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Hematopoietic and fatty bone marrow distribution in the normal and ischemic hip: new observations with 1.5-T MR imaging.

Publication ,  Journal Article
Mitchell, DG; Rao, VM; Dalinka, M; Spritzer, CE; Axel, L; Gefter, W; Kricun, M; Steinberg, ME; Kressel, HY
Published in: Radiology
October 1986

The conversion of hematopoietic to fatty marrow is known to correlate with physiologic decreases in intramedullary blood flow. To determine whether the chronology of conversion is altered in patients with hip ischemia, T1-weighted magnetic resonance (MR) images of the hips in 50 healthy people and 27 with documented avascular necrosis (AVN) were reviewed. The distribution of fatty (high-signal) versus hematopoietic (low-signal) marrow was noted with respect to age. All patients had fatty marrow in the femoral capital epiphysis and greater trochanter. Hematopoietic intertrochanteric marrow was seen in 95% (80 of 84) of femurs in control subjects less than 50 years old, but in only 12.5% (two of 16) of those in control subjects older than 50 years (P less than .005). Only 33% (19 of 57) of patients less than 50 years with AVN had predominantly hematopoietic intertrochanteric marrow (P less than .005). The early conversion to fatty marrow in most patients with AVN as depicted by MR imaging may be an effect of decreased vascularity of the proximal femur and may allow the identification of patients at increased risk for AVN.

Duke Scholars

Published In

Radiology

DOI

ISSN

0033-8419

Publication Date

October 1986

Volume

161

Issue

1

Start / End Page

199 / 202

Location

United States

Related Subject Headings

  • Nuclear Medicine & Medical Imaging
  • Middle Aged
  • Male
  • Magnetic Resonance Spectroscopy
  • Humans
  • Femur Head Necrosis
  • Female
  • Bone Marrow Cells
  • Adult
  • 3202 Clinical sciences
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Mitchell, D. G., Rao, V. M., Dalinka, M., Spritzer, C. E., Axel, L., Gefter, W., … Kressel, H. Y. (1986). Hematopoietic and fatty bone marrow distribution in the normal and ischemic hip: new observations with 1.5-T MR imaging. Radiology, 161(1), 199–202. https://doi.org/10.1148/radiology.161.1.3763867
Mitchell, D. G., V. M. Rao, M. Dalinka, C. E. Spritzer, L. Axel, W. Gefter, M. Kricun, M. E. Steinberg, and H. Y. Kressel. “Hematopoietic and fatty bone marrow distribution in the normal and ischemic hip: new observations with 1.5-T MR imaging.Radiology 161, no. 1 (October 1986): 199–202. https://doi.org/10.1148/radiology.161.1.3763867.
Mitchell DG, Rao VM, Dalinka M, Spritzer CE, Axel L, Gefter W, et al. Hematopoietic and fatty bone marrow distribution in the normal and ischemic hip: new observations with 1.5-T MR imaging. Radiology. 1986 Oct;161(1):199–202.
Mitchell, D. G., et al. “Hematopoietic and fatty bone marrow distribution in the normal and ischemic hip: new observations with 1.5-T MR imaging.Radiology, vol. 161, no. 1, Oct. 1986, pp. 199–202. Pubmed, doi:10.1148/radiology.161.1.3763867.
Mitchell DG, Rao VM, Dalinka M, Spritzer CE, Axel L, Gefter W, Kricun M, Steinberg ME, Kressel HY. Hematopoietic and fatty bone marrow distribution in the normal and ischemic hip: new observations with 1.5-T MR imaging. Radiology. 1986 Oct;161(1):199–202.
Journal cover image

Published In

Radiology

DOI

ISSN

0033-8419

Publication Date

October 1986

Volume

161

Issue

1

Start / End Page

199 / 202

Location

United States

Related Subject Headings

  • Nuclear Medicine & Medical Imaging
  • Middle Aged
  • Male
  • Magnetic Resonance Spectroscopy
  • Humans
  • Femur Head Necrosis
  • Female
  • Bone Marrow Cells
  • Adult
  • 3202 Clinical sciences