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. 2016 Feb 3;10:8. doi: 10.14444/3008

Table 1.

MRI evaluation for disc degeneration, central stenosis, and facet joint degeneration.

Classification of disc degeneration
Grade Signal intensity Structure Distinction of nucleus and anulus
I Hyperintense, isointense to CSF Homogeneous, bright white Clear
II Hyperintense, isointense to CSF Inhomogeneous with or without horizontal bands Clear
III Intermediate Inhomogenous, gray Unclear
IV Intermediate to hypointense Inhomogenous, gray to black Lost
V Hypointense Inhomogenous, black Lost
Classification of central canal stenosis
Grade Definition
0 No lumbar stenosis without obliteration of anterior CSF space
1 Mild stenosis with separation of all cauda equina
2 Moderate stenosis with some cauda equine aggregated
3 Severe stenosis with none of the cauda equine separated
Classification of facet joint degeneration
Grade Criteria
0 Normal facet joint space (2-4mm width)
1 Narrowing of the facet joint space (< 2mm) and/or small osteophyte and/or mild hypertrophy of the articular process
2 Narrowing of the facet joint space and/or moderate osteophyte and/or moderate hypertrophy of the articular process and/or mild subarticular bone erosions
3 Narrowing of the facet joint space and/or large osteophytes and/or severe hypertrophy of the articular process and/or severe subarticular bone erosions and/or subchondral cysts

CSF: cerebrospinal fluid.