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Abstract #3127

Differentiation of Osteophytes and Disc Herniations Using FRACTURE MRI sequence in Patients with Cervical Radiculopathy

Dongmei Jiang1, Junhuan Hong1, Dejun She1, Dairong Cao1, Shuyi Lei1, and Xiance Zhao2
1First Affiliated Hospital of Fujian Medical University, Fuzhou, China, 2Philips Healthcare, Shanghai, China

Synopsis

Keywords: Bone/Skeletal, Bone

Motivation: It is difficult to differentiate the cause of cervical radiculopathy, i.e. osteophytes and disc herniations, using conventional cervical spine MRI.

Goal(s): To evaluate the diagnostic performance of fast field echo resembling a CT using restricted echo-spacing (FRACTURE) MRI sequence for the differentiation of osteophytes and disc herniations.

Approach: The diagnostic performance of FRACTURE was evaluated using conventional cervical spine MRI combined with CT as a standard reference.

Results: FRACTURE enables the reliable differentiation of osteophytes and disc herniations in patients with cervical radiculopathy with a higher sensitivity and specificity compared with conventional T1/T2 MR sequences.

Impact: FRACTURE is a reliable technique for differentiating osteophytes and disc herniations. This could be relevant for younger patients in order to prevent unnecessary radiation exposure and may also facilitate a one-stop-shop approach and speed up diagnostic work-up.

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