PT - JOURNAL ARTICLE AU - Michael T. Modic AU - Meredith A. Weinstein AU - William Pavlicek AU - Francis Boumphrey AU - Daniel Starnes AU - Paul M. Duchesneau TI - Magnetic Resonance Imaging of the Cervical Spine: Technical and Clinical Observations DP - 1984 Jan 01 TA - American Journal of Neuroradiology PG - 15--22 VI - 5 IP - 1 4099 - http://www.ajnr.org/content/5/1/15.short 4100 - http://www.ajnr.org/content/5/1/15.full SO - Am. J. Neuroradiol.1984 Jan 01; 5 AB - Seventy-two patients were examined to determine the clinical potential for magnetic resonance imaging (MRI) of the spine. MRI using different pulse sequences was compared with plain radiography, high-resolution computed tomography, and myelography. There were 35 normal patients; pathologic conditions studied included canal stenosis, herniated disk, metastatic tumor, neurofibroma, trauma, Chiari malformation, syringomyelia, arteriovenous malformation, and rheumatoid arthritis. MRI provided sharply defined anatomic delineation and tissue characterization. It was diagnostic in syringomyelia and Chiari malformation and was useful in the evaluation of trauma and spinal canal block from any cause. MRI was sensitive to degenerative disk disease and infection. The spin-echo technique, with three pulse sequence variations, seems very promising. A short echo time (TE) produces the best signal-to-noise ratio and spatial resolution. Lengthening the TE enhances differentiation of various tissues by their signal intensity, while the combined increase of TE and recovery time (TR) produces selective enhancement of the cerebrospinal fluid signal intensity.