{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,7]],"date-time":"2026-08-07T16:58:41Z","timestamp":1786121921045,"version":"build-2736575974"},"reference-count":35,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,8,7]],"date-time":"2026-08-07T00:00:00Z","timestamp":1786060800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,8,7]],"date-time":"2026-08-07T00:00:00Z","timestamp":1786060800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Magnetic Resonance Imaging"],"abstract":"ABSTRACT<\/jats:title>\n \n Background<\/jats:title>\n For preoperative cervical assessment, both CT and MRI are often required for bony and soft\u2010tissue evaluation, yet CT entails radiation and MRI poorly depicts cortical bone. ZTE offers CT\u2010like contrast in one examination, but whether it correlates with CT for quantitative morphometry remains still uncertain.<\/jats:p>\n <\/jats:sec>\n \n Purpose<\/jats:title>\n To quantify ZTE\u2010CT agreement for cervical osseous morphometry and to compare ZTE with conventional MRI for depicting degenerative osseous features.<\/jats:p>\n <\/jats:sec>\n \n Study Type<\/jats:title>\n Prospective.<\/jats:p>\n <\/jats:sec>\n \n Population<\/jats:title>\n 38 consecutive surgical patients (21 men, mean age 54.3\u2009\u00b1\u200911.7\u2009years).<\/jats:p>\n <\/jats:sec>\n \n Field Strength\/Sequence<\/jats:title>\n 3.0\u2009T MRI; sagittal T1 and T2; 3D ZTE; CT.<\/jats:p>\n <\/jats:sec>\n \n Assessment<\/jats:title>\n Nine categories of cervical morphometric parameters (80 measurements per patient) were assessed using standardized anatomical landmarks; the mean and minimum of all level\u2010specific values were derived per patient for each parameter. Two radiologists independently performed quantitative measurements; three radiologists independently assigned the degenerative osseous feature best depicted on ZTE relative to conventional MRI from four predefined categories.<\/jats:p>\n <\/jats:sec>\n \n Statistical Tests<\/jats:title>\n \n Intraclass correlation coefficients (ICC) and Bland\u2013Altman analysis for quantitative measurements, and Fleiss'\n \u03ba<\/jats:italic>\n for qualitative comparison; post hoc exploratory analyses investigated unanticipated findings. A two\u2010sided\n p<\/jats:italic>\n \u2009<\u20090.05 was considered statistically significant.\n <\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n Interobserver agreement was excellent for all parameters (ICC >\u20090.98). For mean measurements, ZTE showed good\u2010to\u2010excellent agreement with CT for vertebral body height, disc height, and neuroforaminal dimensions (ICC 0.85\u20130.94). Minimum measurements showed moderate agreement overall; pedicle dimensions demonstrated low agreement with CT (ICC <\u20090.60), driven by overestimation of anatomically narrow pedicles. ZTE improved delineation of degenerative osseous features versus conventional MRI in 35 of 38 patients (92.1%; Fleiss'\n \u03ba<\/jats:italic>\n \u2009=\u20090.86).\n <\/jats:p>\n <\/jats:sec>\n \n Data Conclusion<\/jats:title>\n ZTE MRI shows strong agreement with CT for key cervical spine morphometric parameters and improves depiction of degenerative osseous changes compared with conventional MRI. However, CT may remain necessary when precise pedicle evaluation is required for surgical planning.<\/jats:p>\n <\/jats:sec>\n \n Evidence Level<\/jats:title>\n 1.<\/jats:p>\n <\/jats:sec>\n \n Technical Efficacy<\/jats:title>\n Stage 2.<\/jats:p>\n <\/jats:sec>","DOI":"10.1002\/jmri.70498","type":"journal-article","created":{"date-parts":[[2026,8,7]],"date-time":"2026-08-07T07:25:36Z","timestamp":1786087536000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Quantitative Evaluation of Cervical Spine Morphometry: Zero Echo Time\n MRI<\/scp>\n Versus Multislice\n CT<\/scp>"],"prefix":"10.1002","author":[{"given":"Xuelin","family":"Pan","sequence":"first","affiliation":[{"name":"Department of Radiology West China Hospital of Sichuan University Chengdu Sichuan China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Li","family":"Peng","sequence":"additional","affiliation":[{"name":"Department of Radiology West China Hospital of Sichuan University Chengdu Sichuan China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6289-2767","authenticated-orcid":false,"given":"Huilou","family":"Liang","sequence":"additional","affiliation":[{"name":"GE HealthCare MR Research Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tongtong","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Radiology West China Hospital of Sichuan University Chengdu Sichuan China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Siyan","family":"Zhou","sequence":"additional","affiliation":[{"name":"Department of Radiology West China Hospital of Sichuan University Chengdu Sichuan China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9788-6412","authenticated-orcid":false,"given":"Haoyang","family":"Xing","sequence":"additional","affiliation":[{"name":"Medical Imaging Laboratory, College of Physics Sichuan University Chengdu China"},{"name":"Department of Radiology Huaxi MR Research Center(HMRRC), West China Hospital of Sichuan University Chengdu China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ziwen","family":"Yin","sequence":"additional","affiliation":[{"name":"Rehabilitation Medicine Center and Institute of Rehabilitation Medicine West China Hospital, Sichuan University Chengdu Sichuan China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-7965-6331","authenticated-orcid":false,"given":"Xin","family":"Rong","sequence":"additional","affiliation":[{"name":"Department of Orthopedics West China Hospital of Sichuan University Chengdu Sichuan China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7525-330X","authenticated-orcid":false,"given":"Zhenlin","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Radiology West China Hospital of Sichuan University Chengdu Sichuan China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,8,7]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"crossref","DOI":"10.3390\/jcm10061214","article-title":"Degenerative Cervical Myelopathy: Insights Into Its Pathobiology and Molecular Mechanisms","volume":"10","author":"Tu J.","year":"2021","journal-title":"Journal of Clinical Medicine"},{"key":"e_1_2_9_3_1","doi-asserted-by":"crossref","first-page":"171","DOI":"10.1038\/s41393-025-01065-1","article-title":"Clinical Signs and Symptoms for Degenerative Cervical Myelopathy: A Scoping Review of Case\u2010Control Studies to Facilitate Early Diagnosis Among Healthcare Professionals With Stakeholder Engagement","volume":"63","author":"Sharma S.","year":"2025","journal-title":"Spinal Cord"},{"issue":"6","key":"e_1_2_9_4_1","doi-asserted-by":"crossref","first-page":"796","DOI":"10.1007\/s00586-017-5432-9","article-title":"The Global Spine Care Initiative: A Summary of the Global Burden of Low Back and Neck Pain Studies","volume":"27","author":"Hurwitz E. 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