Grade | Structure | Distinction of nucleus and anulus | Signal intensity | Intervertebral disc height |
---|---|---|---|---|
I | Homogeneous, bright white | Clear | Hyperintense, isointense to cerebrospinal fluid | Normal |
II | Heterogeneous with or without horizontal bands | Clear | Hyperintense, isointense to cerebrospinal fluid | Normal |
III | Heterogeneous, gray | Unclear | Intermediate | Normal to slightly decreased |
IV | Heterogeneous, gray to black | Lost | Intermediate to hypointense | Normal to moderately decreased |
V | Heterogeneous, black | Lost | Hypointense | Collapsed disc space |