How to Read Spine MRI: Anatomy & Approach

Navigating Radiology

Navigating Radiology

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This video is designed to be your ultimate introduction to Spine MRI from the ground up. It covers basic sequences, relevant anatomy, and an approach, including exactly what to look for in each tsructure. Start here.

Our Full Case-Based Courses (MRI, CT, Xray, Ultrasound) on our site let you take fullscreen cases, dictate a prelim, get immediate feedback, and learn from expert-curated annotated answers.
The Spine MR course includes pathologies you need to know including cauda equina compression, nerve root compression, disc disease, disc nomenclature, spinal cord tumors, metastases, and other infectious and inflammatory conditions like osteomyelitis/discitis, MS, and more.

00:00 - Introduction & Core Framework
02:33 - Why Spine MRI vs. CT
04:02 - Key MRI Sequences (T1, T2 & Fat Sat)
09:18 - ANATOMY, starting with Bony Spine & Posterior Elements
12:51 - Three-Column Model & Spinal Canal
14:14 - Neural Foramina & Nerve Root Rules
16:00 - Spinal Cord Anatomy & Cauda Equina
17:28 - SYSTEMATIC APPROACH: Overview
18:18 - Bony Spine
20:08 - Level-by-Level Degenerative Disease & Disc Herniations
24:02 - Ligaments & Paraspinal Muscles
25:22 - Epidural Space & Pathology
26:37 - CSF Spaces & Spinal Cord Evaluation
29:06 - Extraspinal Incidental Findings
30:24 - Summary & Interactive Practice

Dr. Pejman Maralani, our expert neuroradiologist, has 150+ publications, is an Associate Professor at the University of Toronto, and has won innumerable teaching awards. Enjoy.