 Good evening. Myself is Dr. Sneha, Junior Resident, Department of Rhetordiagnosis from M.G. Medical College in Hospital, Kamothi, Navinuvi, Maharashtra. My topic is MRI in the early detection of the spinal tuberculosis. Now the tuberculosis point of light is also known as port 3, therefore to the vertebral body, osteomalitis and the intervertebral discitis from the tuberculosis. The spine is most frequent location of musculoskeletal tuberculosis and commonly added symptoms are the back pain and the lower limb weaknesses and the paraplegia. The spine is involved due to the hematogen spread that can occur via the RTN's veins resulting in the different pattern of the infections like NTA involvement, posterior involvement and the central involvement. Now NTA involvement spread to the RTL arcade that originally supplies the sub-frontal paradiscal bone resulting in infection anterior-superiorly and the anterior-inferiorly adjacent to the disc. In adults and particularly older individuals, the disc is conspicuously spared due to its past muscularity. In contrast in younger individuals, especially children, the disc may be involved early as it has a far richer blood supply. The gradual anterior collapse typically results in the acute kyphotic and the ribose deformity and this angulation coupled with the epidural gravitation tissue which leads to the cold compression. And the central involvement spread via the venous plexus or Bethesda typically results in the infection rising centrally within the vertebral body. More common in older individuals, it gradually collapse can result in the vertebral planar and acute kyphotic and ribose deformity which also leads to the cold compression. Posterior involvement also known as appendiceal pattern is also due to venous hematogenia spread via the posterior venous plexus. Now sinusoidal joint involvement is relatively very rare but can be seen involving the fecib joint and atlantoaxial atlantooccipital joints. Cold abscess in the late stage of the spinal tuberculosis, large perispinal abscess can develop without severe pain, frank pus or the prominent inflammatory sinus symptoms. Thus we call this cold abscess. Now the aim and objective to demonstrate, analyze and evaluate an MRI as a valuable non-invasive diagnostic tool in spinal tuberculosis and to promote its early detection. Now we have performed 30 patients with appropriate MR sequence referred to the Department of Radiology, MGM Medical College in a period of one year with clinically and imaging-wise suspected case of quarts spine. Now I have a few cases, first is a 50-year-old male long case of tuberculosis presented with a low-grade backache for five months. Now in this we can see tuberculospondylitis of L2 and L3 vertical bodies with the collapse of the L3 vertical body. We can see there is a disc-show dyschitis also, destruction and fluid intensity in this and there is an epidural abscess which is measuring in the 6 mm in the maximum thickness and we can see there is a bilateral EU source abscess is also there. Next patient 30-year-old male presenting with a back pain and tingling and numbness in both the lower limbs. In this we can see tuberculospondylitis of L3 and L4 vertical body with end plate involvement. We can see there is a disc is also involved and there is a swath abscess from L3 to lower down on the right side. Next patient 60-year-old non-case of tuberculosis presented with low backache and pain in both upper and lower limb weakness. Tuberculospondylitis of T3 vertical body and T10 to 11 vertical bodies and bilateral pedicures with reduced height of the T10. And there is a disc is also involved and this leads to also the cold compression we can see and there is a pre and paravertible collection is also there. Next patient 14-year-old male patient non-case of tuberculosis follow up after treatment. We can see there is a spondylitis of T4 to T7 vertical body and there is a total destruction of these T5 and T6 vertical bodies with posterior displacement of this vertical body compressing the spinal cord. And there is a collapse of the T4, T5, T5, T6 and T6-7 disc also and there is a paravertible collection is also there. Now results in our study we can we have seen the board span commonly affected age with mainly 20 to 40 years of the age 30 patients 17 patients had two vertebrate involvement and rest of their have 3, 4 single vertebrate also involvement is there. Mainly 55% of patients have seen thoracic spinal cord was more common than the lumbar spine and cervical and lastly the sacrum is least involved and 86% patients had involvement of vertebral and plate of which 80% have disc involvement 20% have posterior involvement and 83% patients had thical compression out of which 36 had actual cord compression which leads to the paraplegia and there is a cord it remind 20 patients. Now we have concluded MRI superior diagnosing for spine resulting short that young adults 20 to 40 years of age were commonly affected with prediction of the thoracic spine. Most cases in the study showed multiple vertebrate involvement but few can have the single vertebrate involvement using MRI it was possible to determine the cord compression, nauseous and non-nauseous involvement and the extent of the disease. Thank you so much.