Cervical spine MRI is a suitable tool in the assessment of all
cervical spine (vertebrae C1 - C7) segments (computed tomography (CT)
images may be unsatisfactory close to the thoracic
spine due to
shoulder artifacts). The
cervical spine is particularly susceptible to degenerative problems caused by the complex anatomy and its large range of motion.
Advantages of
magnetic resonance imaging MRI are the high soft tissue contrast (particularly important in diagnostics of the spinal cord), the ability to display the entire
spine in
sagittal views and the capacity of 3D visualization.
Magnetic resonance myelography is a useful supplement to conventional
MRI examinations in the investigation of
cervical stenosis. Myelographic
sequences result in MR
images with high contrast that are similar in appearance to conventional myelograms. Additionally,
open MRI studies provide the possibility of weight-bearing
MRI scan to evaluate structural positional and kinetic changes of the
cervical spine.
Indications of
cervical spine MRI scans include the assessment of soft disc herniations, suspicion of disc hernia recurrence after operation,
cervical spondylosis, osteophytes,
joint arthrosis, spinal canal lesions (tumors, multiple sclerosis, etc.), bone diseases (infection, inflammation, tumoral infiltration) and paravertebral spaces.
State-of-the-art phased array
spine coils and high performance
MRI machines provide high
image quality and short
scan time. Imaging protocols for the
cervical spine includes
sagittal T1 weighted and
T2 weighted sequences with 3-4 mm
slice thickness and axial slices; usually contiguous from C2 through
T1. Additionally,
T2 fat suppressed and
T1 post contrast
images are often useful in
spine imaging.
See also
Lumbar Spine MRI.