Special Imaging Considerations Although history and physical examination can help localize the myelopathic level, it may be beneficial to study the entire spine, even in the setting of a localized myelopathic level. In certain cases, brain MRI may be a useful adjunct diagnostic test [17]. Newer imaging techniques, such as spinal cord diffusion tensor imaging, appear promising to further interrogate spinal cord injury at a microstructural level [18-21]. aUniversity of Pittsburgh Medical Center, Pittsburgh, Pennsylvania. bPanel Chair, University of Utah, Salt Lake City, Utah. cPanel Vice-Chair, Mallinckrodt Institute of Radiology, Saint Louis, Missouri. dThe Ohio State University Wexner Medical Center, Columbus, Ohio. eUK Healthcare Spine and Total Joint Service, Lexington, Kentucky; American Academy of Orthopaedic Surgeons. fUniversity of Utah Health, Salt Lake City, Utah. gEmory University, Atlanta, Georgia. hMayo Clinic, Rochester, Minnesota. iJohns Hopkins Hospital, Baltimore, Maryland. jUniversity of California Los Angeles, Los Angeles, California; American Academy of Neurology. kUniversity of Michigan, Ann Arbor, Michigan. lJacobi Medical Center, Bronx, New York. mMedical University of South Carolina, Charleston, South Carolina; North American Spine Society. nUniversity of California San Francisco, San Francisco, California. oBarrow Neurological Institute, Phoenix, Arizona; Neurosurgery expert. pUniversity of Colorado School of Medicine, Anschutz Medical Campus, Aurora, Colorado. qSpecialty Chair, Atlanta VA Health Care System and Emory University, Atlanta, Georgia. The American College of Radiology seeks and encourages collaboration with other organizations on the development of the ACR Appropriateness Criteria through representation of such organizations on expert panels. Participation on the expert panel does not necessarily imply endorsement of the final document by individual contributors or their respective organization. Reprint requests to: publications@acr.org
Myelopathy PCAs. Special Imaging Considerations Although history and physical examination can help localize the myelopathic level, it may be beneficial to study the entire spine, even in the setting of a localized myelopathic level. In certain cases, brain MRI may be a useful adjunct diagnostic test [17]. Newer imaging techniques, such as spinal cord diffusion tensor imaging, appear promising to further interrogate spinal cord injury at a microstructural level [18-21]. aUniversity of Pittsburgh Medical Center, Pittsburgh, Pennsylvania. bPanel Chair, University of Utah, Salt Lake City, Utah. cPanel Vice-Chair, Mallinckrodt Institute of Radiology, Saint Louis, Missouri. dThe Ohio State University Wexner Medical Center, Columbus, Ohio. eUK Healthcare Spine and Total Joint Service, Lexington, Kentucky; American Academy of Orthopaedic Surgeons. fUniversity of Utah Health, Salt Lake City, Utah. gEmory University, Atlanta, Georgia. hMayo Clinic, Rochester, Minnesota. iJohns Hopkins Hospital, Baltimore, Maryland. jUniversity of California Los Angeles, Los Angeles, California; American Academy of Neurology. kUniversity of Michigan, Ann Arbor, Michigan. lJacobi Medical Center, Bronx, New York. mMedical University of South Carolina, Charleston, South Carolina; North American Spine Society. nUniversity of California San Francisco, San Francisco, California. oBarrow Neurological Institute, Phoenix, Arizona; Neurosurgery expert. pUniversity of Colorado School of Medicine, Anschutz Medical Campus, Aurora, Colorado. qSpecialty Chair, Atlanta VA Health Care System and Emory University, Atlanta, Georgia. The American College of Radiology seeks and encourages collaboration with other organizations on the development of the ACR Appropriateness Criteria through representation of such organizations on expert panels. Participation on the expert panel does not necessarily imply endorsement of the final document by individual contributors or their respective organization. Reprint requests to: publications@acr.org