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. 2017 Aug 31;55(4):201–207. doi: 10.5114/reum.2017.69782

Table II.

Advantages and disadvantages of radiographs, CT and MR in imaging cervical spine lesions (based on [9])

Advantages Disadvantages
Plain
radiographs
– easily accessible
– low cost
– low radiation dose
– possibility of imaging in flexion and extension
– sufficient to assess the location of vertebrae
– the assessment of anatomical details is difficult, in particular in atlanto-axial joint
– no possibility to assess non-calcified structures (soft issues, spinal cord, pannus)
CT – best method of bones assessment
– useful in planning surgical treatment
– high cost in comparison with radiographs
– high radiation dose
– difficult assessment of soft tissues and spinal cord
MR – best method of soft tissues and spinal cord assessment
– high sensitivity and specificity in instability assessment
– method of choice for patients with neurological deficits
– the most costly among all imaging methods
– possible contraindications: ferromagnetic implants, artificial cardiac pacemakers, infusion pumps and medical ventilators
– long exam duration
– in some cases sedation can be necessary (claustrophobia, children)