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Academy of Chiropractic’s

MD Relationship Program

#11 Clinical Information, Diagnosis and MRI

Clinical Consultation 

From:  William J Owens Jr DC DAAMLP

Understanding the difference between and ACUTE or CHRONIC injury to the spine is a critical part of proper spine care.  One of the ways to do that is to use the Modic scale to determine how long a reactive process has been present in the spine.  If you do not know what these are you MUST TAKE THE MRI CERTIFICATION COURSE.  

This is the link for course information.  http://teachdoctors.com/index.php?option=com_content&view=article&id=170&Itemid=42

Here is a very brief reference sheet to help you.  REMINDER - you need to review BOTH the T1 and the T2 weighted images to determine the Modic criteria.  

Modic type endplate changes represent a classification for vertebral body end-plate MRI signal, first described in 1988 1. It is widely recognised by radiologists and clinicians and is a useful shorthand for reporting MRIs of the spine.

Recently Modic type I has received renewed attention due to the possibility of it representing low grade indolent infection. It is thus discussed separately here.

https://radiopaedia.org/articles/modic-type-endplate-changes

Diagnosing modic changes[edit]

Modic changes are characterized on MRI (magnetic resonance imaging). The 3 Modic classifications were first described and defined by Dr. Michael Modic in 1988.
Normal bone contains internal scaffolding, called trabeculaeRed bone marrow, which produces blood cells, is located in the hollows between the trabeculae.

Bibliography[edit]

https://en.wikipedia.org/wiki/Modic_changes

PLEASE TAKE NOTICE: © Copyright CMCS Management, Inc - Dr. Mark Studin 2015 - This information is intended for educational purposes only. Any review, retransmission, dissemination or other use of, or taking of any action in reliance upon is prohibited.