ISMRM24 - Inside the Backbone: Exploring Spine & Spinal Cord Trauma with MRI

Inside the Backbone: Exploring Spine & Spinal Cord Trauma with MRI

Sunrise Course

ORGANIZERS: Alissa Burge, Iman Khodarahmi

Monday, 06 May 2024

Summit 1

07:00 - 08:00

Moderators: Young Han Lee & Marta Switlyk

Skill Level: Intermediate to Advanced

Session Number: S-M-01

CME and CE Credit

Session Number: S-M-01

Overview
Spine trauma is a common indication for cross-sectional imaging, particularly MRI, in the emergency department. This Clinical Focus Meeting educational session provides a foundation for the mechanism of trauma, its consequences, and the role of MRI in the diagnosis and management of spinal trauma.

Target Audience
Clinicians, radiologists, technologists, and scientists involved or interested in trauma diagnosis and care.

Educational Objectives
As a result of attending this course, participants should be able to:
- Explain the injury mechanisms and imaging manifestation of spinal cord and nerve root trauma;
- Discuss the mechanism and consequences of trauma to the non-neural elements of spine including bones, ligaments, disks and other paraspinal tissues; and
- Review the novel MRI techniques in assessment of spinal trauma.

07:00		MRI in Spinal Cord & Nerve Root Injuries View Presentation Video In Sook Lee Keywords: Neuro: Spinal Cord The primary focus is on the role of MR imaging with conventional and functional sequences for evaluating spinal cord and nerve root injuries during the acute or chronic phase of injury, with emphasis on specific imaging features and injury classification systems that may aid in diagnosing injury severity and predicting clinical outcome. More recent advances in diffusion imaging including DTI, 3D isotropic heavily T2WI with post-processing images, MR neurography for spinal cord or nerve root evaluation in trauma also are reviewed.
07:20		MRI in Osseous & Ligamentous Spine Injuries View Presentation Video Asako Yamamoto Keywords: Musculoskeletal: Skeletal Evaluation of “spinal stability” in suggestions for surgery is crucial when radiologists evaluate spinal MR imaging in patients suffering injuries of trauma. The goal of this lecture is to understand the normal anatomy in imaging of the spine, the stabilizing mechanism of cervical, and thoracolumbar vertebrae, and the concepts of TLICS and SLICS for obtaining more clinically reliable information. Especially, the components of the posterior ligamentous complex (joint capsule and the joint, ligamentum flavum, interspinous ligament, and the supraspinous ligament) are discussed in detail.
07:40		Advanced MRI Techniques in Spine Trauma View Presentation Video Ann Choe Keywords: Neuro: Spinal cord This presentation focuses on advanced MRI techniques in spinal trauma, contrasting them with traditional MRI methods. It covers techniques like DTI, DWI, fMRI, Perfusion MRI, qMT, and CEST, discussing their applications in spinal trauma. The talk addresses technical challenges and interpretation complexities, emphasizing the need for specialized expertise. Practical case examples demonstrate how these advanced techniques integrate into clinical practice, contributing to a multidisciplinary approach. The session concludes by exploring future developments in MRI technology and their potential impact on treatment strategies and patient outcomes in spinal trauma.