Cohen M D, Cory D A, Kleiman M, Smith J A, Broderick N J
Department of Radiology, Riley Hospital for Children, Indianapolis, IN 46202.
Clin Radiol. 1990 Jan;41(1):53-6. doi: 10.1016/s0009-9260(05)80934-1.
A comparison has been made of the MRI findings of 17 studies in 16 patients with osteomyelitis: eight studies were performed in patients with acute osteomyelitis, six in chronic and three in healed osteomyelitis. Soft tissues, cortex and marrow were assessed in all patients. The best predictors of acute osteomyelitis were poorly defined soft tissue planes, absence of cortical thickening, and a poor interface between normal and diseased marrow. In contrast, chronic osteomyelitis was suggested by the presence of well-defined soft tissue abnormality, thickened cortex, and a relatively good interface between normal and diseased marrow. The appearance of osteomyelitis did not vary in different anatomic sites.
对16例骨髓炎患者的17项研究的MRI结果进行了比较：8项研究针对急性骨髓炎患者，6项针对慢性骨髓炎患者，3项针对已治愈的骨髓炎患者。对所有患者的软组织、皮质和骨髓进行了评估。急性骨髓炎的最佳预测指标是软组织平面不清晰、皮质无增厚以及正常骨髓与病变骨髓之间的界面不佳。相比之下，慢性骨髓炎的表现为软组织异常边界清晰、皮质增厚以及正常骨髓与病变骨髓之间的界面相对较好。骨髓炎在不同解剖部位的表现没有差异。
