Meeting Banner
Abstract #3463

Use of Dynamic Contrast-Enhanced MRI (DCEMRI) for Evaluation of Bone Viability

Sandra Rutigliano1, adam zoga1, suzanne long1, William Morrison1

1radiology, thomas jefferson university hospital, Philadelphia, PA, United States

AVN and alternate causes of BME have similar clinical presentations and often are referred to MR for evaluation. However, the appearance of these conditions can be nonspecific on non-contrast MR. The aim of this study was to determine the utility of dynamic-contrast enhanced MRI in cases of bone marrow edema for the differentiation of ischemia and hyperemia associated with bone marrow disease. DCEMRI was performed in 14 patients with bone marrow edema. T1, T2 and dynamic contrast characteristics were analyzed for each subject and correlated with clinical, imaging and/or surgical follow-up for the presence of AVN.

Keywords

abutment accordingly adjacent administration alternate alternative amount another appearance available bone brisk causes clinical concern confirmed considerable contrast correlation decreased degree determine differentiate differentiation disease dropped dynamic edema edematous enhanced enhancement equivocal essentially evaluate evaluation exam examinations exams extent fast femoral findings five fourteen fracture frank gradient head hips hospital hyperemia included injection intensity keeping long lunate made managed marrow measured minimal minutes months necrosis nonspecific often patients pattern percentage plotted portion post presentations radiographic radiology recorded referred remaining spoiled stir subject subjects suggesting suppressed surgery surgical talus tibia tool unaffected underlying underwent uptake useful utility variation viability weak wrists years