Magnetic Resonance Imaging Features of the Discrete Epiphyseal Radiolucency: A Problem-Solving Approach to Differential Diagnosis

Discrete radiolucencies in the epiphysis of the long bones may be a major radiographic finding in many arthropathies and synovial-based processes, and also in various osteolytic tumors and tumor-like lesions. In addition, a number of miscellaneous bone disorders, particularly infection and avascular...

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Bibliographic Details
Published in:Current problems in diagnostic radiology 2008-11, Vol.37 (6), p.243-261
Main Authors: Mellado, José M., MD, Bencardino, Jenny T., MD, Pérez del Palomar, Laura, MD
Format: Article
Language:English
Subjects:
Adult
Aged
Bone Diseases - diagnosis
Bone Neoplasms - diagnosis
Diagnosis, Differential
Epiphyses - pathology
Female
Humans
Internal Medicine
Joint Diseases - diagnosis
Magnetic Resonance Imaging - methods
Male
Middle Aged
Problem Solving
Radiology
Rheumatic Diseases - diagnosis
Sensitivity and Specificity
Synovial Membrane - pathology
Young Adult
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Summary:Discrete radiolucencies in the epiphysis of the long bones may be a major radiographic finding in many arthropathies and synovial-based processes, and also in various osteolytic tumors and tumor-like lesions. In addition, a number of miscellaneous bone disorders, particularly infection and avascular necrosis, may present as discrete epiphyseal radiolucencies. Magnetic resonance imaging is frequently used in the diagnostic workup of these lesions. Our purpose was to review and illustrate, in a problem-solving approach, the potential contributions of magnetic resonance imaging in the characterization of discrete epiphyseal radiolucent lesions.
ISSN:0363-0188
1535-6302
DOI:10.1067/j.cpradiol.2007.08.003