4.0 Article

Imaging of Bone Marrow: From Science to Practice

Journal

SEMINARS IN MUSCULOSKELETAL RADIOLOGY
Volume 26, Issue 4, Pages 396-411

Publisher

THIEME MEDICAL PUBL INC
DOI: 10.1055/s-0042-1745803

Keywords

bone marrow imaging; magnetic resonance; vertebral fracture; oncologic imaging; marrow adipose tissue

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The study of bone marrow presents important challenges, and magnetic resonance (MR) techniques have been widely used for direct imaging. The use of advanced MR techniques not only has clinical applications, but also provides a foundation for further research on the implications of bone marrow in physiological and pathological conditions.
The study of the bone marrow may pose important challenges, due to its changing features over the life span, metabolic stress, and in cases of disease or treatment. Bone marrow adipocytes serve as storage tissue, but they also have endocrine and paracrine functions, contributing to local and systemic metabolism. Among different techniques, magnetic resonance (MR) has the benefit of imaging bone marrow directly. The use of advanced MR techniques for bone marrow study has rapidly found clinical applications. Beyond the clinical uses, it has opened up pathways to assess and quantify bone marrow components, establishing the groundwork for further study of its implications in physiologic and pathologic conditions. We summarize the features of the bone marrow as an organ, address the different modalities available for its study, with a special focus on MR advanced techniques and their addition to analysis in recent years, and review some of the challenges in interpreting the appearance of bone marrow.

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