MR Imaging of the Hip: An Update on Bone Marrow Edema

2019 ◽  
Vol 23 (03) ◽  
pp. 276-288 ◽  
Author(s):  
Evangelia E. Vassalou ◽  
Konstantinos Spanakis ◽  
Ioannis P. Tsifountoudis ◽  
Apostolos H. Karantanas
Keyword(s):  
Bone Marrow ◽  
Mr Imaging ◽  
Bone Marrow Edema ◽  
Imaging Finding ◽  
Laboratory Data ◽  
Central Component ◽  
Transient Osteoporosis ◽  
Common Source ◽  
Imaging Findings ◽  
Marrow Edema

AbstractBone marrow edema (BME) represents a frequent and easily detected MR imaging finding that is recognized as a common source of pain. It is considered a nonspecific finding that constitutes a central component of a wide spectrum of pathologies affecting the hip joint, showing high variability in terms of prognosis and treatment requirements. Solid knowledge of the various BME patterns and associated imaging findings indicative of these conditions can aid in differentiation. Additionally, correlation with clinical and laboratory data are essential for arriving at a final diagnosis in several cases. In this review, we describe the disease characteristics and imaging findings and also highlight the differential diagnostic clues regarding common hip disorders associated with BME including avascular necrosis, transient osteoporosis, stress injuries, and infectious/inflammatory disorders.

Transient bone marrow edema of the talus: MR imaging findings in five patients

2002 ◽  
Vol 31 (4) ◽  
pp. 202-207 ◽  
Author(s):  
Leopoldo M. Gigena ◽  
Christine B. Chung ◽  
Nittaya Lektrakul ◽  
Christian W. Pfirrmann ◽  
Mi Sung ◽  
...  
Keyword(s):  
Bone Marrow ◽  
Mr Imaging ◽  
Bone Marrow Edema ◽  
Imaging Findings ◽  
Transient Bone Marrow Edema ◽  
Marrow Edema

Idiopathic Bone Marrow Edema Lesions of the Femoral Head: Predictive Value of MR Imaging Findings

Radiology ◽  
1999 ◽  
Vol 212 (2) ◽  
pp. 527-535 ◽  
Author(s):  
Bruno C. Vande Berg ◽  
Jacques J. Malghem ◽  
Frederic E. Lecouvet ◽  
Jacques Jamart ◽  
Baudouin E. Maldague
Keyword(s):  
Bone Marrow ◽  
Femoral Head ◽  
Mr Imaging ◽  
Predictive Value ◽  
Bone Marrow Edema ◽  
Imaging Findings ◽  
Marrow Edema

scholarly journals Detection of Bone Marrow Edema in Patients with Osteoid Osteoma Using Three-Material Decomposition with Dual-Layer Spectral CT

Diagnostics ◽  
2021 ◽  
Vol 11 (6) ◽  
pp. 953
Author(s):  
Florian T. Gassert ◽  
Johannes Hammel ◽  
Felix C. Hofmann ◽  
Jan Neumann ◽  
Claudio E. von Schacky ◽  
...  
Keyword(s):  
Bone Marrow ◽  
Osteoid Osteoma ◽  
Bone Marrow Edema ◽  
Volume Fraction ◽  
Imaging Findings ◽  
Spectral Ct ◽  
Material Decomposition ◽  
Negative Imaging ◽  
Interreader Agreement ◽  
Marrow Edema

The aim of this study is to assess whether perifocal bone marrow edema (BME) in patients with osteoid osteoma (OO) can be accurately detected on dual-layer spectral CT (DLCT) with three-material decomposition. To that end, 18 patients with OO (25.33 ± 12.44 years; 7 females) were pairwise-matched with 18 patients (26.72 ± 9.65 years; 9 females) admitted for suspected pathologies other than OO in the same anatomic location but negative imaging findings. All patients were examined with DLCT and MRI. DLCT data was decomposed into hydroxyapatite and water- and fat-equivalent volume fraction maps. Two radiologists assessed DLCT-based volume fraction maps for the presence of perifocal BME, using a Likert scale (1 = no edema; 2 = likely no edema; 3 = likely edema; 4 = edema). Accuracy, sensitivity, and specificity for the detection of BME on DLCT were analyzed using MR findings as standard of reference. For the detection of BME in patients with OO, DLCT showed a sensitivity of 0.92, a specificity of 0.94, and an accuracy of 0.92 for both radiologists. Interreader agreement for the assessment of BME with DLCT was substantial (weighted κ = 0.78; 95% CI, 0.59, 0.94). DLCT with material-specific volume fraction maps allowed accurate detection of BME in patients with OO. This may spare patients additional examinations and facilitate the diagnosis of OO.

MR Imaging of Bone Marrow Edema and Joint Effusion in Patients with Osteonecrosis of the Femoral Head: Relationship to Pain

2003 ◽  
Vol 181 (2) ◽  
pp. 545-549 ◽  
Author(s):  
Guo-Shu Huang ◽  
Wing P. Chan ◽  
Yue-Cune Chang ◽  
Cheng-Yen Chang ◽  
Cheng-Yu Chen ◽  
...  
Keyword(s):  
Bone Marrow ◽  
Femoral Head ◽  
Mr Imaging ◽  
Bone Marrow Edema ◽  
Joint Effusion ◽  
Marrow Edema

Bone Marrow Edema Pattern in Osteoarthritic Knees: Correlation between MR Imaging and Histologic Findings

Radiology ◽  
2000 ◽  
Vol 215 (3) ◽  
pp. 835-840 ◽  
Author(s):  
Marco Zanetti ◽  
Elisabeth Bruder ◽  
José Romero ◽  
Juerg Hodler
Keyword(s):  
Bone Marrow ◽  
Mr Imaging ◽  
Bone Marrow Edema ◽  
Bone Marrow Edema Pattern ◽  
Marrow Edema

Perspective on Idiopathic Subchondral, Osteochondral, and Chondral Lesions with Emphasis on the Knee

2019 ◽  
Vol 23 (05) ◽  
pp. 534-546 ◽  
Author(s):  
Wolfgang Fischer
Keyword(s):  
Magnetic Resonance Imaging ◽  
Bone Marrow ◽  
Bone Marrow Edema ◽  
Osteochondrosis Dissecans ◽  
Imaging Findings ◽  
Resonance Imaging ◽  
Chondral Lesions ◽  
Everyday Work ◽  
And Cartilage ◽  
Marrow Edema

AbstractSubchondral, osteochondral, and chondral lesions of unknown cause are often encountered, especially in the knee joint. These are mainly idiopathic bone marrow edema syndrome, osteochondrosis dissecans, and cartilage delaminations. The literature on these diseases is sparse and often confusing and inconsistent. Because there is little evidence, this article was written as a perspective on these conditions. It offers an overview of the literature with personal comments and opinions based on observations from many years of clinical practice. The main goal is to highlight clinically important features and provide a practical guide for dealing with various magnetic resonance imaging findings in everyday work. The article also discusses several terms commonly used in relation to these diseases and their differential diagnoses.

AN ACUTE FRACTURE OF THE FEMORAL NECK COMPLICATING BONE MARROW EDEMA IN OSTEONECROSIS OF THE FEMORAL HEAD, TREATED WITH TOTAL HIP REPLACEMENT

2010 ◽  
Vol 13 (01) ◽  
pp. 39-42
Author(s):  
Itay Fenichel ◽  
Moshe Salai ◽  
Steven Velkes
Keyword(s):  
Bone Marrow ◽  
Femoral Head ◽  
Femoral Neck ◽  
Total Hip Replacement ◽  
Hip Replacement ◽  
Bone Marrow Edema ◽  
Transient Osteoporosis ◽  
Total Hip ◽  
Regional Migratory Osteoporosis ◽  
Marrow Edema

Bone marrow edema is a sign that can be accompanied with osteonecrosis of the femoral head. There is still controversy as to whether it is a reversible form of avascular necrosis or it is a disease entity of its own. The probability and extent of the edema correlate well with the pain and stage of the necrosis. Unlike transient osteoporosis of the hip and regional migratory osteoporosis which are spontaneously resolving conditions, osteonecrosis can cause significant changes in the hip joint. We present a case of a displaced fracture of the femoral neck complicating bone marrow edema in osteonecrosis of the femoral head, in a 42-year-old man, treated with a cementless total hip replacement. This case emphasizes a potential complication associated with the state of diffuse bone marrow edema of the hip.

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