Klontzas Michail E, Zibis Aristeidis H, Vassalou Evangelia E, Karantanas Apostolos H
Department of Medical Imaging, Heraklion University Hospital, Heraklion - Greece.
Department of Radiology, University of Crete, Heraklion - Greece.
Hip Int. 2017 Jul 25;27(4):329-335. doi: 10.5301/hipint.5000527. Epub 2017 May 24.
Bone marrow oedema (BME) is commonly found in hip MR imaging. BME is a nonspecific finding which can be related to a wide variety of diseases. However, there are cases where its existence or its pattern can narrow the differential or even point to a specific diagnosis. Therefore, deep understanding of its pathophysiology is of utmost importance for clinicians and radiologists in order to avoid diagnostic pitfalls. We hereby present currently established knowledge on BME related to adult hip pathology, aiming to raise physicians' suspicion and to highlight that it is mandatory to combine specific imaging patterns with the history, clinical and laboratory findings in order to achieve accurate diagnosis.
骨髓水肿(BME)在髋关节磁共振成像中很常见。BME是一种非特异性表现,可与多种疾病相关。然而,在某些情况下,其存在或表现形式可缩小鉴别诊断范围,甚至指向特定诊断。因此,深入了解其病理生理学对临床医生和放射科医生至关重要,以避免诊断陷阱。我们在此介绍目前已确立的与成人髋关节病理相关的BME知识,旨在提高医生的警惕性,并强调必须将特定的影像学表现与病史、临床及实验室检查结果相结合,以实现准确诊断。