Does T2 mapping of the posterior annulus fibrosus indicate the presence of lumbar intervertebral disc herniation? A 3.0 Tesla magnetic resonance study

• Published in: European spine journal 2017-03, Vol.26 (3), p.877-883
• Main Authors: Messner, Alina, Stelzeneder, David, Trattnig, Stefan, Welsch, Götz H., Schinhan, Martina, Apprich, Sebastian, Brix, Martin, Windhager, Reinhard, Trattnig, Siegfried
• Format: Article
• Language: English
• Subjects: Adolescent; Adult; Annulus Fibrosus - diagnostic imaging; Female; Humans; Intervertebral Disc - diagnostic imaging; Intervertebral Disc Displacement - complications; Intervertebral Disc Displacement - diagnostic imaging; Low Back Pain - etiology; Lumbar Vertebrae; Magnetic Resonance Imaging - methods; Male; Medicine; Medicine & Public Health; Middle Aged; Neurosurgery; Original Article; Surgical Orthopedics; Young Adult
• ISSN: 0940-6719; 1432-0932
• DOI: 10.1007/s00586-016-4873-x

Purpose Indicating lumbar disc herniation via magnetic resonance imaging (MRI) T2 mapping in the posterior annulus fibrosus (AF). Methods Sagittal T2 maps of 313 lumbar discs of 64 patients with low back pain were acquired at 3.0 Tesla (3T). The discs were rated according to disc herniation and bulging. Region of interest (ROI) analysis was performed on median, sagittal T2 maps. T2 values of the AF, in the most posterior 10% (PAF-10) and 20% of the disc (PAF-20), were compared. Results A significant increase in the T2 values of discs with herniations affecting the imaged area, compared to bulging discs and discs with lateral herniation, was shown in the PAF-10, where no association to the NP was apparent. The PAF-20 exhibited a moderate correlation to the nucleus pulposus (NP). Conclusions High T2 values in the PAF-10 suggest the presence of disc herniation (DH). The results indicate that T2 values in the PAF-20 correspond more to changes in the NP.