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Degenerative disk disease: assessment of changes in vertebral body marrow with MR imaging.

Modic, M T, Steinberg, P M, Ross, J S, Masaryk, T J, Carter, J R·1988·Radiology

Abstract

The authors reviewed magnetic resonance (MR) images of 474 consecutive patients referred for lumbar spine MR imaging. Type 1 changes (decreased signal intensity on T1-weighted spin-echo images and increased signal intensity on T2-weighted images) were identified in 20 patients (4%) and type 2 (increased signal intensity on T1-weighted images and isointense or slightly increased signal intensity on T2-weighted images) in 77 patients (16%). In all cases there was evidence of associated degenerative disk disease at the level of involvement. Histopathologic sections in three cases of type 1 change demonstrated disruption and fissuring of the end plates and vascularized fibrous tissue, while in three cases of type 2 change they demonstrated yellow marrow replacement. In addition, 16 patients with end-plate changes documented with MR were studied longitudinally. Type 1 changes in five of six patients converted to a type 2 pattern in 14 months to 3 years. Type 2 changes in ten patients remained stable over a 2-3-year period. These signal intensity changes appear to reflect a spectrum of vertebral body marrow changes associated with degenerative disk disease.

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Metadata

Authors
Modic, M. T., Steinberg, P. M., Ross, J. S., Masaryk, T. J., & Carter, J. R.
Venue
Radiology
Published
1988-01
Volume
166
Issue
1
Pages
193-199
ISSN
  • 0033-8419 (ISSN-L)
  • 1527-1315
OpenAlex
W2141302405
Cited by
2,061
References
0
FWCI
8.36
Type
journal article
Language
en
Open access
closed

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CoChat. (2026). Citation check: Degenerative disk disease: assessment of changes in vertebral body marrow with MR imaging. https://app.cochat.ai/papers/10.1148/radiology.166.1.3336678
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Modic, M. T., Steinberg, P. M., Ross, J. S., Masaryk, T. J., & Carter, J. R. (1988). Degenerative disk disease: assessment of changes in vertebral body marrow with MR imaging. Radiology. https://doi.org/10.1148/radiology.166.1.3336678

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Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.