Osteoblastoma
When diagnosing osteoblastoma, the preliminary radiologic workup should consist of radiography of the site of the patient's pain. However, computed tomography (CT) is often necessary to support clinical and plain radiographic findings suggestive of osteoblastoma and to better define the margins of the lesion for potential surgery. CT scans are best used for the further characterization of the lesion with regard to the presence of a nidus and matrix mineralization. MRI aids in detection of nonspecific reactive marrow and soft tissue edema, and MRI best defines soft tissue extension, although this finding is not typical of osteoblastoma. Bone scintigraphy (bone scan) demonstrates abnormal radiotracer accumulation at the affected site, substantiating clinical suspicion, but this finding is not specific for osteoblastoma. In many patients, biopsy is necessary for confirmation.
Synthetic MRI
Creating a synthetic contrast weighted image is very quick and the scanner setting parameters can be changed interactively. This is different from acquiring the images directly on the MRI scanner with a pulse sequence where it might take several minutes to get new images with different settings. Synthetic MRI also enables the possibility to create new image contrast weightings after the scan has been completed and the patient has left the hospital. A prospective multi-reader, multi-case, multi-center clinical trial of overall image quality of synthetic MRI compared to conventional MRI in a general neuroimaging population has shown that synthetic MRI is non-inferior to conventional imaging.
Synthetic MRI is based on parametric maps. These maps are generated by using the MR scanner not to acquire an image, but to measure magnetic properties in the tissue.