- Frequency of Coexistent Spinal Segment Variants: Retrospective Analysis in Asymptomatic Young Adults
Spinal segment variants are highly prevalent and can potentially lead to incorrect spinal enumeration. The objective of this study was to assess the prevalence of spinal segment variants and to study the potential association among these variants in an asymptomatic population. The results showed that the spinal segment variants are highly prevalent, ranging from 4.2% (cervical rib) to 26.4% (LSTV), and that these variants are associated with each other. The authors recommend further imaging for spine enumeration before interventions or operations when a spinal segment variant is identified.
- Central Vein Sign in Multiple Sclerosis: A Comparison Study of the Diagnostic Performance of 3T versus 7T MRI
The perivenular relationship of MS demyelinating plaque is thought to represent one of the most histologically specific features of MS. In this retrospective study, the authors directly compared the utility of 3T SWI, 7T SWI, and T2&WI in detecting central vein sign (CVS) and the ability of CVS to differentiate MS from nonspecific WM lesions in patients without MS (presumed vascular origin) in a large cohort of patients. They found that 7T SWI and T2* (73% and 87% of lesions, respectively) showed significantly more CVSs than 3T (31%). Both T2*WI and 7T SWI sequences were 100% accurate (AUC=1.0) for diagnosing MS from WM lesions of presumed vascular origin, which was superior to 3T (AUC=0.975).
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