Spine Imaging

Overview

Spine imaging uses radiography CT and MRI to evaluate degenerative disease trauma and infection. MRI is preferred for soft tissue and neural element assessment. Imaging guides surgical and conservative management.

Degenerative Disease

MRI assesses disc herniation spinal stenosis and nerve root compression. Imaging correlates with clinical findings to guide treatment. Advanced sequences evaluate marrow and inflammatory changes.

Trauma and Infection

CT detects fractures and bony injury in acute trauma. MRI identifies spinal cord injury infection and epidural abscess. Timely imaging supports urgent intervention when needed.

Postoperative Imaging

Imaging monitors hardware position fusion status and complications. CT and MRI provide complementary information in the postoperative spine. Clear communication with surgeons improves interpretation.

Lumbar Spine AP

Overview

The AP lumbar spine radiograph evaluates vertebral bodies sacral alignment and pelvic landmarks. The patient is positioned supine or upright with the detector centered to the lumbar region. This view complements lateral imaging for comprehensive lumbar assessment.

Technique

Center the detector to include L1 to S1 and ensure the patient is not rotated. Use appropriate exposure and immobilize the patient to reduce motion. Include the sacroiliac joints when indicated for pelvic pathology.

Clinical Indications

AP lumbar spine is indicated for low back pain trauma and suspected vertebral lesions. It helps detect spondylolisthesis and degenerative change. MRI provides detailed evaluation for disc and neural element pathology.

Image Assessment

Assess vertebral body heights alignment and look for spondylolisthesis or lytic lesions. Evaluate sacral slope and pelvic parameters when relevant. Correlate with lateral views for comprehensive interpretation.

Temporomandibular Joint Panoramic

Overview

Panoramic TMJ projections provide bilateral overview of condylar position and joint space in a single acquisition. They are useful for screening degenerative change and gross asymmetry. Proper patient positioning ensures comparable bilateral images.

Technique

Use panoramic equipment with TMJ specific settings and instruct the patient to bite in centric occlusion. Center to the TMJ region and ensure head stabilization during rotation. Remove metallic objects that may cause artifacts.

Clinical Indications

Panoramic TMJ imaging is indicated for screening degenerative disease trauma and gross asymmetry. It complements dedicated TMJ open closed views and MRI for soft tissue evaluation. Use as part of dental and maxillofacial assessment.

Image Assessment

Compare condylar morphology joint space and symmetry between sides. Look for erosive change osteophytes and gross displacement. Recommend MRI for disc and soft tissue pathology when indicated.