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. 2021 Mar 8;94(1121):20201438. doi: 10.1259/bjr.20201438

Table 2.

The grading system for degenerative disc disease (modified from21)

Grade for study Grade from paper Signal from nucleus and inner fibres of anulus Distinction between inner and outer fibres of anulus at posterior aspect of disc Height of disc
1 1 Uniformly hyperintense (=CSF) Distinct Normal
1 2 Hyperintense (>presacral fat;<CSF) ± hypointense intranuclear cleft Distinct Normal
1 3 Hyperintense (<presacral fat) Distinct Normal
2 4 Mildly hyperintense (slightly >outer fibres of anulus) Indistinct Normal
2 5 Hypointense (=outer fibres of anulus) Indistinct Normal
3 6 Hypointense Indistinct <30% reduction disc height
4 7 Hypointense Indistinct 30–60% reduction disc height
4 8 Hypointense Indistinct >60% reduction disc height

CSF, cerebrospinal fluid.