Skip to main content
Advertisement

Main menu

  • Home
  • Content
    • Current Issue
    • Accepted Manuscripts
    • Article Preview
    • Past Issue Archive
    • AJNR Case Collection
    • Case of the Week Archive
    • Classic Case Archive
    • Case of the Month Archive
  • Special Collections
    • Spinal CSF Leak Articles (Jan 2020-June 2024)
    • 2024 AJNR Journal Awards
    • Most Impactful AJNR Articles
  • Multimedia
    • AJNR Podcast
    • AJNR Scantastics
    • Video Articles
  • For Authors
    • Submit a Manuscript
    • Author Policies
    • Fast publishing of Accepted Manuscripts
    • Graphical Abstract Preparation
    • Manuscript Submission Guidelines
    • Imaging Protocol Submission
    • Submit a Case for the Case Collection
  • About Us
    • About AJNR
    • Editorial Board
  • More
    • Become a Reviewer/Academy of Reviewers
    • Subscribers
    • Permissions
    • Alerts
    • Feedback
    • Advertisers
    • ASNR Home
  • Other Publications
    • ajnr

User menu

  • Alerts
  • Log in

Search

  • Advanced search
American Journal of Neuroradiology
American Journal of Neuroradiology

American Journal of Neuroradiology

ASHNR American Society of Functional Neuroradiology ASHNR American Society of Pediatric Neuroradiology ASSR
  • Alerts
  • Log in

Advanced Search

  • Home
  • Content
    • Current Issue
    • Accepted Manuscripts
    • Article Preview
    • Past Issue Archive
    • AJNR Case Collection
    • Case of the Week Archive
    • Classic Case Archive
    • Case of the Month Archive
  • Special Collections
    • Spinal CSF Leak Articles (Jan 2020-June 2024)
    • 2024 AJNR Journal Awards
    • Most Impactful AJNR Articles
  • Multimedia
    • AJNR Podcast
    • AJNR Scantastics
    • Video Articles
  • For Authors
    • Submit a Manuscript
    • Author Policies
    • Fast publishing of Accepted Manuscripts
    • Graphical Abstract Preparation
    • Manuscript Submission Guidelines
    • Imaging Protocol Submission
    • Submit a Case for the Case Collection
  • About Us
    • About AJNR
    • Editorial Board
  • More
    • Become a Reviewer/Academy of Reviewers
    • Subscribers
    • Permissions
    • Alerts
    • Feedback
    • Advertisers
    • ASNR Home
  • Follow AJNR on Twitter
  • Visit AJNR on Facebook
  • Follow AJNR on Instagram
  • Join AJNR on LinkedIn
  • RSS Feeds

Welcome to the new AJNR, Updated Hall of Fame, and more. Read the full announcements.


AJNR is seeking candidates for the position of Associate Section Editor, AJNR Case Collection. Read the full announcement.

 

Research ArticleSpine

Dynamic Changes in the Dural Sac Cross-Sectional Area on Axial Loaded MR Imaging: Is There a Difference between Degenerative Spondylolisthesis and Spinal Stenosis?

H. Ozawa, H. Kanno, Y. Koizumi, N. Morozumi, T. Aizawa, T. Kusakabe, Y. Ishii and E. Itoi
American Journal of Neuroradiology June 2012, 33 (6) 1191-1197; DOI: https://doi.org/10.3174/ajnr.A2920
H. Ozawa
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
H. Kanno
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Y. Koizumi
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
N. Morozumi
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
T. Aizawa
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
T. Kusakabe
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Y. Ishii
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
E. Itoi
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • Article
  • Figures & Data
  • Info & Metrics
  • Responses
  • References
  • PDF
Loading

Article Figures & Data

Figures

  • Tables
  • Fig 1.
    • Download figure
    • Open in new tab
    • Download powerpoint
    Fig 1.

    The measurement of DCSA on conventional MR imaging and axial loaded MR imaging in representative patients with SpS (A and C) and DS (B and D). The white lines indicate the outlines of the DCSA. In the first patient with SpS, the DCSA changed from 67 (A) to 41 mm2 (C) due to the axial loading. In the second patient with DS, the DCSA changed from 52 (B) to 25 mm2 (D).

  • Fig 2.
    • Download figure
    • Open in new tab
    • Download powerpoint
    Fig 2.

    The values of DCSA for conventional MR imaging and axial loaded MR imaging at the most constricted intervertebral levels for each patient in the SpS (A) and the DS (B) groups. The Pearson correlation coefficients between conventional MR imaging and axial loaded MR imaging were 0.97 in the SpS group and 0.88 in the DS group (P < .001).

  • Fig 3.
    • Download figure
    • Open in new tab
    • Download powerpoint
    Fig 3.

    Bland-Altman plots for each patient in the SpS (A) and the DS (B) groups. The y-axis shows the difference in the DCSA between conventional MR imaging and axial loaded MR imaging (DCSA in conventional MR imaging − DCSA in axial loaded MR imaging). The x-axis shows the average of the DCSA of the conventional and axial loaded MR imaging [(DCSA in conventional MR imaging + DCSA in axial loaded MR imaging) / 2]. The solid lines indicate the mean differences in the DCSA.

  • Fig 4.
    • Download figure
    • Open in new tab
    • Download powerpoint
    Fig 4.

    Comparison of the DCSA obtained by conventional MR imaging and axial loaded MR imaging between the SpS and the DS groups. The asterisk indicates P < .05; error bars, SD.

  • Fig 5.
    • Download figure
    • Open in new tab
    • Download powerpoint
    Fig 5.

    Comparison of the change in the DCSA induced by axial loading between the SpS and the DS groups. The asterisk indicates P < .05; error bars, SD.

  • Fig 6.
    • Download figure
    • Open in new tab
    • Download powerpoint
    Fig 6.

    Comparison of the DCSA obtained by conventional MR imaging and axial loaded MR imaging between patients with >15- and ≤15-mm2 changes in the DCSA in the SpS (A) and DS (B) groups. The asterisk indicates P < .05; error bars, SD.

Tables

  • Figures
    • View popup
    Table 1:

    Comparison of baseline characteristics between SpS and DS groups

    Baseline CharacteristicsSpS Group (n = 48)DS Group (n = 40)P Valuea
    Age (yr)b68 ± 968 ± 11.730
    Sex (male)69%53%.090
    Height (cm)b161 ± 8159 ± 10.336
    Body weight (kg)b64 ± 1065 ± 13.702
    Body mass index (kg/m2)b25 ± 326 ± 4.251
    Duration of symptoms (mo)b28 ± 3439 ± 31.121
    Presence of low back pain48%50%.508
    The most constricted level.182
        L2/3\n2%\n0%
        L3/421%23%
        L4/563%75%
        L5/S115%3%
    • ↵a There are no statistically significant differences in any parameters between 2 groups.

    • ↵b Values are mean ± SD.

    • View popup
    Table 2:

    Measurements of the DCSA in all patientsa

    DCSA on Conventional MR ImagingDCSA on Axial Loaded MR Imaging
    1st Measurement56.9 ± 27.843.2 ± 29.3
    2nd Measurement54.7 ± 27.342.6 ± 28.0
    3rd Measurement54.2 ± 26.843.2 ± 28.3
    Averageb55.3 ± 26.843.2 ± 28.2
    • ↵a Values are mean ± SD (mm2).

    • ↵b Average of the 3 measurements.

    • View popup
    Table 3:

    Prevalence of a >15 mm2 change in the DCSA in SpS and DS groupsa

    SpS Group (n = 48)DS Group (n = 40)
    ≤15 mm2 change in the DCSA40 (83.3%)15 (37.5%)
    >15 mm2 change in the DCSA8 (16.7%)25 (62.5%)
    • ↵a There is a significant difference (χ2 test, P < .001; odds ratio, 8.33).

PreviousNext
Back to top

In this issue

American Journal of Neuroradiology: 33 (6)
American Journal of Neuroradiology
Vol. 33, Issue 6
1 Jun 2012
  • Table of Contents
  • Index by author
Advertisement
Print
Download PDF
Email Article

Thank you for your interest in spreading the word on American Journal of Neuroradiology.

NOTE: We only request your email address so that the person you are recommending the page to knows that you wanted them to see it, and that it is not junk mail. We do not capture any email address.

Enter multiple addresses on separate lines or separate them with commas.
Dynamic Changes in the Dural Sac Cross-Sectional Area on Axial Loaded MR Imaging: Is There a Difference between Degenerative Spondylolisthesis and Spinal Stenosis?
(Your Name) has sent you a message from American Journal of Neuroradiology
(Your Name) thought you would like to see the American Journal of Neuroradiology web site.
CAPTCHA
This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.
Cite this article
H. Ozawa, H. Kanno, Y. Koizumi, N. Morozumi, T. Aizawa, T. Kusakabe, Y. Ishii, E. Itoi
Dynamic Changes in the Dural Sac Cross-Sectional Area on Axial Loaded MR Imaging: Is There a Difference between Degenerative Spondylolisthesis and Spinal Stenosis?
American Journal of Neuroradiology Jun 2012, 33 (6) 1191-1197; DOI: 10.3174/ajnr.A2920

Citation Manager Formats

  • BibTeX
  • Bookends
  • EasyBib
  • EndNote (tagged)
  • EndNote 8 (xml)
  • Medlars
  • Mendeley
  • Papers
  • RefWorks Tagged
  • Ref Manager
  • RIS
  • Zotero
0 Responses
Respond to this article
Share
Bookmark this article
Dynamic Changes in the Dural Sac Cross-Sectional Area on Axial Loaded MR Imaging: Is There a Difference between Degenerative Spondylolisthesis and Spinal Stenosis?
H. Ozawa, H. Kanno, Y. Koizumi, N. Morozumi, T. Aizawa, T. Kusakabe, Y. Ishii, E. Itoi
American Journal of Neuroradiology Jun 2012, 33 (6) 1191-1197; DOI: 10.3174/ajnr.A2920
del.icio.us logo Twitter logo Facebook logo Mendeley logo
  • Tweet Widget
  • Facebook Like
  • Google Plus One
Purchase

Jump to section

  • Article
    • Abstract
    • ABBREVIATIONS:
    • Materials and Methods
    • Results
    • Discussion
    • Conclusions
    • Acknowledgments
    • Footnotes
    • References
  • Figures & Data
  • Info & Metrics
  • Responses
  • References
  • PDF

Related Articles

  • No related articles found.
  • PubMed
  • Google Scholar

Cited By...

  • Increased Facet Fluid Predicts Dynamic Changes in the Dural Sac Size on Axial-Loaded MRI in Patients with Lumbar Spinal Canal Stenosis
  • Crossref (19)
  • Google Scholar

This article has been cited by the following articles in journals that are participating in Crossref Cited-by Linking.

  • Guideline summary review: an evidence-based clinical guideline for the diagnosis and treatment of degenerative lumbar spondylolisthesis
    Paul G. Matz, R.J. Meagher, Tim Lamer, William L. Tontz, Thiru M. Annaswamy, R. Carter Cassidy, Charles H. Cho, Paul Dougherty, John E. Easa, Dennis E. Enix, Bryan A. Gunnoe, Jack Jallo, Terrence D. Julien, Matthew B. Maserati, Robert C. Nucci, John E. O'Toole, Karie Rosolowski, Jonathan N. Sembrano, Alan T. Villavicencio, Jens-Peter Witt
    The Spine Journal 2016 16 3
  • Changes in lumbar spondylolisthesis on axial-loaded MRI: do they reproduce the positional changes in the degree of olisthesis observed on X-ray images in the standing position?
    Haruo Kanno, Hiroshi Ozawa, Yutaka Koizumi, Naoki Morozumi, Toshimi Aizawa, Yushin Ishii, Eiji Itoi
    The Spine Journal 2015 15 6
  • Management of symptomatic degenerative low-grade lumbar spondylolisthesis
    Nick Evans, Michael McCarthy
    EFORT Open Reviews 2018 3 12
  • ChatGPT versus NASS clinical guidelines for degenerative spondylolisthesis: a comparative analysis
    Wasil Ahmed, Michael Saturno, Rami Rajjoub, Akiro H. Duey, Bashar Zaidat, Timothy Hoang, Mateo Restrepo Mejia, Zachary S. Gallate, Nancy Shrestha, Justin Tang, Ivan Zapolsky, Jun S. Kim, Samuel K. Cho
    European Spine Journal 2024 33 11
  • Initial Assessment of a Prototype 3D Cone-Beam Computed Tomography System for Imaging of the Lumbar Spine, Evaluating Human Cadaveric Specimens in the Upright Position
    Robyn Melanie Benz, Dorothee Harder, Felix Amsler, Johannes Voigt, Andreas Fieselmann, Anna Lucja Falkowski, Bram Stieltjes, Anna Hirschmann
    Investigative Radiology 2018 53 12
  • Imaging in mechanical back pain: Anything new?
    Bjarke Brandt Hansen, Philip Hansen, John A. Carrino, Gilles Fournier, Zoreh Rasti, Mikael Boesen
    Best Practice & Research Clinical Rheumatology 2016 30 4
  • Effects of spine loading in a patient with post-decompression lumbar disc herniation: observations using an open weight-bearing MRI
    Niladri Kumar Mahato, Daryl Sybert, Tim Law, Brian Clark
    European Spine Journal 2017 26 S1
  • An increase in the degree of olisthesis during axial loading reduces the dural sac size and worsens clinical symptoms in patients with degenerative spondylolisthesis
    Haruo Kanno, Toshimi Aizawa, Hiroshi Ozawa, Yutaka Koizumi, Naoki Morozumi, Eiji Itoi
    The Spine Journal 2018 18 5
  • Dynamic morphometric changes in degenerative lumbar spondylolisthesis: A pilot study of upright magnetic resonance imaging
    Raphaële Charest-Morin, Honglin Zhang, Jason R. Shewchuk, David R. Wilson, Amy E. Phillips, Michael Bond, John Street
    Journal of Clinical Neuroscience 2021 91
  • Diagnostic value of a new axial loading MRI device in patients with suspected lumbar spinal stenosis
    Xingyu Fang, Jialin Li, Liwei Wang, Lin Liu, Wei Lv, Zhiquan Tang, Daifeng Gao
    European Radiology 2023 33 5

More in this TOC Section

  • Bern Score Validity for SIH
  • MP2RAGE 7T in MS Lesions of the Cervical Spine
  • Deep Learning for STIR Spine MRI Quality
Show more Spine

Similar Articles

Advertisement

Indexed Content

  • Current Issue
  • Accepted Manuscripts
  • Article Preview
  • Past Issues
  • Editorials
  • Editors Choice
  • Fellow Journal Club
  • Letters to the Editor

Cases

  • Case Collection
  • Archive - Case of the Week
  • Archive - Case of the Month
  • Archive - Classic Case

Special Collections

  • Special Collections

Resources

  • News and Updates
  • Turn around Times
  • Submit a Manuscript
  • Author Policies
  • Manuscript Submission Guidelines
  • Evidence-Based Medicine Level Guide
  • Publishing Checklists
  • Graphical Abstract Preparation
  • Imaging Protocol Submission
  • Submit a Case
  • Become a Reviewer/Academy of Reviewers
  • Get Peer Review Credit from Publons

Multimedia

  • AJNR Podcast
  • AJNR SCANtastic
  • Video Articles

About Us

  • About AJNR
  • Editorial Board
  • Not an AJNR Subscriber? Join Now
  • Alerts
  • Feedback
  • Advertise with us
  • Librarian Resources
  • Permissions
  • Terms and Conditions

American Society of Neuroradiology

  • Not an ASNR Member? Join Now

© 2025 by the American Society of Neuroradiology All rights, including for text and data mining, AI training, and similar technologies, are reserved.
Print ISSN: 0195-6108 Online ISSN: 1936-959X

Powered by HighWire