Jordan Gold MD, Presenter: Nothing to Disclose

Kristen Elizabeth McClure MD, Abstract Co-Author: Nothing to Disclose

Adam C. Zoga MD, Abstract Co-Author: Nothing to Disclose

Christopher Geordie Roth MD, Abstract Co-Author: Author, Reed Elsevier

The purpose of this exhibit is: 1. Review the indications for lumbar discography, including using MRI- gadolinium based discography. 2. Review technique and interpretation of CT and MR discography, including potential pitfalls. 3. Review potential complications related to CT and MR discography. 4. Discuss potential benefit of MR Discography compared with conventional CT-discography.

Lumbar Discography: Background and History - Conventional CT Discography - MR Discography Anatomy of the Intervertebral Disc Pathophysiology of Degenerative Disc Disease Indications for Lumbar Discography Comparison of MR Discography - Advantages of MR Discography compared with conventional MRI and CT Discography - Disadvantages MR Discography Technique - Intradiscal Injection Technique - Gadolinium Preparation for MR Discography - MRI Sequences and Imaging Techniques Interpretation of Lumbar Discography Potential Pitfalls - Incorrect Gadolinium Concentration - Annular Injections Complications - Post-procedural Infection: Discitis - Intervertebral Disc Herniations: Acute Schmorl’s Node - Gadolinium Induced Reactions and Venous Intravasation Conclusion

http://abstract.rsna.org/uploads/2014/14002074/14002074_vjim.pdf

Gold, J, McClure, K, Zoga, A, Roth, C, Disco Inferno: A Rapid Review of Lumbar Discography.  Radiological Society of North America 2014 Scientific Assembly and Annual Meeting, - ,Chicago IL. http://archive.rsna.org/2014/14002074.html