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L A Sether

Publications and source records attributed to L A Sether.

20 records · Page 2Linked to original sources

Fibrous structure in the intervertebral disk: correlation of MR appearance with anatomic sections.

To correlate the MR appearance of the disk with its fibrous structure, we studied the lumbar intervertebral disks in 10 cadavers with MR, CT, cryomicrotome anatomic sections, and, in selected disks, with histologic and dried sections. In MR images the predominantly fibrous tissues such as Sharpey's fibers had a low signal intensity while the fibrocartilagenous tissues with a mucoid matrix in the intervertebral disk had a high signal intensity. In the equator of the adult disk was a well-defined fibrous plate that contained collagenous, elastic, and reticular fibers with little ground substance. This plate appeared to develop progressively from the periphery of the nucleus toward the center, starting in the second decade of life. The fibrous plate was also distinguished as a lower signal intensity in the MR images.

Adult↗

Tears of the anulus fibrosus: correlation between MR and pathologic findings in cadavers.

Tears of the anulus fibrosus, which have been implicated in back pain, have not been studied systematically with MR imaging. We correlated MR images with cryomicrotome sections to study the lumbar anulus fibrosus in 20 cadavers. Three distinct types of tears of the anulus were identified: concentric tears, characterized by fluid-filled spaces between adjacent lamellae; radial tears, characterized by a rupture of all layers in the anulus between the nucleus and the surface of the disk; and transverse tears, characterized by a rupture of Sharpey's fibers in the periphery of the anulus, near the ring apophysis. In each type, fluid or mucoid material was present in the tear. MR demonstrated the transverse and radial tears. We conclude that MR imaging provides an accurate means for investigating tears of the anulus.

Cadaver↗