E³ - Young ECR Programme: Basic Session - Organised by the ESR

BS 18a - Intervertebral disc pathology: herniations, bulges and modic changes

March 7, 09:30 - 10:30 CET

5 min
Chairperson's introduction
10 min
Basic anatomy and biomechanics of intervertebral discs
  1. To present the intervertebral disc structure: nucleus pulposus, annulus fibrosus, endplates.
  2. To explain the role in spinal stability and motion.
10 min
Types of disc pathology: definitions and imaging features
  1. To differentiate between disc bulge vs herniation on MRI.
  2. To present T2-weighted MRI findings between disc protrusion vs extrusion vs sequestration.
  3. To correlate clinical relevance with symptoms.
10 min
Modic changes: what they mean and why they matter
  1. To present type 1: edema/inflammation (T2 hyperintense, T1 hypointense). 2. To present type 2: fatty degeneration (T1 hyperintense, T2 isointense). 3. To present type 3: sclerosis (T1 and T2 hypointense). 4. To correlate with degenerative disc dis
25 min
Case-based learning: real MRI examples - reporting tips for young radiologists
  1. To discuss interactively common findings.
  2. To recognise pitfalls and mimics such as infections and tumours.
  3. To present standardised terminology such as Fardon and Milette classification.
  4. To recommend when further imaging or intervention is needed.