Luitjens J, Baur-Melnyk A
Klinik und Poliklinik für Radiologie, Klinikum der Universität München, LMU München, Marchioninistr. 15, 81377, München, Deutschland.
Radiologe. 2021 Dec;61(12):1068-1077. doi: 10.1007/s00117-021-00934-z. Epub 2021 Nov 24.
Bone marrow consists of connective tissue and stem cells, which generate blood cells. This includes erythropoiesis, leukopoiesis and thrombopoiesis. Thus, hematologic disorders first affect the bone marrow and secondarily the blood.
Bone marrow changes can be sensitively detected using magnetic resonance imaging (MRI) and often represent the initial manifestation of the underlying disease. With longer duration of disease, changes can also be found on X‑ray or computed tomography (CT).
The findings on MRI and X‑ray/CT are often nonspecific and can only be interpreted in the context of clinical information.
In the following article, we provide a brief overview of the clinical manifestations and imaging changes to be expected in leukemia, anemia, and chronic myeloproliferative disorders.
骨髓由结缔组织和干细胞组成,干细胞可生成血细胞。这包括红细胞生成、白细胞生成和血小板生成。因此,血液系统疾病首先影响骨髓,其次影响血液。
使用磁共振成像(MRI)可以灵敏地检测到骨髓变化,且这些变化通常代表潜在疾病的初始表现。随着疾病持续时间延长,X线或计算机断层扫描(CT)上也可发现变化。
MRI和X线/CT的表现通常不具有特异性,只能结合临床信息进行解读。
在接下来的文章中,我们简要概述白血病、贫血和慢性骨髓增殖性疾病的临床表现及预期的影像学变化。