Ibrahim, S., Khalil, T., El Kammash, T., Mohamed, M. (2023). Evaluation of Magnetic Resonance Diffusion Tensor Imaging in Early Detection of Cervical Spondylotic Myelopathy. Suez Canal University Medical Journal, 26(9), 13-20. doi: 10.21608/scumj.2023.323876
Shaimaa Ibrahim; Tarek H. Khalil; Tarek H. El Kammash; Marwa A. Mohamed. "Evaluation of Magnetic Resonance Diffusion Tensor Imaging in Early Detection of Cervical Spondylotic Myelopathy". Suez Canal University Medical Journal, 26, 9, 2023, 13-20. doi: 10.21608/scumj.2023.323876
Ibrahim, S., Khalil, T., El Kammash, T., Mohamed, M. (2023). 'Evaluation of Magnetic Resonance Diffusion Tensor Imaging in Early Detection of Cervical Spondylotic Myelopathy', Suez Canal University Medical Journal, 26(9), pp. 13-20. doi: 10.21608/scumj.2023.323876
Ibrahim, S., Khalil, T., El Kammash, T., Mohamed, M. Evaluation of Magnetic Resonance Diffusion Tensor Imaging in Early Detection of Cervical Spondylotic Myelopathy. Suez Canal University Medical Journal, 2023; 26(9): 13-20. doi: 10.21608/scumj.2023.323876
Evaluation of Magnetic Resonance Diffusion Tensor Imaging in Early Detection of Cervical Spondylotic Myelopathy
Department of Diagnostic Radiology, Faculty of Medicine, Suez Canal University, Ismailia, Egypt.
Abstract
Background: Cervical spondylosis is a very common disorder of the spine. Its prevalence is more than 75% in patients aged above 65 years. Cervical spinal cord myelopathy is a long-term complication of cord compression by degenerative cervical spine changes (discs/osteophytes). The presence of abnormal spinal cord signals on conventional MRI indicates either reversible or irreversible parenchymal changes in the spinal cord. Aim: to evaluate the efficacy of MR diffusion tensor imaging technique in the early detection of cervical spinal cord myelopathic changes in symptomatic patients with cervical spondylosis. Subjects and Methods: A cross-sectional study was conducted at the Radiology Department of Suez Canal University Hospital 2019- 2022, including 50 participants. Results: FA value was significantly lower at disc protrusion (0.45 ±0.083) with p < 0.001, and ADC value was significantly higher at disc protrusion (1.23 ±0.14) with p < 0.001. Fractional anisotropy was found to be significantly abnormal in 29 (64.5 %) of patients with normal T2WI. Conclusion: DTI of the cervical spine can detect early myelopathic changes in the spinal cord caused by degenerative spondylosis.
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