MRI SPINE CLINICAL GRAND ROUNDS

20 Credit Hours

CE / CME Credit Information (Important)

CE Credits are for Doctors of Chiropractic.
CME Credits are for Medical Doctors and Doctors of Chiropractic.

*Please note: this course is approved for 5 CE Hours in New Hampshire.
**Please note: this course is approved for 10 CE Hours in Texas.
***Please note: this course is not approved for CE Hours in California.

MRI Spine Clinical Grand Rounds

Advanced Case-Based MRI Interpretation & Documentation (20 Hours)

If you already know the basics of MRI spine interpretation, this is the course that makes you clinically faster, more accurate, and more consistent—case after case.

MRI Spine Clinical Grand Rounds is a high-repetition, case-driven training program engineered to help you confidently identify normal anatomy vs. pathology, master sequence-based interpretation, and document findings in a way that co-treating providers can instantly understand.

This is not theory-heavy. It’s real MRI cases, reviewed in a structured, methodical format—designed to build pattern recognition through repetition.

Who This Course Is For

This program is designed for clinicians who:

• Already understand the fundamentals of MRI spine interpretation

• Want more speed and confidence with cervical and lumbar MRI

• Need a repeatable approach to identifying pathology and documenting clinically meaningful findings

• Collaborate with other providers and want reporting that communicates clearly and professionally

What You’ll Learn (Clinical Outcomes)

By the end of this course, you’ll be able to:

✅ Interpret cervical and lumbar MRI using a consistent sequencing strategy (STIR, T1, T2, axial + sagittal)
✅ Identify and document:

• Disc pathology (bulges, protrusions, extrusions, sequestration patterns)

• Central canal and neural foraminal stenosis (with grading concepts)

• Thecal sac abutment and nerve root compression patterns

• Ligamentous involvement (including ligamentum flavum and posterior longitudinal ligament)
  ✅ Differentiate recent vs. older trauma using edema signal patterns across sequences
  ✅ Recognize critical landmarks (organ, vessel, musculature) and avoid common interpretation pitfalls
  ✅ Document findings using language and structure that supports clinical decision-making and interprofessional communication

What Makes This Course Different

Case-After-Case Repetition (Pattern Recognition Training)

This course is intentionally structured to deliver module after module of clinically relevant cases, so you build the “visual library” clinicians need to reliably distinguish normal vs. pathological imaging.

Sequencing-First Interpretation

Every module reinforces how to read the study based on image acquisition, so you don’t miss pathology due to poor sequencing or incomplete imaging.

Documentation Engineered for Co-Treating Providers

This is not just about seeing pathology—it’s about documenting it so that other providers can understand, confirm, and act on your findings.

Course Format & Time

• 10 Modules

• 90 minutes each

• Total: 20 Hours

Curriculum (10 Modules / 20 Hours Total)

Module 1 (90 Minutes)

Sequencing Fundamentals + Core Landmarks
Case study reviewing interpretation sequencing of STIR, T1, T2, axial and sagittal acquisitions. Landmarks, physics, and literature-based definitions of disc and osseous pathology. Visualizing, diagnosing, and documenting cervical and lumbar anatomy vs. pathology.

Module 2 (90 Minutes)

Lumbar Herniations + Canal Stenosis Grading
Case study visualizing, diagnosing, and documenting lumbar sequencing: disc herniations, neural canals, cauda equina, conus medullaris, nerve sleeves, canal stenosis grading, vertebral width vs. height for segmental remodeling, and diagnosing thecal sac abutment, central canal root compression, and ligamentum flavum involvement.

Module 3 (90 Minutes)

Cervical Interpretation + Chiari Screening
Case study visualizing, diagnosing, and documenting cervical spine sequencing: disc herniations, neural canals, vertebral width vs. height for segmental remodeling. Identifying the pons, occipital junction, and spinal cord to identify Chiari I malformations.

Module 4 (90 Minutes)

Lumbar Extrusions + Multi-Level Failure Patterns
Case study: lumbar sequencing, disc extrusion-type herniations, spondylolisthesis and degenerative spondylolisthesis, disc degeneration, root compression, central canal stenosis—varices vs. herniations, and multiple-level disc pathology with biomechanical failures.

Module 5 (90 Minutes)

Cervical Extrusions + Trauma Aging by Signal
Case study: cervical extrusions, disc degeneration, thecal sac compression, central canal stenosis, cord displacement, cervical curve reversal, Chiari I. Identifying spinal biomechanical failure in sequencing, visualizing ligamentous pathology as a cause for failure. Differential diagnosis of recent vs. older trauma using edematous signal in T1, T2, and STIR.

Module 6 (90 Minutes)

Complex Cervical Pathology + Intradural Tumor Case
Case study: multiple cervical extrusions, vertebral remodeling, intradural tumor displacing the spinal cord visualized in T1/T2/STIR, stenosis, thecal sac compression, cord displacement, reversal of cervical curve, Chiari I, and identification of inferior brain structures.

Module 7 (90 Minutes)

Three Critical Case Studies + Abdominal/Vascular Landmarks
Three case studies:

1. Improper sequence acquisitions invalidating interpretation

2. Incomplete study invalidating interpretation

3. Lumbar sequencing: multiple extrusions, vertebral remodeling, multiple thecal sac compressions, stenosis, disc osteophyte/ridging complex, central canal stenosis, spondylolisthesis.
   Plus: identifying spleen, liver, kidneys, inferior vena cava, and psoas musculature.

Module 8 (90 Minutes)

Cervical Spondylosis + Metastatic Tumor Sequencing
Case study: cervical spondylosis, pathological biomechanics, reversal of lordosis, vertebral width vs. height for remodeling, central herniation, thecal sac compression of the cord. Identifying tongue, epiglottis, hyoid cartilage, pharynx, thyroid, and reviewing fat saturation sequences for metastatic osseous tumors and advanced degeneration.

Module 9 (90 Minutes)

Degenerative Lumbar Patterns + Critical Differentials
Case study: degenerative disc disease, nerve root sleeve abutment, far lateral herniations vs. bulges, normal vs. dissected inferior vena cava aneurysm, epidural fat as a space-occupying lesion, facet arthropathy and edema, hypertrophy of ligamentum flavum, and pseudo disc at S1–S2.

Module 10 (90 Minutes)

T1 Pathology Detection + Ligamentous Injury + CSF Flow Concepts
Case studies: cervical sequencing utilizing T1 weighted images for pathology, including advanced degeneration and tumor detection. STIR fat-saturation for ligamentous pathology (posterior longitudinal ligament, ligamentum flavum, interspinal ligaments). Normal clivus/odontoid for cerebellar tonsil location. CSF flow and utilization of the spinal cord’s central canal for CSF transport.

Course Objective

Identify spinal lesions through advanced imaging and triage patients accordingly.

Faculty

Mark Studin, DC, FPSC, FASBE(C), DAAPM

Patricia Roche, DO — Radiology / Neuroradiology

This course is taught by experienced clinicians with advanced training in spine imaging, interpretation, and documentation standards—focused on real-world application.

Ready to Sharpen Your Interpretation and Documentation?

If you’ve mastered the fundamentals and you want pattern recognition, sequencing certainty, and documentation clarity—MRI Spine Clinical Grand Rounds is built for you.

➡️ Enroll now to begin progressing case-by-case through cervical and lumbar interpretation at a true advanced level.

FAQ (Optional Add-On for Conversion)

Is this course for beginners?
No. This course is designed for clinicians who already understand basic MRI spine interpretation and want advanced case repetition and documentation structure.

Do you cover both cervical and lumbar MRI?
Yes—throughout all modules, with progressive complexity and multiple case formats.

Will this improve my documentation?
Yes. Each module includes clear instruction on documenting findings so co-treating providers can understand your interpretation across complete sequences.

Instructions: Once you purchase the course online, it will be immediately active in your account. If you have any issues, please contact Cara 631-804-2845 or CaraRoss220@Gmail.com

 Troubleshooting Suggestions: 

1. This course is supported by PC's and Mac devices
2. Minimum 20mbs download speed
3. Mobile device are not ideal as tracking is automated and often not mobilized

ACCREDITATION

This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of the University at Buffalo Jacobs School of Medicine and Biomedical Sciences and Cleveland University Kansas City, College of Chiropractic, Post-Graduate Department.

The University at Buffalo Jacobs School of Medicine and Biomedical Sciences is accredited by the ACCME to provide continuing medical education for physicians.

CERTIFICATION

The University at Buffalo Jacobs School of Medicine and Biomedical Sciences designates this live activity for a maximum of 20.0 AMA PRA Category 1 Credit(s)TM.  Physicians should claim only the credit commensurate with the extent of their participation in the activity.

PLANNING COMMITTEE & SPEAKER DECLARATIONS

The Accreditation Council for Continuing Medical Education (ACCME) and the University at Buffalo Jacobs School of Medicine and Biomedical Sciences Standards for Commercial Support require that presentations are free of commercial bias and that any information regarding commercial products/services be based on scientific methods generally accepted by the medical community. The following planners and presenter(s) have disclosed financial interest/arrangements or affiliations with organization(s) that could be perceived as a real or apparent conflict of interest in the context of the subject of their presentation(s). Only the current arrangements/interests are included. *Planning Committee

Activity Director and Instructor:

Mark Studin DC, FASBE, DAAPM – Nothing to Report

Patricia Roche DO, Radiology, Neuroradiology – Nothing to Report

ACCME Standards of Commercial Support of CME require that presentations be free of commercial bias and that any information regarding commercial products/services be based on scientific methods generally accepted by the medical community. When discussing therapeutic options, faculty are requested to use only generic names. If they use a trade name, then those of several companies should be used. If a presentation includes discussion of any unlabeled or investigational use of a commercial product, faculty are required to disclose this to the participants.

ACCME Original Launch Date: October 2, 2020 Termination Date: October 2, 2023