What imaging modality is most appropriate for suspected Cervical Myelopathy?

• A. X-ray
• B. MRI
• C. CT Scan
• D. Ultrasound

Answer: (B)

Magnetic Resonance Imaging (MRI) is the most appropriate imaging modality for suspected Cervical Myelopathy due to its exceptional ability to visualize soft tissue structures, including the spinal cord and surrounding neural elements. The condition often involves compression of the spinal cord, which can be caused by various factors such as herniated discs, degenerative changes, or tumors. MRI provides detailed images of these soft tissues, allowing for the assessment of the degree of compression, the presence of any lesions, and the overall condition of the spinal cord.

Additionally, MRI does not involve ionizing radiation, making it a safer choice, especially for patients who may require multiple follow-up imaging studies. In contrast, while X-rays can provide information on vertebral alignment and potential bony abnormalities, they are limited in their ability to depict soft tissue changes and cannot adequately assess spinal cord compression. CT scans are helpful in evaluating bony structures more comprehensively than X-ray, but they are not as effective as MRI in visualizing soft tissue such as the spinal cord itself. Ultrasound is not typically used for evaluating the cervical spine and does not provide the level of detail required to assess myelopathy effectively. Thus, MRI stands out as the optimal choice for diagnosing and assessing Cervical