Enhancing Annular Fissures and High-Intensity Zones: Pain, Internal Derangement, and Anesthetic Response at Provocation Lumbar Discography

W.S. Bartynski; V. Agarwal; H. Trang; A.I. Bandos; W.E. Rothfus; J. Tsay; W.T. Delfyett; B. Nastasi

doi:10.3174/ajnr.A7749

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Enhancing Annular Fissures and High-Intensity Zones: Pain, Internal Derangement, and Anesthetic Response at Provocation Lumbar Discography

W.S. Bartynski, V. Agarwal, H. Trang, A.I. Bandos, W.E. Rothfus, J. Tsay, W.T. Delfyett and B. Nastasi

American Journal of Neuroradiology January 2023, 44 (1) 95-104; DOI: https://doi.org/10.3174/ajnr.A7749

W.S. Bartynski

aFrom the Department of Radiology (W.S.B., V.A., H.T., W.E.R., J.T., W.T.D., B.N.), Division of Neuroradiology, University of Pittsburgh, Presbyterian University Hospital, Pittsburgh, Pennsylvania

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V. Agarwal

aFrom the Department of Radiology (W.S.B., V.A., H.T., W.E.R., J.T., W.T.D., B.N.), Division of Neuroradiology, University of Pittsburgh, Presbyterian University Hospital, Pittsburgh, Pennsylvania

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H. Trang

aFrom the Department of Radiology (W.S.B., V.A., H.T., W.E.R., J.T., W.T.D., B.N.), Division of Neuroradiology, University of Pittsburgh, Presbyterian University Hospital, Pittsburgh, Pennsylvania

bDepartment of Radiology (H.T.), St. Clair Hospital, Pittsburgh, Pennsylvania

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A.I. Bandos

cDepartment of Biostatistics (A.I.B.), Graduate School of Public Health, University of Pittsburgh, Pittsburgh, Pennsylvania

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W.E. Rothfus

aFrom the Department of Radiology (W.S.B., V.A., H.T., W.E.R., J.T., W.T.D., B.N.), Division of Neuroradiology, University of Pittsburgh, Presbyterian University Hospital, Pittsburgh, Pennsylvania

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J. Tsay

aFrom the Department of Radiology (W.S.B., V.A., H.T., W.E.R., J.T., W.T.D., B.N.), Division of Neuroradiology, University of Pittsburgh, Presbyterian University Hospital, Pittsburgh, Pennsylvania

dDepartment of Radiology (J.T.), Cleveland Clinic, Cleveland, Ohio

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W.T. Delfyett

aFrom the Department of Radiology (W.S.B., V.A., H.T., W.E.R., J.T., W.T.D., B.N.), Division of Neuroradiology, University of Pittsburgh, Presbyterian University Hospital, Pittsburgh, Pennsylvania

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B. Nastasi

aFrom the Department of Radiology (W.S.B., V.A., H.T., W.E.R., J.T., W.T.D., B.N.), Division of Neuroradiology, University of Pittsburgh, Presbyterian University Hospital, Pittsburgh, Pennsylvania

eBrighton Radiology Associates, PC (B.N.), Monaca, Pennsylvania

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vol. 44 no. 1 95-104

DOI

https://doi.org/10.3174/ajnr.A7749

PubMed

36549846

Published By

American Journal of Neuroradiology

Print ISSN

0195-6108

Online ISSN

1936-959X

History

Received July 5, 2022
Accepted after revision November 22, 2022
Published online January 11, 2023.

Author Information

W.S. Bartynskia,
V. Agarwala,
H. Tranga,b,
A.I. Bandosc,
W.E. Rothfusa,
J. Tsaya,d,
W.T. Delfyetta and
B. Nastasia,e

^aFrom the Department of Radiology (W.S.B., V.A., H.T., W.E.R., J.T., W.T.D., B.N.), Division of Neuroradiology, University of Pittsburgh, Presbyterian University Hospital, Pittsburgh, Pennsylvania
^bDepartment of Radiology (H.T.), St. Clair Hospital, Pittsburgh, Pennsylvania
^cDepartment of Biostatistics (A.I.B.), Graduate School of Public Health, University of Pittsburgh, Pittsburgh, Pennsylvania
^dDepartment of Radiology (J.T.), Cleveland Clinic, Cleveland, Ohio
^eBrighton Radiology Associates, PC (B.N.), Monaca, Pennsylvania

Please address correspondence to Walter S. Bartynski, MD, 3920 Gift Blvd, Johns Island, SC 2945; e-mail: walter.bartynski{at}gmail.com

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W.S. Bartynski, V. Agarwal, H. Trang, A.I. Bandos, W.E. Rothfus, J. Tsay, W.T. Delfyett, B. Nastasi

Enhancing Annular Fissures and High-Intensity Zones: Pain, Internal Derangement, and Anesthetic Response at Provocation Lumbar Discography

American Journal of Neuroradiology Jan 2023, 44 (1) 95-104; DOI: 10.3174/ajnr.A7749

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Annular Fissures and Lumbar Discography

W.S. Bartynski, V. Agarwal, H. Trang, A.I. Bandos, W.E. Rothfus, J. Tsay, W.T. Delfyett, B. Nastasi

American Journal of Neuroradiology Jan 2023, 44 (1) 95-104; DOI: 10.3174/ajnr.A7749

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

Low back pain of disc, sacroiliac joint, or facet joint origin: a diagnostic accuracy systematic review

Christopher S. Han, Mark J. Hancock, Sweekriti Sharma, Saurab Sharma, Ian A. Harris, Steven P. Cohen, John Magnussen, Chris G. Maher, Adrian C. Traeger

eClinicalMedicine 2023 59
The correlation between the lumbar disc MRI high-intensity zone and discogenic low back pain: a systematic review and meta-analysis

Lei Yang, Wenhao Li, Yongdong Yang, He Zhao, Xing Yu

Journal of Orthopaedic Surgery and Research 2023 18 1
Does the high-intensity zone of lumbar intervertebral disc at magnetic resonance imaging have diagnostic value for discogenic low back pain? A meta-analysis

Lei Yang, Long He, Hai Hu, Wenhao Li, Yongdong Yang, He Zhao, Jun Wang, Xing Yu

BMC Musculoskeletal Disorders 2024 25 1
Discogenic lumbar pain due to fibrous ring rupture

A. I. Isaykin, L. T. Akhmedzhanova, N. V. Vakhnina, I. A. Isaykin

Neurology, Neuropsychiatry, Psychosomatics 2025 17 2
High-intensity zones in dogs with lumbosacral intervertebral disc degeneration: insights from MRI and histopathological findings

S. Amir Kamali, Michelle Teunissen, Dirk Hendrik Nicolaas van den Broek, Elisabeth M. Burgers, Guy C. M. Grinwis, Keita Ito, Marianna A. Tryfonidou, Björn P. Meij

Veterinary Quarterly 2025 45 1
Imaging in Spine Degenerative Joint Disease: Point—High Clinical Value of Imaging in the Correct Patient Population

Allison Grayev, Joshua Fage

American Journal of Roentgenology 2025 224 3
Prevalence and association of high-intensity lesions with degenerative processes in lumbar intervertebral discs

Zafer Soydan, Emru Bayramoğlu

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