1-This could be evaluated only by MRI.
2-Can be classified into the following:
-Type 1:
Here the bone marrow is involved by edema so it will appears in T1 as low intensity while in T2 it will appears as hyper intense structure.
-Type 2:
Here the bone marrow is suffering from fatty degeneration so it will appear as hyper intense in T1 and hypo intense in T2 as fat signal.
Here the bone marrow appears hypo intense in both T1&T2 due to bone sclerosis.
Image A is T1 where the bone marrow of the vertebra is hypo intense while in image B T2 is hyper intense suggesting it is type 1 bone marrow changes due to edema.
Type 2 bone marrow changes where T1 is hyper intense bone marrow while T2 shows iso intense or hyper intense bone marrow due to fatty infiltration.
Both T1 & T2 show hypo intense bone marrow due to bone sclerosis.
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