Table 1. A summary of the key terms used to describe the pathological processes in osteomyelitis and their MRI signal characteristics.
Key term | Pathological process | MRI signal |
||
---|---|---|---|---|
T1 | T2 | T1 + C | ||
Bone marrow oedema | Accumulation of pus within the medullary cavity, leading to vascular congestion | Low | High | High |
Intraosseous abscess | Formation of reactive bone and granulation tissue around intramedullary pus | Low | High | Peripheral enhancement |
Subperiosteal abscess | Accumulation of pus beneath elevated periosteum | Low | High | Peripheral enhancement |
Cloaca | A cortical defect that allows pus to drain between bone and soft tissue | Low | High | Low |
Sinus tract | A channel, lined with granulation tissue, that allows pus to drain between bone and the skin surface | Low | High | Peripheral enhancement |
Sequestrum | A separated fragment of necrotic bone that is surrounded by pus, granulation tissue and an involucrum | Low | Low | Peripheral enhancement |
MRI, magnetic resonance imaging.