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Efficacy of diffusion tensor imaging in identification of degenerative cervical spondylotic myelopathy  Monika Nukala, Jini Abraham, Ganesh Khandige,

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Presentation on theme: "Efficacy of diffusion tensor imaging in identification of degenerative cervical spondylotic myelopathy  Monika Nukala, Jini Abraham, Ganesh Khandige,"— Presentation transcript:

1 Efficacy of diffusion tensor imaging in identification of degenerative cervical spondylotic myelopathy  Monika Nukala, Jini Abraham, Ganesh Khandige, Bharath K. Shetty, Arindam pol arjun Rao  European Journal of Radiology Open  Volume 6, Pages (January 2019) DOI: /j.ejro Copyright © Terms and Conditions

2 Fig. 1 57 year old patient presented with symptoms correlating with EMS grade 3. a)T2 weighted images show increased signal intensity at C4–C6 level,This area shows b)reduced FA and ADC values and c)Tensor images shows loss of blue colour of the normal cord. European Journal of Radiology Open 2019 6, 16-23DOI: ( /j.ejro ) Copyright © Terms and Conditions

3 Fig. 2 45-year-old male patient, presented with history of chronic neck pain belonging EMS grade 2. a) T2 weighted image shows disc protrusion indenting on spinal cord with altered signal in cord from C3–C5 spinal levels. B) Tensor maps don’t show obvious change. There is a significant reduction of FA in C3–C4 and C4–C5 levels. European Journal of Radiology Open 2019 6, 16-23DOI: ( /j.ejro ) Copyright © Terms and Conditions

4 Fig. 3 70 year old male presented with chronic neck pain with EMS grade of 2. a) T2WI shows no obvious changes, b) DTI shows a significant increase in ADC value (1.48) at C6–C7 level. European Journal of Radiology Open 2019 6, 16-23DOI: ( /j.ejro ) Copyright © Terms and Conditions

5 Fig. 4 54 years old female patient presented with neck pain and EMS grade of 3. a) T2 weighted images showed severe canal stenosis and altered signal intensity within the cord. b)DTI metrics shows a decrease in FA and increase in ADC from C3–C5 level. European Journal of Radiology Open 2019 6, 16-23DOI: ( /j.ejro ) Copyright © Terms and Conditions

6 Fig. 5 45 year old female patient presented with neck pain and EMS grade of 1. a) Showed no obvious altered signal intensity in spinal cord on T2 weighted image. However showed cervical spondylotic changes and disc bulde indenting on theca. b) DTI showed increase in ADC value at C6–C7 level, representing myelopathic change not apprent on conventional T2 weighted images. European Journal of Radiology Open 2019 6, 16-23DOI: ( /j.ejro ) Copyright © Terms and Conditions

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