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  4. Imaging Techniques in Spinal Cord Injury

Imaging Techniques in Spinal Cord Injury

World Neurosurg, 2014 · DOI: 10.1016/j.wneu.2012.12.004 · Published: December 1, 2014

Spinal Cord InjuryNeuroimagingMedical Imaging

Simple Explanation

Spinal imaging is crucial for diagnosing, treating, and rehabilitating spinal cord injury (SCI) patients. Advanced imaging techniques are being developed to provide detailed information about the spinal cord's structure and metabolism. Conventional methods like radiography, CT, and MRI offer macrostructural information about bone and ligament damage. Novel techniques such as DTI, MRS, PET, SPECT, and fMRI focus on microstructural and biochemical aspects. This review details structural changes with SCI and their imaging correlations. It also discusses clinical uses of new spinal cord imaging methods for SCI.

Study Duration
Not specified
Participants
Not specified
Evidence Level
Not specified

Key Findings

  • 1
    Conventional MRI may not consistently correlate with clinical findings post-SCI, prompting interest in microstructural and metabolic imaging.
  • 2
    DTI is a more sensitive biomarker of spinal cord damage compared to standard T2-weighted imaging.
  • 3
    Spinal fMRI can map spinal function related to motor and sensory functions, showing neural activity even below the injury level.

Research Summary

Advanced spinal cord imaging has great potential to offer specific physiological details regarding cord integrity and health. Though advanced spinal cord imaging is still in early development and implementation stages, it will likely become more important in managing spinal cord health. Techniques like DTI and fMRI are promising but face limitations such as limited availability and susceptibility to artifacts.

Practical Implications

Predicting Functional Outcome

Advanced imaging can help predict functional outcomes, influencing rehabilitation strategies.

Assessing Neurological Impairment

Imaging can assess neurological injury in patients who are unexaminable due to head injury or other conditions.

Monitoring Treatment Efficacy

Serial imaging can monitor microstructural changes during therapies, helping determine treatment effectiveness.

Study Limitations

  • 1
    Limited availability of advanced imaging modalities.
  • 2
    Susceptibility to artifacts from surrounding osseous and ligamentous structures.
  • 3
    Sensitivity to patient and physiological spinal cord movement.

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