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Anatomy Imaging of
The Spine

Sri Andreani Utomo

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Ligaments that support the vertebral

column

Ventral side:
Dorsal side:
Anterior and
posterior Important
longitudinal since these
ligaments are the
structures
your needle
will pass
through!

Ligaments

Dorsal ligaments
transversed during
neuraxial blockade.
With experience the
anesthesia provider will
be able to identify
anatomical structures
by “feel”.

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MRI – LUMBAR SPINE

AXIAL VIEW

DISC
FACET JOINTS

LAMINA

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MRI – LUMBAR SPINE

AXIAL VIEW

THECAL SAC
NERVE
ROOTS

MRI – LUMBAR SPINE

AXIAL VIEW

NERVE ROOTS

FORAMEN

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SPINE
Degenrative-LBP, nyeri pinggang, ischialgia, trauma
• Sagital T1, T2, T2Fat Sat, cor T2, axial T1, T2
(Thoracal, lumbal), axial GRE/ 2D MERGE
(Cervical)
• Canal stenosis: MR myelography

Tumor, metastase, infeksi

Sag T1, T2, T2Fat Sat, Cor T2FSE, axial T1, T2.
Kontras: Axil , sag, cor T1 + C

T1W

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T2FSE

T2Fat Sat

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Penderita anak aki2 11 th dengan keuhan leher miring ke kanan

setelah smash down dengan temannya.

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T1W + C T1W + C
Metastase

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