Evaluation of Cervical Spondylosis Using 0.2 Tesla Axial T2 and Axial 3d Fiesta Magnetic Resonance Imaging Sequences

Description

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Abstract

The purpose of this study was to compare the accuracy of axial T2 and axial 3D FIESTA magnetic resonance imaging (MRI) sequences in the evaluation of cervical spondylosis. The specific objectives were to:

(i) compare the accuracy of axial T2 and axial 3D FIESTA MRI sequences in the diagnosis of cervical spondylosis.

(ii) compare the quality of images (signal-to-noise ratio, contrast-to-noise ratio and artefact due to flow) produced from both sequences.

(iii) ascertain the association of cervical spondylosis with sex and age in the studied population. This was a cross sectional study carried out at radiology department of Usman Danfodiyo University Teaching Hospital,Sokoto.

Eighty subjects from 30 years and abovewere selected using convenience sampling method. Images of axial T2, axial T1, sagittal T1, sagittal T2 and axial 3D FIESTA sequences were acquired for each subject usinga General Electric 0.2 Tesla closed magnet MRI scanner with serial No: GE Signal “R” profile “M” HD5177477-100ss.

Introduction

In contemporary clinical practice, neck pain according to Rana et al., (2011), is prevalent in approximately 15% of the general population. Cervical spondylosis is a disorder of the cervical spine and it is a common cause of neck pain (Takagi et al, 2001).

It is characterized by chronic intervertebral disc degeneration, abnormal wear on the cartilage and bones of the cervical spine.

According to Okada et al., (2009), cervical spondylosis is categorized into three clinical syndromes:

• Cervical radiculopathy due to compression, stretching or angulations of the cervical nerve root.
• Cervical myelopathy due to compression compromised blood supply or recurring minor trauma to the
• Axial joint

They also state that both sexes are affected equally from the age of 50 years but the problems begin earlier in males.

Sutton (2004) opines that cervical spondylosis is indicated as radial (anterior) tearing of the annulus fibrosus, loss of disc height, dehydration and fissuring of the disc and osteophytes development anteriorly in association with anterior annular tear and nerve root compression.

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