Magnetic Resonance Imaging-Guided Spine Interventions.
MR imaging-guided interventions for treatment of low back pain and for diagnosis and treatment of soft tissue and bony spinal lesions have been shown to be feasible, effective, and safe. Advantages of this technique include the absence of ionizing radiation, the high tissue contrast, and multiplanar imaging options. Recent advancements in MR imaging systems allow improved image qualities and real-time guidance. One exciting application is MR imaging-guided cryotherapy of spinal lesions, including treating such lesions as benign osteoid osteomas and malignant metastatic disease in patients who are not good surgical candidates. This particular technique shows promise for local tumor control and pain relief in appropriate patients.
Division of Neuroradiology, Brigham and Women's Hospital, 75 Francis Street, PBB-339, Boston, MA 02115, USA.
Nathan C
NC
Himes
Division of Neuroradiology, Brigham and Women's Hospital, 75 Francis Street, PBB-339, Boston, MA 02115, USA.
Thanissara
T
Chansakul
Division of Neuroradiology, Brigham and Women's Hospital, 75 Francis Street, PBB-339, Boston, MA 02115, USA. Electronic address: tchlee@partners.org.
Thomas C
TC
Lee
D006801:Humans; D053783:Magnetic Resonance Imaging, Interventional / Q000379:methods*; D013122:Spinal Diseases / Q000473:pathology* / Q000628:therapy*; D013131:Spine / Q000473:pathology*
Cryotherapy; Epidural steroid injection; Low back pain; MR imaging–guided spine intervention; Spinal nerve root block