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MR of the Acute Spine: Approach and Diagnostic Checklist for the On-Call Radiologist 2010

General Spine

supriya, cardoza, MD
Steven, Lev, MD, Non ASSR Member

Poster

Purpose

To present a location-based approach and diagnostic checklist for the on-call radiologist confronted by spine MR. We emphasize the importance of the clinical scenario in the decision making process, from protocol to interpretation. Potential pitfalls and mimics are also discussed.

Methods & Materials

We retrospectively reviewed a wide array of spine MR cases presenting through the ED during the past five years at our Level I trauma center. Cases were categorized according to clinical history and pathologies were organized by location. We sought to identify the most pertinent imaging sequences and the distinguishing differential features.

Results

Four clinical categories we commonly encounter are: Trauma, Infectious/Inflammatory, Neoplastic and Acute Nonspecific Back Pain. We apply an â