Table 1. Assessment of lumbar High Intensity Zones on MRI.
Variables | Definition |
---|---|
Shape | |
Round | Concentric or oval cavity |
Fissure | Parallel and transverse layer to the adjacent endplate |
Vertical | Vertical layer to the adjacent endplate |
Rim | Oblique radiating layer from the adajacent endplate |
Enlarged | Greater concentric area than typical round HIZ |
Horizontal location within disc | |
Posterior | HIZ located in the posterior annulus fibrosus |
Anteriror | HIZ located in the anterior annulus fibrosus |
Signal type on T1W and T2W HIZ image | |
T1W low-intensity type of HIZ | Decreased signal than the bone marrow on T1W sagittal MRI |
T1W high-intensity type of HIZ | Increased signal than the bone marrow on T1W sagittal MRI |
T1W iso-intensity type of HIZ | Same signal than the bone marrow on T1W sagittal MRI |
HIZ: high intensity zones, MRI: magnetic resonance imaging, T1W: T1-weighted, T2W: T2-weighted, MRI: magnetic resonance imaging