Skip to main content
Log in

Magnetic resonance imaging reveals a markedly inhomogeneous distribution of marrow cellularity in a patient with myelodysplasia

  • Case Report
  • Published:
Annals of Hematology Aims and scope Submit manuscript

Abstract

A 47-year-old male patient with myelodysplasia showed increasing values of serum lactate dehydrogenase (up to 3500 units/l) and an increasing blast count. Several biopsies (taken from the posterior iliac crest) revealed marked hypocellularity. In contrast, magnetic resonance imaging of the marrow demonstrated an inhomogeneous distribution of marrow with hypocellular and also large hypercellular areas not detected by cytological and histological analysis. A location for biopsy of hypercellular marrow was provided by T1-weighted and water-selective magnetic resonance imaging. The findings in the patient were compared with those in a matched healthy volunteer.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Bongers H, Schick F, Skalej M, Jung WI, Einsele H (1992) Localized in vivo1H spectroscopy and chemical shift imaging of the bone marrow in leukemic patients. Eur Radiol 2:350–356

    Google Scholar 

  2. Braun M, Jung W-I, Lutz O, Oeschey R (1987) Selective nonexcitation of water or fat protons in magnetic resonance imaging. Z Naturforsch 42a: 1391–1395

    Google Scholar 

  3. Depaoli L, Davini O, Foggetti MD, Ficara F, Priotto C, Cirillo R, Resegotti L (1992) Evaluation of bone marrow cellularity by magnetic resonance imaging in patients with myelodysplastic syndrome. Eur J Hematol 49:105–107

    Google Scholar 

  4. Haase A, Frahm J, Hänicke W, Matthaei D (1985)1H NMR chemical shift selective (CHESS) imaging. Phys Med Biol 30:341–344

    PubMed  Google Scholar 

  5. Henkelman RM, Messner H, Poon PY, Hinks RS, Stewart C, Curtis J, Minden M, Baker M (1988) Magnetic resonance imaging for monitoring relapse of acute myeloid leukemia. Leukemia Res 12:811–816

    Google Scholar 

  6. Jensen KE, Grube T, Thomsen C, Sørensen PG, Christoffersen P, Karle H, Henriksen O (1988) Prolonged bone marrow T1-relaxation in patients with polycythemia vera. Magn Reson Imaging 6:291–292

    PubMed  Google Scholar 

  7. Morris PG (1986) Nuclear magnetic resonance imaging in medicine and biology. Clarendon, Oxford

    Google Scholar 

  8. Negendank W, Weissman D, Bey TM, de Planque MM, Karanes C, Smith MR, Ratanatharathorn V, Bishop CR Al-Ka-tip AM, Sensenbrenner LL (1991) Evidence for clonal disease by magnetic resonance imaging in patients with hypoplastic marrow disorders. Blood 78:2872–2879

    PubMed  Google Scholar 

  9. Reske SN (1991) Recent advances in bone marrow scanning. Eur J Nucl Med 18:203–221

    PubMed  Google Scholar 

  10. Ricci C, Cova M, Kang YS, Yang A, Rahmouni A, Scott WW, Zerhouni EA (1990) Normal age-related patterns of cellular and fatty bone marrow distribution in the axial skeleton: MR imaging study. Radiology 177:83–88

    PubMed  Google Scholar 

  11. Rosen BR, Fleming DM, Kushner DC, Zaner KS, Buxton RB, Bennet WP, Wismer GL, Brady TJ (1988) Hematologic bone marrow disorders: quantitative chemical shift MR imaging. Radiology 169:799–804

    PubMed  Google Scholar 

  12. Schick F, Bongers H, Aicher K, Jung WI, Duda S, Lutz O (1992) Subtle bone marrow edema assessed by frequency selective chemical shift NMR imaging. J Comput Assist Tomogr 16:454–460

    PubMed  Google Scholar 

  13. Schick F, Bongers H, Jung WI, Eismann B, Skalej M, Einsele H, Lutz O, Claussen CD (1992) Proton relaxation times in human red bone marrow by volume selective magnetic resonance spectroscopy. Appl Magn Reson 3:947–963

    Google Scholar 

  14. Schick F, Einsele H, Bongers H, Jung WI, Skalej M, Duda S, Ehninger G, Lutz O (1993) Leukemic red bone marrow changes assessed by magnetic resonance imaging and localized1H spectroscopy. Ann Hematol 66:3–13

    PubMed  Google Scholar 

  15. Thomsen C, Sørensen PG, Karle H, Christoffersen P, Henriksen O (1987) Prolonged bone marrow T1-relaxation in acute leukemia. In vivo tissue characterization by magnetic resonance imaging. Magn Reson Imaging 5:251–257

    PubMed  Google Scholar 

  16. Vogler III JB, Murphy WA (1988) Bone marrow imaging. Radiology 168:679–693

    PubMed  Google Scholar 

  17. Wehrli FW, Shaw D, Kneeland JB (1988) Biomedical magnetic resonance imaging. Principles, methodology, and applications. VCH Publishers, New York

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Schick, F., Weiß, B. & Einsele, H. Magnetic resonance imaging reveals a markedly inhomogeneous distribution of marrow cellularity in a patient with myelodysplasia. Ann Hematol 71, 143–146 (1995). https://doi.org/10.1007/BF01702650

Download citation

  • Received:

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF01702650

Key words

Navigation