Classification of Intervertebral Disk Degeneration with Axial T2 Mapping
Atsuya Watanabe1,2,3,
Lorin M. Benneker4,
Chris Boesch1,
Tomoko Watanabe5,
Takayuki Obata6 and
Suzanne E. Anderson2
1 Department of Clinical Research, Unit for MR Spectroscopy and Methodology,
University of Bern, CH-3010 Bern, Switzerland.
2 Department of Diagnostic, Interventional and Paediatric Radiology,
Inselspital, University of Bern, Bern, Switzerland.
3 Present address: Department of Radiology, Teikyo University Chiba Medical
Center, 3426-3 Anesaki, Ichihara, Chiba 299-0111, Japan.
4 Department of Orthopaedic Surgery, Inselspital, University of Bern, Bern,
Switzerland.
5 Tissue Engineering and Osteoarticular Research Unit, Institute of Pathology,
University of Bern, Bern, Switzerland.
6 Department of Biophysics, Molecular Imaging Center, National Institute of
Radiological Sciences, Chiba, Japan.

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Fig. 1A —Representative color-coded T2 maps. Color-coded T2 maps of
intervertebral disks obtained with axial T2 mapping classification system show
grade I in 23-year-old woman (A), grade II in 27-year-old man
(B), grade III in 25-year-old man (C), and grade IV in
34-year-old man (D). Change of T2, loss of homogeneity in signal
intensity, and loss of distinction between nucleus pulposus and annulus
fibrosus were generally observed in degenerative intervertebral disks.
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Fig. 1B —Representative color-coded T2 maps. Color-coded T2 maps of
intervertebral disks obtained with axial T2 mapping classification system show
grade I in 23-year-old woman (A), grade II in 27-year-old man
(B), grade III in 25-year-old man (C), and grade IV in
34-year-old man (D). Change of T2, loss of homogeneity in signal
intensity, and loss of distinction between nucleus pulposus and annulus
fibrosus were generally observed in degenerative intervertebral disks.
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Fig. 1C —Representative color-coded T2 maps. Color-coded T2 maps of
intervertebral disks obtained with axial T2 mapping classification system show
grade I in 23-year-old woman (A), grade II in 27-year-old man
(B), grade III in 25-year-old man (C), and grade IV in
34-year-old man (D). Change of T2, loss of homogeneity in signal
intensity, and loss of distinction between nucleus pulposus and annulus
fibrosus were generally observed in degenerative intervertebral disks.
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Fig. 1D —Representative color-coded T2 maps. Color-coded T2 maps of
intervertebral disks obtained with axial T2 mapping classification system show
grade I in 23-year-old woman (A), grade II in 27-year-old man
(B), grade III in 25-year-old man (C), and grade IV in
34-year-old man (D). Change of T2, loss of homogeneity in signal
intensity, and loss of distinction between nucleus pulposus and annulus
fibrosus were generally observed in degenerative intervertebral disks.
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