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Fig. 2 | Egyptian Journal of Radiology and Nuclear Medicine

Fig. 2

From: Advanced trends in magnetic resonance imaging in assessment of lumbar intervertebral degenerative disk disease

Fig. 2

Male patient aged 45 years old presented with low back pain referred to left leg for 6 months. a Sagittal T2WI of lumbar spine showing: L4/L5 heterogeneous, intermediate to hypointense signal, lost nucleus-annulus distinction, moderately decreased disk space (grade 4). L5/S1 heterogeneous, intermediate to hypointense signal, lost nucleus-annulus distinction, moderately decreased disk space (grade 4). Sagittal color coded post processing T2 mapping (b–d) and (e–g) of most degenerated disks L4–5 and L5–S1 respectively , Sagittal post processing ADC mapping (h–j) and (k–m) of same respectively with ROIs placed on nucleus pulposus, annulus fibrosus and entire of the disks and the values tabulated as follows:

 

T2 mapping

ADC values

NP

AF

Entire of disk

NP

AF

Entire of disk

L1/L2

101

81

92

1.60

1.73

1.46

L2/L3

100

75

87

1.57

1.89

1.69

L3/L4

108

85

88

1.91

1.71

1.79

L4/L5

70

66

70

1.42

1.68

1.59

L5/S1

68

61

64

1.12

1.75

1.66

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