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DOI: 10.1055/s-0044-1779311
Efficacy of Dynamic Magnetic Resonance Imaging in the Diagnosis of Degenerative Cervical Myelopathy: Systematic Review Protocol*
Article in several languages: português | English Financial Support The present research has received no specific funding from agencies in the public, commercial, or not-for-profit sectors.

Abstract
Cervical degenerative myelopathy (CDM) is a cervical spine condition resulting in clinical manifestations of spinal cord compression related to the chronic, non-traumatic, and progressive narrowing of the cervical spinal canal. Conventional magnetic resonance imaging (MRI) is the gold standard test to diagnose and assess the severity of CDM. However, the patient is in a neutral and static position during the MRI scan, which may devalue the dynamic factors of CDM, underestimating the risk of spinal cord injury related to cervical spine flexion and extension movements. Dynamic MRI is a promising technique to change this scenario. Therefore, the present review aims to answer the following question: “Is dynamic MRI of the cervical spine more accurate in diagnosing CDM than conventional MRI?”. We will search for studies in the MEDLINE (via PubMed), Embase, Scopus, Web of Science, LILACS, and SciELO databases. The search strategy will contain a combination of terms related to cervical myelopathy and magnetic resonance imaging. Two independent reviewers will select studies, extract data, and assess the risk of bias. The synthesis of results will be descriptive, considering the main findings of the studies about the outcomes of interest.
Authors' Contributions
Each author contributed individually and significantly to the development of this article: VPGL – data acquisition, analysis, and interpretation; manuscript preparation; LPRO – data acquisition, analysis, and interpretation; MDSP – data analysis and interpretation; manuscript preparation and review; TPS – conception, design, and manuscript review; and CFPSH – conception, design, and manuscript review.
* Work developed at Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo, Ribeirão Preto, SP, Brazil.
Publication History
Received: 26 February 2023
Accepted: 05 May 2023
Article published online:
21 March 2024
© 2024. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution 4.0 International License, permitting copying and reproduction so long as the original work is given appropriate credit (https://creativecommons.org/licenses/by/4.0/)
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