CSA quantification | Recommendation | Alternative |
---|---|---|
Which MRI acquisition? | Dedicated cervical cord MRI incl. isotropic 3D T1w Pro: best CSA repeatability Con: long duration of brain and cervical cord MRI |
brain MRI incl. sagittal 3D T1w to cover the upper cervical cord Pro: Patient comfort/shorter MRI duration; only minor loss of CSA repeatability in brain MRI at C1–C2 Con: limited to upper cervical cord levels |
Which vertebral level? | Entire cervical cord (C1–C7) Pro: best CSA repeatability Con: averaging of regional changes |
Regional cervical cord sections (e.g., C1–C2) Con: repeatability of CSA slightly reduced |