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Egyptian Journal of Radiology and Nuclear Medicine
Fig. 5 | Egyptian Journal of Radiology and Nuclear Medicine

Fig. 5

From: MR diffusion tensor imaging of the spinal cord: can it help in early detection of cervical spondylotic myelopathy and assessment of its severity?

Fig. 5

Fifty-nine-year-old male patient, presented with neck pain and right brachialgia. a Sagittal T2 WI of the cervical spine showing C2-3 down to C6-7 posterior disc lesions with cord indentation at C5-6 level, with no signal intensity alteration of the cord. Ligamenta flava hypertrophy are seen at C4-5, C5-6, and C6-7 levels. b DTI fiber tractography of the cervical cord, showing grossly intact fiber tracts. c FA values opposite to all the examined cervical discs, showing moderate reduction of FA value of the whole cord circumference opposite to C5-6 level (the most affected disc level) denoting myelopathy and mild reduction opposite to C6-7 disc level (the level below the most affected disc). Mild reduction of FA value is seen opposite to C4-5 level as well. d, e FA values of the spinal cord at 3, 6, 9, and 12 o’clock positions opposite to C5-6 disc level, showing the reduction in FA value is more pronounced opposite to 12 o’clock

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