Magnetic Resonance Imaging-Guided Spine Interventions

Magn Reson Imaging Clin N Am. 2015 Nov;23(4):523-32. doi: 10.1016/j.mric.2015.05.007. Epub 2015 Jul 6.


MR imaging-guided interventions for treatment of low back pain and for diagnosis and treatment of soft tissue and bony spinal lesions have been shown to be feasible, effective, and safe. Advantages of this technique include the absence of ionizing radiation, the high tissue contrast, and multiplanar imaging options. Recent advancements in MR imaging systems allow improved image qualities and real-time guidance. One exciting application is MR imaging-guided cryotherapy of spinal lesions, including treating such lesions as benign osteoid osteomas and malignant metastatic disease in patients who are not good surgical candidates. This particular technique shows promise for local tumor control and pain relief in appropriate patients.

Keywords: Cryotherapy; Epidural steroid injection; Low back pain; MR imaging–guided spine intervention; Spinal nerve root block.

Publication types

  • Review

MeSH terms

  • Humans
  • Magnetic Resonance Imaging, Interventional / methods*
  • Spinal Diseases / pathology*
  • Spinal Diseases / therapy*
  • Spine / pathology*