Magnetic resonance imaging (MRI) of the spine is a noninvasive procedure to evaluate different types of tissue, including the spinal cord, vertebral disks and spaces between the vertebrae through which the nerves travel, as well as distinguish healthy tissue from diseased tissue.
The cervical, thoracic and lumbar spine MRI should be scanned in individual sections. The scan protocol parameter like e.g. the field of view (FOV), slice thickness and matrix are usually different for cervical, thoracic and lumbar spine MRI, but the method is similar. The standard views in the basic spinal MRI scan to create detailed slices (cross sections) are sagittal T1 weighted and T2 weighted images over the whole body part, and transverse (e.g. multi angle oblique) over the region of interest with different pulse sequences according to the result of the sagittal slices. Additional views or different types of pulse sequences like fat suppression, fluid attenuation inversion recovery (FLAIR) or diffusion weighted imaging are created dependent on the indication.

Indications:

Contrast enhanced MRI techniques delineate infections vs. malignancies, show a syrinx cavity and support to differentiate the postoperative conditions. After surgery for disk disease, significant fibrosis can occur in the spine. This scarring can mimic residual disk herniation. Magnetic resonance myelography evaluates spinal stenosis and various intervertebral discs can be imaged with multi angle oblique techniques. Cine series can be used to show true range of motion studies of parts of the spine. Advanced open MRI devices are developed to perform positional scans in the position of pain or symptom (e.g. Uprightâ„¢ MRI formerly Stand-Up MRI).

One of a number of techniques designed to minimize the contribution of a particular component of the object to the detected signal. For example, commonly used to suppress the strong signal from water in order to detect spectral line from other components.

See also Fat Suppression and Water Suppression.

(THRIVE) THRIVE is an optimized fast T1 weighted 3 dimensional imaging technique combining sensitivity encoding, large volume coverage and uniform fat suppression. THRIVE improves for example dynamic liver, small bowel, breast, prostate and pancreas MRI, providing isotropic images with high resolution in short breath-hold times.

( TIR / TIRM / IR-TSE - Inversion Recovery Turbo Spin Echo / FIR - Fast Inversion Recovery)
A turbo / fast spin echo sequence with long TI for fluid suppression (FLAIR) or with short TI for fat suppression (STIR). This sequence allows for a true inversion recovery display that shows the arithmetic sign of the signal.
TIRM means a turboIR with a magnitude display.

See also Inversion Recovery, Inversion Recovery Sequence and Fast Spin Echo.