Muscle magnetic resonance imaging (MRI): abnormal patterns

Written and reviewed by Dr Ibrahim Imam, Consultant Neurologist. Last reviewed .

Muscle magnetic resonance imaging (MRI): abnormal patterns. This shows as high signal intensity on T2 or STIR sequences.

Muscle oedema: features

  • This shows as high signal intensity on T2 or STIR sequences
  • It is low to intermediate signal intensity on T1 sequences
  • It is better detected if combined with diffusion weighted imaging (DWI)

Muscle oedema: causes

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Fatty infiltration: features

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Fatty infiltration: causes

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Mass lesions: causes

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Muscle atrophy: causes

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Muscle abnormal anatomy: types

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Differentials of low T2 signal muscle abnormalities

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Differentials of high T1 signal muscle abnormalities

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References

  1. Theodorou DJ, Theodorou SJ, Kakitsubata Y. Skeletal muscle disease: patterns of MRI appearances. Br J Radiol 2012; 85:e1298-e1308.
  2. May DA, Disler DG, Jones EA, Balkissoon AA, Manaster BJ. Abnormal signal intensity in skeletal muscle at MR imaging: patterns, pearls, and pitfalls. Radiographics 2000; 20 Spec No:S295-S315. 
  3. Smitaman E, Flores DV, Mejía Gómez C, Pathria MN. MR imaging of atraumatic muscle disorders. Radiographics 2018; 38:500-522. 
  4. Faruch M, Garcia AI, Del Amo M, et al. Diffusion-weighted magnetic resonance imaging is useful for assessing inflammatory myopathies. Muscle Nerve 2019; 59:555-560.
  5. Tomas X, Milisenda JC, Garcia-Diez AI, et al. Whole-body MRI and pathological findings in adult patients with myopathies. Skeletal Radiol 2019; 48:653-676. 

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