MRI
Spine Evaluation
6 CE Credits
Disc Pathology on MRI: Visualize, Classify, and Age-Date Injury With Confidence
6-Hour Training + Case-Based Image Review (150+ Cases)
If you interpret spine MRIs—or rely on them for clinical, diagnostic, or injury documentation—this training gives you the practical framework to recognize disc pathology variants, confirm imaging findings, and age-date disc injuries using established physiological methods.
You’ll move from foundational disc morphology to advanced injury dating and high-volume case review, with a focus on what matters most: accuracy, reproducibility, and defensibility.
What You’ll Learn (Syllabus + Modules)
Module 1 (30 Minutes): Spinal Disc Morphology
Build the anatomical and morphological base needed to interpret disc pathology correctly.
Key takeaways: disc anatomy, structural boundaries, and morphology markers used in reporting.
Module 2 (30 Minutes): Disc Pathology Variations
Understand—and clearly differentiate—disc variations including:
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Bulge
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Protrusion
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Extrusion
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Sequestration
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Herniation subtypes
Key takeaways: consistent classification language, radiologic terminology, and common misinterpretations.
Module 3 (30 Minutes): MRI Physics
Learn the MRI essentials that directly affect disc pathology visibility.
Key takeaways: sequences, signal behavior, artifact impact, and the “why” behind what you see.
Module 4 (30 Minutes): Annular Fissures + Visualization of Disc Pathology
Identify annular fissures and the imaging patterns that support disc injury findings.
Key takeaways: recognizing fissure variants, high-intensity zones (HIZ), and correlating disc injury features.
Module 5 (30 Minutes): Disc Fragment Visualization + Image Review
Train your eye to detect fragments and understand how fragment morphology changes across cases.
Key takeaways: subtle findings, fragment migration patterns, and the “missed injury” problem.
Module 6 (30 Minutes): Spinal Cord Compressions + Image Review
Recognize cord involvement, compressive effects, and the significance of imaging findings.
Key takeaways: clinical relevance, imaging thresholds, and documentation considerations.
Module 7 (60 Minutes): 20 Physiological Methods to Age-Date Disc Pathology
This is the flagship module: a structured, teachable system for age-dating disc injury.
Key takeaways: injury timing indicators, physiological processes, acute vs. chronic differentiation, and defensible reasoning.
Module 8 (30 Minutes): Case Review — 50+ Images of Disc Focal Herniation
High-volume image review to reinforce focal herniation patterns with repetition and clarity.
Key takeaways: pattern recognition, reporting language, and diagnostic confidence.
Module 9 (30 Minutes): Case Review — 50+ Images of Disc Extrusion
Learn the imaging signatures of extrusion through extensive image review.
Key takeaways: extrusion characteristics, sequestration risk indicators, and documentation of severity.
Module 10 (30 Minutes): Case Review — 50+ Images of Herniation, Bulge + Cord Involvement
Integrated cases that combine disc pathology with spinal cord implications.
Key takeaways: mixed pathology differentiation and high-stakes interpretation precision.
Module 11 (30 Minutes): Live Questions + Answers
Bring your real-world questions—clinical, documentation, or interpretation-based.
Key takeaways: clarity, reinforcement, and practical application.
Total Training Time
✅ 6 Hours
Faculty / Instructors
This training is taught by a dual-discipline team combining spine care, documentation expertise, and advanced radiology/neuroradiology insight.
Mark Studin, DC, FPSC, FASBE(C), DAAPM
A leading voice in MRI-based spine injury interpretation, documentation strategy, and medically defensible clinical reporting.
Patricia Roche, DO, CAQ — Radiology, Neuroradiology
Board-certified physician expertise in radiology and neuroradiology, delivering advanced imaging interpretation and high-level clinical correlation.
Who This Course Is For
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Chiropractors
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Medical physicians
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Radiology-focused clinicians
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Spine care providers
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Providers managing trauma and injury-based documentation
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Professionals who must support imaging conclusions with clarity and defensibility
Outcomes You Can Expect
By the end of this 6-hour course, you’ll be able to:
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Differentiate disc pathology with precision
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Improve confidence in annular fissure and fragment detection
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Identify cord compression patterns and clinical significance
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Apply 20 physiological indicators to age-date disc pathology
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Strengthen documentation quality for clinical and medico-legal environments
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:
- This course is supported by PC's and Mac devices
- Minimum 20mbs download speed
- Mobile device are not ideal as tracking is automated and often not mobilized
This course is Pace approved by the Federation of Chiropractic Licensing Boards.