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Table 1 Pfirrmann grades of disc degeneration

From: Ultrashort time-to-echo T2* and T2* relaxometry for evaluation of lumbar disc degeneration: a comparative study

Grade

Structure

Distinction of nucleus and annulus

Signal intensity

Height of intervertebral disc

I

Homogeneous, bright white

Clear

Hyperintense, isointense to cerebrospinal fluid

Normal

II

Inhomogeneous with or without horizontal bands

Clear

Hyperintense, isointense to cerebrospinal fluid

Normal

III

Inhomogeneous, gray

Unclear

Intermediate

Normal to slightly decreased

IV

Inhomogeneous, gray to black

Lost

Intermediate to hypointense

Normal to moderately decreased

V

Inhomogeneous, black

Lost

Hypointense

Collapsed disc space