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Abstract #1556

Unlocking the Secrets of Lumbar Disc Degeneration: Revealing Early Changes using Advanced 23Na MRI

Miriam Frenken1, Benedikt Kamp1, and Anja Müller-Lutz1
1University Hospital Duesseldorf, Duesseldorf, Germany

Synopsis

Keywords: Cartilage, Cartilage, sodium MRI, 23Na, IVD, lumar Spine, lower pack pain, ex vivo, quantitative imaging

Motivation: The global impact of lumbar back pain requires an understanding of degenerative disc disease. Conventional MRI often misses early changes, necessitating a more sensitive technique for accurate detection.

Goal(s): To determine the efficacy of 3T-MRI with 23Na in accurately assessing degeneration to provide a deeper understanding of the correlation between sodium concentrations and proteoglycan levels in intervertebral discs.

Approach: Examination of human lumbar spine samples ex vivo using a 23Na-surface-coil, which enabled accurate determination of 23Na relaxation times and quantification of tissue sodium concentrations (TSCs).

Results: Results showed a significant correlation between decreasing TSC values and progression of Thompson grading.

Impact: This exciting research represents a significant advance in the field of lumbar disc degeneration assessment and promises to be an important part of a paradigm shift in diagnostic approaches and treatment strategies for patients with lumbar back pain.

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