Initial ExaminationFollow-up Examination
    Abnormal signal (T2-weighted imaging)109
    Normal signal (T2-weighted imaging)01
    Focal enhancement (contrast-enhanced T1-weighted imaging)1010
    Absent enhancement (contrast-enhanced T1-weighted imaging)00
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    TABLE 2:

    Annular tears only studied with consecutive T2-weighted imaging (n = 12)

    Initial ExaminationFollow-up Examination
    Abnormal signal intensity1211
    Normal signal intensity01
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American Journal of Neuroradiology: 23 (7)
American Journal of Neuroradiology
Vol. 23, Issue 7
1 Aug 2002
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Serial MR Imaging of Annular Tears in Lumbar Intervertebral Disks
Fletcher M. Munter, Bruce A. Wasserman, Hsiu-Mei Wu, David M. Yousem
American Journal of Neuroradiology Aug 2002, 23 (7) 1105-1109;

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Serial MR Imaging of Annular Tears in Lumbar Intervertebral Disks
Fletcher M. Munter, Bruce A. Wasserman, Hsiu-Mei Wu, David M. Yousem
American Journal of Neuroradiology Aug 2002, 23 (7) 1105-1109;
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  • Treatment of Low Back Pain by Treating the Annular High Intensity Zone (HIZ) Lesions Using Percutaneous Transforaminal Endoscopic Disc Surgery
  • Association between Annular Tears and Disk Degeneration: A Longitudinal Study
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