CC BY-NC-ND 4.0 · Indian J Radiol Imaging 2019; 29(04): 386-390
DOI: 10.4103/ijri.IJRI_243_19
Musculoskeletal Imaging

Dual energy CT and research of the bone marrow edema: Comparison with MRI imaging

Luca Saba
Groupe ELSAN, Department of Radiology, Clinique Les Fleurs, Avenue Frédéric Mistral, Ollioules, France
Groupe ELSAN, Department of Radiology, Clinique du Cap-d’Or, 1361 Avenue des Anciens Combattants Français d’Indochine, La Seyne-sur-Mer, France
,
Massimo De Filippo
Department of Radiology, University of Parma, Via Gramsci 21, Parma
,
Francesco Saba
University of Sassari, Via Vienna 2, Sassari, Italy
,
Federica Fellini
Department of Cardiology, St Musse Hospital, 54 Rue Henri Sainte-Claire Deville, Toulon, France
,
Pierre-Yves Marcy
Groupe ELSAN, Department of Radiology, Clinique Les Fleurs, Avenue Frédéric Mistral, Ollioules, France
Groupe ELSAN, Department of Radiology, Clinique du Cap-d’Or, 1361 Avenue des Anciens Combattants Français d’Indochine, La Seyne-sur-Mer, France
,
Robert Dagan
Groupe ELSAN, Department of Radiology, Clinique Les Fleurs, Avenue Frédéric Mistral, Ollioules, France
Groupe ELSAN, Department of Radiology, Clinique du Cap-d’Or, 1361 Avenue des Anciens Combattants Français d’Indochine, La Seyne-sur-Mer, France
,
Philippe Voituriez
Groupe ELSAN, Department of Radiology, Clinique Les Fleurs, Avenue Frédéric Mistral, Ollioules, France
Groupe ELSAN, Department of Radiology, Clinique du Cap-d’Or, 1361 Avenue des Anciens Combattants Français d’Indochine, La Seyne-sur-Mer, France
,
Jacques Aelvoet
Groupe ELSAN, Department of Radiology, Clinique Les Fleurs, Avenue Frédéric Mistral, Ollioules, France
Groupe ELSAN, Department of Radiology, Clinique du Cap-d’Or, 1361 Avenue des Anciens Combattants Français d’Indochine, La Seyne-sur-Mer, France
,
Gérard Klotz
Groupe ELSAN, Department of Radiology, Clinique Les Fleurs, Avenue Frédéric Mistral, Ollioules, France
Groupe ELSAN, Department of Radiology, Clinique du Cap-d’Or, 1361 Avenue des Anciens Combattants Français d’Indochine, La Seyne-sur-Mer, France
,
Roland Bernard
Groupe ELSAN, Department of Radiology, Clinique Les Fleurs, Avenue Frédéric Mistral, Ollioules, France
Groupe ELSAN, Department of Radiology, Clinique du Cap-d’Or, 1361 Avenue des Anciens Combattants Français d’Indochine, La Seyne-sur-Mer, France
,
Valérie Salinesi
Groupe ELSAN, Department of Radiology, Clinique Les Fleurs, Avenue Frédéric Mistral, Ollioules, France
Groupe ELSAN, Department of Radiology, Clinique du Cap-d’Or, 1361 Avenue des Anciens Combattants Français d’Indochine, La Seyne-sur-Mer, France
,
Serge Agostini
Groupe ELSAN, Department of Radiology, Clinique Les Fleurs, Avenue Frédéric Mistral, Ollioules, France
Groupe ELSAN, Department of Radiology, Clinique du Cap-d’Or, 1361 Avenue des Anciens Combattants Français d’Indochine, La Seyne-sur-Mer, France
› Author Affiliations
Financial support and sponsorship Nil.

Abstract

Aims: To evaluate the diagnostic accuracy of the Dual Energy Computed Tomography (DECT) in the research of the bone marrow edema. Methods and Material: The MRI images of 100 patients with episodes of articular and or bone pains with or without traumatic lesion were prospectively evaluated during a period between March 2018 and February 2019. In the presence of bone marrow edema, a DECT was performed. The measurement of the density of the bone marrow edema in the DECT was compared with healthy bone in the same patient by two operators. Result: The DECT and MRI images of 15 patients with bone marrow edema were compared. The mean of pathologic bone marrow edema was 1008.20 (Standard Deviation (SD) 23.00), for healthy bone marrow 947.53 (SD 16.42), and t = 11.75, with a statistical significance P < 0.05 (Statistical significance 95%). The agreement between the measurements of the two radiologists has a statistical significance (P < 0.05). Conclusion: The DECT presents an excellent diagnostic accuracy to detect the bone marrow edema, comparable to MRI. The utility of these recent possibilities is maximum where access to MRI is still very difficult.



Publication History

Received: 04 June 2019

Accepted: 08 October 2019

Article published online:
21 July 2021

© 2019. Indian Radiological Association. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

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