Modic changes in lumbar spine: prevalence and distribution patterns of end plate oedema and end plate sclerosis

The British Journal of Radiology
Lei XuYue-Fen Zou

Abstract

The purpose of this study is to evaluate the distribution of end plate oedema in different types of Modic change especially in mixed type and to analyze the presence of end plate sclerosis in various types of Modic change. 276 patients with low back pain were scanned with 1.5-T MRI. Three radiologists assessed the MR images by T1 weighted, T2 weighted and fat-saturation T2 weighted sequences and classified them according to the Modic changes. Pure oedematous end plate signal changes were classified as Modic Type I; pure fatty end plate changes were classified as Modic Type II; and pure sclerotic end plate changes as Modic Type III. A mixed feature of both Types I and II with predominant oedematous signal change is classified as Modic I-II, and a mixture of Types I and II with predominant fatty change is classified as Modic II-I. Thus, the mixed types can further be subdivided into seven subtypes: Types I-II, Types II-I, Types I-III, Types III-I, Types II-III, Types III-II and Types I-III. During the same period, 52 of 276 patients who underwent CT and MRI were retrospectively reviewed to determine end plate sclerosis. (1) End plate oedema: of the 2760 end plates (276 patients) examined, 302 end plates showed Modic changes, of w...Continue Reading

References

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Jun 27, 2014·Skeletal Radiology·Elina Iordanova SchistadJohannes Gjerstad

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Citations

Feb 13, 2017·European Journal of Radiology·Sarah M BökerMarcus R Makowski
Jun 6, 2020·Radiographics : a Review Publication of the Radiological Society of North America, Inc·Yoshiaki OtaToshio Moritani
Jan 1, 2017·European Radiology Experimental·Marta TibilettiFabio Galbusera
Jul 27, 2017·Zhurnal nevrologii i psikhiatrii imeni S.S. Korsakova·E L SokovA I Nesterov

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