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Abstract #4234

Novel Assessment of the Effects of Spinal Cord Injury in Patients by Means of Spinal FMRI

Patrick W. Stroman1,2, Randi L. Beazer1, Christopher Kidd1, Rachael Bosma1, Karen Smith3,4, Ronald Pokrupa5,6, Omar Islam, 2,7, Nomusa Mngoma4, David Cadotte8,9, David Mikulis8,10, Michael G. Fehlings8,9

1Centre for Neuroscience Studies, Queen's University, Kingston, Ontario, Canada; 2Diagnostic Radiology, Queen's University, Kingston, Ontario, Canada; 3Physical Medicine and Rehabilitation, Queen's University, Kingston, Ontario, Canada; 4Providence Care, St Mary's of the Lake, Kingston, Ontario, Canada; 5Neurosurgery, Kingston General Hospital, Kingston, Ontario, Canada; 6Neurosurgery, Queen's University, Kingston, Ontario, Canada; 7Radiology, Kingston General Hospital, Kingston, Ontario, Canada; 8Neurosurgery, University of Toronto, Toronto, Ontario, Canada; 9Surgery, Toronto Western Hospital, Toronto, Ontario, Canada; 10Medical Imaging, Toronto Western Hospital, Toronto, Ontario, Canada


Clinical applications of functional MRI of the spinal cord, in order to assess the effects of spinal cord trauma or disease, must provide sensitive and reliable results, even in the presence of fixation devices to stabilize the spine, and must meet practical time limitations while providing enough information to be diagnostic. Here we demonstrate detailed functional maps in response to stimulation on the right and left sides of the body, at spinal cord segmental levels above and below the level of injury, in spinal cord injured patients. The method is almost fully automated, and takes under 7 minutes.