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50th SMRT Educational Seminar Home Study
"The aim of the article is to review the common conditions causing high T2-weighted image signal in the spinal cord and outline an approach to diagnosis with reference to pertinent imaging features."
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As stated by the authors, "Hyperintense spinal cord signal on T2-weighted images is seen in a wide-ranging variety of spinal cord processes including: simple MR artifacts, congenital anomalies and most disease categories. Characterization of the abnormal areas of T2 signal as well as their appearance on other MR imaging sequences, when combined with clinical context and laboratory investigations, will often allow a unique diagnosis, or at least aid in narrowing the differential diagnosis." The cases discussed in the first article, part A, include compression and trauma, neoplasms, radiation myelitis, and congenital conditions. According to the authors, "An abnormal signal in the spinal cord can be characterized according to its location, extent, multiplicity, internal signal characteristics, presence or absence of mass effect, appearance on other MR imaging sequences, degree of enhancement after administration of gadolinium-based contrast agents and correlation with clinical history." In the second article, Part B, the topics include multiple sclerosis, subacute combined degeneration of the spinal cord, cord infarction, arteriovenous shunts, transverse myelitis, neurosarcoidosis, AIDS-associated vacuolar myelopathy, and syringohydromyelia. Many thanks to Wendy Strugnell for recommending the articles and to John Totman, SMRT Publications Chair from Nottingham, UK, for his support and continuing direction of the SMRT Publications Committee. Thanks to
Cindy Hipps, BHS, R.T.(R)(MR), FSMRT from Greenville,
South Carolina, USA for acting as our Expert Reviewer for
this home study issue and the accompanying quiz that
provides the continuing education credits. We would especially like to thank John Wilkie and all of the people at Invivo Corporation who generously support our home studies program, the SMRT Educational Seminars. Their continuing investment advancing technologist and radiographer knowledge brings quality continuing education to the SMRT membership worldwide. |
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