Sclerotic lesions of the spine: MRI assessment

J Magn Reson Imaging. 2013 Dec;38(6):1310-24. doi: 10.1002/jmri.24247. Epub 2013 Oct 2.


Sclerotic (T2 dark) lesions of the spine are infrequent and, as a result, these are often missed or misdiagnosed. Plain films may not be always available during magnetic resonance imaging (MRI) readout. Knowledge of such lesions and their imaging appearances on MRI evaluation is essential for a reader. Additionally, a systematic approach is important to accurately diagnose these lesions. In this article we discuss the various causes of spinal sclerotic lesions, describe their MRI characteristics with relevant case examples, and outline a systematic approach to their evaluation.

Keywords: diffuse; focal; sclerotic lesions; spine.

Publication types

  • Review

MeSH terms

  • Adult
  • Aged
  • Female
  • Humans
  • Image Enhancement / methods*
  • Magnetic Resonance Imaging / methods*
  • Male
  • Middle Aged
  • Sclerosis
  • Spinal Diseases / pathology*
  • Spine / pathology*
  • Young Adult