Black Disc

The term "Black Disc" refers to the phenomenon of a dark, and thus hypointense-appearing, intervertebral disc on the T2-weighted sequence in MRI.

Pathophysiology

Over the course of life, the nucleus of the intervertebral disc becomes dehydrated and loses water. On MRI, this disc appears black, hence the term "Black Disc." The causes of this process are genetic factors, metabolic changes, and external loading.

Imaging

On MRI imaging, a "Black Disc" appears with decreased signal on T2-weighted imaging[^1] [^2].

Black Disc MRI
Visualization of the black disc phenomenon on a sagittal T2 sequence of the lumbar spine.

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