0940 Kaspar van Everdingen deel 2 - WIPBenelux kaspar van everdingen deel 2.pdf · •Modic type I • T1 - low • T2 - high • oedema and inflammation ! LBP++ •Modic type II
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Transcript
L4
L5
LOOK AT THE NERVE ROOT ITSELF
LOOK AT ENTIRE IMAGE
ECMT 2013
LOOK AT ALL IMAGES
T1-w
T2-w
ECMT 2013
T1-w
T2-w
2805883
F 55 LBP rad syndr S1?
Hnp L5 S1no root compression
CHANGESAROUND THE DISC
Ö
Ö
ÖÖ
AROUND THE DISC
Modic
Inflammation
Infection
Fracture
Schmorls nodes
Source: Radiologyassistant.nl
•Modic type I• T1 - low• T2 - high• oedema and inflammation è LBP++
•Modic type II• T1 - high signal• T2 - iso to high signal• normal red marrow => yellow fatty marrow• result of marrow ischaemia è LBP????