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Methods & Materials Over the course of 5 years, 43 patients were identified who had combined unenhanced and enhanced lumbar MR imaging available as their pre-procedure study prior to provocation lumbar diskography. (2) The purpose of this study was to correlate the provocation diskogram response and diskogram imaging appearance of lumbar disks with peripheral annular fissures as demonstrated on pre-procedure combined unenhanced and enhanced MR imaging. (1) Studies have also demonstrated that enhancement may be common in peripheral annular fissures and T2 conspicuity may decrease with time. D., Non ASSR Member Paper/Mentor Purpose Peripheral annular fissures (annular high intensity zones [HIZ]) identified on T2 weighted MR imaging are known to correlate with diskogenic low back pain as demonstrated at provocation lumbar diskography. 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