 role of MRI spine in pod spine. Author is Dr. Shubu Malani and co-author is my son, Dr. Vajra, Dr. Ajavari. I'm second year M.D. radio diagnosis student in GMSA Ornbad. The study of the MR appearances of the TB spine to evaluate the role of MRI as an investigation modality in tuberculosis of the spine and to observe its value in early diagnosis and management to evaluate the role of MRI in determining the extent of spinal tuberculosis as compared to brain radiography. Introduction the tuberculosis of the spine is an infection by the mycobacterium tuberculosis involving one more, one and more components of the spine, namely the vertebra, the vertebral disc, paraspinal soft tissues and epidural space. The early recognition and pro treatment are therefore necessary to minimize the residual spinal deformity or permanent neurological deficit. The spinal TB is the most clinically important form of the extra pulmonary tuberculosis as it may produce serious neurological sequelae due to the competition of the spinal cord as a result of this itself as well as the results in deformity. Materials and method. The study was done from 2020 to 2023 in 30 patients diagnosed with the tuberculosis of the spine. The diagnosis was established on the basis of at least one of the following criteria. The histological, histological evidence of the cassitin, granuloma, the histological demonstration of the acid first basilar in the lesion, the growth of mycobacterium on the culture of the tissue. The satisfactory therapeutic response to the chemotherapy in patients with the clinical or the radiological evidence of the spinal TB. Plain radiographs and the MRI of the spine were carried out in all the patients. The MRI was done using 3 tesla G-16. The MRI was featured where MRI features were observed on T1-mated and T2-mated and star and post contrast by gadolinium contrast and T1 sequences with the sections in the sedative coronal and axioplans. The features on the plane radiographs and MRI were compared. In my study, the 30 patients in the results were evaluated as per following parameters, the comparison of X-ray and the more findings, the clinical features, the vertebral level, the types of vertebral lesions. According to clinical features, patients are classified on the basis of the clinical features. The most common feature of the patient being back pain, which is around 80% of the patient. Second being the spinal deformity, which is 46%, a third being the fever, which is 36% and fourth being parapheresis and bravulator involvement. The most common vertebral level involved is the dorsal vertebra followed by the lumbar vertebra and the rare vertebra involved are the cervical vertebras and multiple levels as described here. The types of vertebral lesions, the most common type of lesion being the paradiscal, a second common being the central and followed by the posterior elements and the anterior some ligaments. The comparison between the plane radiographs and the MRI findings of the studies we have done, where the plane radiographs, we can see the findings pick up in this most patient and in MRI the findings were picked up in this much patient. So, the level of involvement as we can see here in this chart discussion, the plane radiograph features, the spread of infection is typically described as subligamentus beneath the anterior longitudinal ligament. Usually, spreading the posterior elements and often involve multiple levels, the reduction in the vertebral height is often seen in the irregularity of the anterior superior end plate due to subligamentus. There may be some irregularity of the anterior vertebral margin. This is classical appearance with the TB spondylysis. The ivory vertebrae can result with the ossifications or the associated features include gimpus deformity and vertebral planar. As with other extraordinary TB, the chest feel may be unrevealed in no permanent lesion seen in up to 50% of cases with the source being the primary lung lesion that is clinically silent. The MRI features the occipital pleuses of the spine are as follows. The vertical body end plate involvement appears as heterogeneously enhancing end plate irregularity on the post-conference sequences. The vertebral lesions appear hyperintensive on T1 weighted images, hyperintensive on T2 weighted images and shows heterogeneous enhancement in post-conference T1 weighted images. The marrow edema appears as hyperintensive areas on T2 weighted and stir images. The intervertebral disc involvement appears hyperintensive on T1 weighted and hyperintensive on T2 weighted images and shows heterogeneous enhancement on post-conference T1 weighted images. The pre-vertical, paravirtical and sauced abscesses appear as heterogeneous lesion with peripheral enhancement and central non-enhancing hyperintensive areas on post-conference T1 weighted images. The granulation tissue appears heterogeneously enhancing soft tissue on post-conference T1 weighted images. Here we can see the case one. We have the images of the 44 year old male showing the hyperintense at the level of L3 vertebra. Here we can see the hyperintense at the level of L3 vertebral lesion in T1 weighted sag and core sections. The same images appear as hyperintense on T2 weighted images. Pre- or paravirtical abscesses are noted. Here we can see the image of 75 year old female patient showing hyperintense lesion involving D9 and D10 vertebra on T1 weighted images and hyperintense on T2 weighted images. Now the post-conference T1 shows enhancing margins of the bony erosions with the enhancing granulation tissue. Here we can see in these images. Here we can see the images of the 10 year old male showing the erosions of the D8 and D11 vertebral body with the waging of the disk space obliterating at the level of D10 and D11. The pre-vertebrate and bilateral paravirtical abscesses we can see here. Now the post-conference T1 weighted images show enhancement in the margins of the abscesses and also the margins of the area of erosions of the vertebral bodies. Here we can see the case four where the images of the 11 year old female patient showing the kyphos coliotic deformation involving L1 and L2 vertebral bodies. My co-intense areas are in the L1 and L2 vertebral bodies on T1 weighted images, same lesion type as hyperintense on T2 weighted images. The pre-vertebrate and paravirtical abscesses are noted. Case four post-operative X-rays. Here we can see the post-operative cases of these same patients. The case five being the images of the 13 year old female showing the large pre-vertebral collection. Here we can see the collection in these images, large vertebral collection, likely abscesses. Hyperintense areas in C1, C2 and C3 vertebral bodies are erosions. No erosive in spinal cord environment is noted. Here we can see the sparing of the spinal cord. The outcome of this study shows the most common clinical features is a back pain followed by the deformity with the most patient being of April. The most common vertebrae involved is dorsal followed by lumbar and cervical with the sacroiliac being the least involved. The parandiscal type of the vertebral lesion is a common there central and rarely it involves osteoarthritis elements. On comparing both of the modalities, bone destruction is equally assessed whereas the soft tissue involvement extent of the lesion, the type of lesion and four disc involvement are better visualized on MRI. The conclusion being it helps in early diagnosis and therefore management. The MRI offers the excellent visualization of the bone and soft tissue components on the spine tuberculosis helps to identify the disease and distance asymptomatic sites. The MRI imaging clearly demonstrates the extent of the soft tissue disease and it affects the ethical cord or foramen.