The DOI matches its Crossref record.
High-intensity zone: a diagnostic sign of painful lumbar disc on magnetic resonance imaging
Abstract
The prevalence, validity and reliability of high-intensity zones in the annulus fibrosus seen on T 2-weighted magnetic resonance images of patients with intractable low-back pain were determined. This sign was readily recognized by two independent observers. It occurred in 28% of 500 patients undergoing magnetic resonance imaging for back pain. The presence of a highintensity zone correlated significantly with the presence of Grade 4 annular disruption and with reproduction of the patient's pain. Its sensitivity as a sign of either annular disruption or pain was modest but its specificity was high, and its positive predictive value for a severely disrupted, symptomatic disc was 86%. This sign is diagnostic of painful internal disc disruption.
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Cited by
Chapter 4 European guidelines for the management of chronic nonspecific low back pain
Airaksinen, O., Brox, J. I., Cedraschi, C., Hildebrandt, J., Klaber-Moffett, J., Kovacs, F., Mannion, A. F., Reis, S., Staal, J. B., Ursin, H., et al. (2006) · European Spine Journal · doi:10.1007/s00586-006-1072-1 · Cited by 2,594
Low Back Pain in Relation to Lumbar Disc Degeneration
Luoma, K., Riihimäki, H., Luukkonen, R., Raininko, R., Viikari-Juntura, E., & Lamminen, A. (2000) · Spine · doi:10.1097/00007632-200002150-00016 · Cited by 1,155
Cheung, K. M. C., Karppinen, J., Chan, D., Ho, D. W. H., Song, Y.-Q., Sham, P., Cheah, K. S. E., Leong, J. C. Y., & Luk, K. D. K. (2009) · Spine · doi:10.1097/brs.0b013e3181a01b3f · Cited by 867
Intervertebral Disc: Anatomy‐Physiology‐Pathophysiology‐Treatment
Raj, P. P. (2008) · Pain Practice · doi:10.1111/j.1533-2500.2007.00171.x · Cited by 746
Diagnostic Evaluation of Low Back Pain with Emphasis on Imaging
Jarvik, J. G., & Deyo, R. A. (2002) · Annals of Internal Medicine · doi:10.7326/0003-4819-137-7-200210010-00010 · Cited by 697
Metadata
- Authors
- Aprill, C., & Bogduk, N.
- Venue
- The British Journal of Radiology
- Publisher
- Oxford University Press (OUP)
- Published
- 1992-05-01
- Volume
- 65
- Issue
- 773
- Pages
- 361-369
- ISSN
- 0007-1285 (ISSN-L)
- 1748-880X
- OpenAlex
- W1999035243
- Cited by
- 661
- References
- 0
- FWCI
- 2.49
- Type
- journal article
- Language
- en
- Open access
- closed
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- CoChat. (2026). Citation check: High-intensity zone: a diagnostic sign of painful lumbar disc on magnetic resonance imaging. https://app.cochat.ai/papers/10.1259/0007-1285-65-773-361
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- Aprill, C., & Bogduk, N. (1992). High-intensity zone: a diagnostic sign of painful lumbar disc on magnetic resonance imaging. The British Journal of Radiology. https://doi.org/10.1259/0007-1285-65-773-361
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Bibliographic data: Semantic Scholar, OpenAlex, Crossref.
Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).
Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.
