Table 1:

The modified Pfirrmann grading of disk degeneration

GradeStructureDistinction of Nucleus Pulposus and Annulus FibrosusSignal IntensityHeight of Intervertebral Disk
IHomogeneous, bright whiteClearHyperintenseNormal
IIInhomogeneous with or without horizontal bandsClearHyperintenseNormal
IIIInhomogeneous, grayUnclearIntermediateNormal-to-slight decrease
IVInhomogeneous, gray to blackLostIntermediate to hypointenseNormal-to-moderate decrease
VInhomogeneous, blackLostHypointenseCollapsed disk space