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AJNR Awards, New Junior Editors, and more. Read the latest AJNR updates

Research ArticleSpineE

Clinical Correlation of a New MR Imaging Method for Assessing Lumbar Foraminal Stenosis

H.-J. Park, S.S. Kim, S.-Y. Lee, N.-H. Park, M.-H. Rho, H.-P. Hong, H.-J. Kwag, S.-H. Kook and S.-H. Choi
American Journal of Neuroradiology May 2012, 33 (5) 818-822; DOI: https://doi.org/10.3174/ajnr.A2870
H.-J. Park
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S.S. Kim
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S.-Y. Lee
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N.-H. Park
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M.-H. Rho
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H.-P. Hong
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H.-J. Kwag
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S.-H. Kook
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S.-H. Choi
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  • Fig 1.
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    Fig 1.

    A and B, The Lee system grade 2 and the Wildermuth system grade 2. T2-weighted images of a 39-year-old man and a 64-year-old man show narrowing of the vertical and transverse width of neural foramina in the left L5–S1 and the right L5–S1. Decreased intervertebral disk space, thickened ligamentum flavum, and disk protrusions are seen (arrows). Perineural fat obliteration is also seen, but nerve root deformity is not noted.

  • Fig 2.
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    Fig 2.

    The Lee system grade 3 and the Wildermuth system grade 3. T1-weighted image of an 82-year-old woman revealing marked narrowing of the vertical and transverse width of neural foramina at L5–S1. Decreased intervertebral disk space, thickened ligamentum flavum, and disk protrusions are seen (arrows). The nerve root is collapsed and deformed compared with another nerve root at a different level.

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    Fig 3.

    The Lee system grade 0 and the Wildermuth system grade 1 foraminal stenosis. T2-weighted sagittal image of a 78-year-old woman shows a normal nerve root without compression but mild narrowing of the foramen in the right L4–5. The arrow indicates the protruded disk.

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    Fig 4.

    The Lee system grade 1 and the Wildermuth system grade 2. T1-weighted image of a 54-year-old man shows narrowing of the vertical width of the neural foramen and decreased intervertebral disk space in the left L5–S1 (arrows). Partial perineural fat obliteration is noted, but deformity of the nerve root is not seen.

Tables

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    Table 1:

    Incidence of grades for the Lee system

    Grade 0Grade 1Grade 2Grade 3Total
    Reader 156198891
    Reader 265128691
    • View popup
    Table 2:

    Incidence of grades for the Wildermuth system

    Grade 0Grade 1Grade 2Grade 3Total
    Reader 1501618791
    Reader 260818391
    • View popup
    Table 3:

    Rs for lumbar foraminal stenosisa

    ObserverL System vs W SystemL System vs W SystemW System vs PNM
    Reader 10.8880.7510.800
    Reader 20.8850.7510.680
    • Note:—L system indicates Lee system; W system, Wildermuth system.

    • ↵a The level of correlation significance was .01.

    • View popup
    Table 4:

    Rs for lumbar foraminal stenosis for patients younger than 50 years of agea

    ObserverL System vs W SystemL System vs PNMW System vs PNM
    Reader 10.9730.7110.695
    Reader 20.9850.5110.503
    • Note:—L system indicates Lee system; W system, Wildermuth system.

    • ↵a The level of correlation significance was .01.

    • View popup
    Table 5:

    Rs for lumbar foraminal stenosis for patients older than 50 years of agea

    ObserverL System vs W SystemL System vs PNMW System vs PNM
    Reader 10.8320.6120.742
    Reader 20.8410.5300.637
    • Note:—L system indicates Lee system; W system, Wildermuth system.

    • ↵a The level of correlation significance was .01.

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American Journal of Neuroradiology: 33 (5)
American Journal of Neuroradiology
Vol. 33, Issue 5
1 May 2012
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Cite this article
H.-J. Park, S.S. Kim, S.-Y. Lee, N.-H. Park, M.-H. Rho, H.-P. Hong, H.-J. Kwag, S.-H. Kook, S.-H. Choi
Clinical Correlation of a New MR Imaging Method for Assessing Lumbar Foraminal Stenosis
American Journal of Neuroradiology May 2012, 33 (5) 818-822; DOI: 10.3174/ajnr.A2870

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Clinical Correlation of a New MR Imaging Method for Assessing Lumbar Foraminal Stenosis
H.-J. Park, S.S. Kim, S.-Y. Lee, N.-H. Park, M.-H. Rho, H.-P. Hong, H.-J. Kwag, S.-H. Kook, S.-H. Choi
American Journal of Neuroradiology May 2012, 33 (5) 818-822; DOI: 10.3174/ajnr.A2870
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