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©The Author(s) 2025. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Radiol. Nov 28, 2025; 17(11): 114451
Published online Nov 28, 2025. doi: 10.4329/wjr.v17.i11.114451
Published online Nov 28, 2025. doi: 10.4329/wjr.v17.i11.114451
Magnetic resonance tractography of the cervical spine: Toward routine clinical use
Arosh S Perera Molligoda Arachchige, Faculty of Medicine, Humanitas University, Pieve Emanuele 20072, Lombardy, Italy
Author contributions: Perera Molligoda Arachchige AS read and approved the final version of the manuscript to be published.
Conflict-of-interest statement: The author has no conflicts of interest to declare.
Open Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Arosh S Perera Molligoda Arachchige, MD, Faculty of Medicine, Humanitas University, Via Rita Levi Montalcini 4, Pieve Emanuele 20072, Lombardy, Italy.
Received: September 19, 2025
Revised: October 21, 2025
Accepted: October 29, 2025
Published online: November 28, 2025
Processing time: 69 Days and 3.9 Hours
Revised: October 21, 2025
Accepted: October 29, 2025
Published online: November 28, 2025
Processing time: 69 Days and 3.9 Hours
Core Tip
Core Tip: A rapid two-minute diffusion tensor imaging sequence enables cervical spinal cord tractography during routine magnetic resonance imaging (MRI). Supsupin et al demonstrate that distinct fractional anisotropy and mean diffusivity patterns reveal microstructural injury in contusion, metastasis, degenerative myelopathy, and multiple sclerosis – lesions that may appear less conspicuous on conventional MRI. Their work shows how tractography can support diagnosis, surgical planning, and longitudinal follow-up.