eMedicine Specialties > Radiology > Musculoskeletal

Hemangioma, Bone: Multimedia

Author: Ishmael Chasi, MB, ChB, FRCR, Consultant Radiologist, Department of Radiology, University Hospital of North Durham, UK
Coauthor(s): Geoff Hide, MBBS, MRCP, FRCR, Consultant Musculoskeletal Radiologist, Department of Radiology, Freeman Hospital; Honorary Clinical Lecturer, Faculty of Medical Sciences, University of Newcastle upon Tyne
Contributor Information and Disclosures

Updated: Jun 24, 2009

Multimedia

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Media file 1: Bone hemangioma. Localized view of a frontal skull radiograph shows a well-demarcated lesion in the frontal bone with a characteristic sunburst appearance or a radiating, weblike trabecular pattern.

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Bone hemangioma. Localized view of a frontal skull radiograph shows a well-demarcated lesion in the frontal bone with a characteristic sunburst appearance or a radiating, weblike trabecular pattern.

(Enlarge Image)

Media file 2: Bone hemangioma. Lateral projection in the same patient as in Image 1 in Multimedia depicts the diagnostic appearance of a calvarial hemangioma well.

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Bone hemangioma. Lateral projection in the same patient as in Image 1 in Multimedia depicts the diagnostic appearance of a calvarial hemangioma well.

(Enlarge Image)

Media file 3: Bone hemangioma. View depicting the typical corduroy or accordion appearance of coarse, thickened vertical trabeculae in a hemangioma affecting the right side of the vertebral body at L2.

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Bone hemangioma. View depicting the typical corduroy or accordion appearance of coarse, thickened vertical trabeculae in a hemangioma affecting the right side of the vertebral body at L2.

(Enlarge Image)

Media file 4: Bone hemangioma. Lateral view in the same patient as in Image 3 in Multimedia shows no obvious involvement of the posterior elements, though this is better assessed with CT and MRI. The trabecular pattern on plain images is usually better seen on this view.

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Bone hemangioma. Lateral view in the same patient as in Image 3 in Multimedia shows no obvious involvement of the posterior elements, though this is better assessed with CT and MRI. The trabecular pattern on plain images is usually better seen on this view.

(Enlarge Image)

Media file 5: Bone hemangioma. Incidental finding of a small thoracic vertebral body hemangioma in a patient who had another lesion in the lumbar spine. Note the punctate sclerotic foci, or polka-dot appearance, which is a characteristic finding.

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Bone hemangioma. Incidental finding of a small thoracic vertebral body hemangioma in a patient who had another lesion in the lumbar spine. Note the punctate sclerotic foci, or polka-dot appearance, which is a characteristic finding.

(Enlarge Image)

Media file 6: Bone hemangioma. Axial T2-weighted MRI shows the MRI equivalent of the CT polka-dot appearance. The hypointense foci correspond to coarsened, thickened trabeculae.

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Bone hemangioma. Axial T2-weighted MRI shows the MRI equivalent of the CT polka-dot appearance. The hypointense foci correspond to coarsened, thickened trabeculae.

(Enlarge Image)

Media file 7: Bone hemangioma. Sagittal T1-weighted MRI of a spinal hemangioma affecting most of the body of L2. There is hyperintense change; hypointense thickened vertical trabeculae are also visible.

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Bone hemangioma. Sagittal T1-weighted MRI of a spinal hemangioma affecting most of the body of L2. There is hyperintense change; hypointense thickened vertical trabeculae are also visible.

(Enlarge Image)

Media file 8: Bone hemangioma. T2-weighted image in the same patient as in Images 6-7 in Multimedia demonstrates the typically high signal intensity of marrow and the low signal intensity of the vertical trabeculae.

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Bone hemangioma. T2-weighted image in the same patient as in Images 6-7 in Multimedia demonstrates the typically high signal intensity of marrow and the low signal intensity of the vertical trabeculae.

(Enlarge Image)

Media file 9: Bone hemangioma. Sagittal T1-weighted MRI of a typical example of a thoracic hemangioma involving only part of the vertebral body.

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Bone hemangioma. Sagittal T1-weighted MRI of a typical example of a thoracic hemangioma involving only part of the vertebral body.

(Enlarge Image)

Media file 10: Bone hemangioma. Sagittal T2-weighted MRI in the same patient as in Image 9 in Multimedia.

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Bone hemangioma. Sagittal T2-weighted MRI in the same patient as in Image 9 in Multimedia.

More on Hemangioma, Bone

Overview: Hemangioma, Bone

Imaging: Hemangioma, Bone

Follow-up: Hemangioma, Bone

Multimedia: Hemangioma, Bone

References

Dahnert W. Haemangioma, bone. In: Radiology Review Manual. 4th ed. 1999: 76-7.
Resnik D, Kyriakos M, Greenway GD. Tumors and tumor-like lesions of bone. 4th ed. Diagnosis of Bone and Joint Disorders;. 2002:3979-85.
Devaney K, Vinh TN, Sweet DE. Surface-based hemangiomas of bone: a review of 11 cases. Clin Orthop. Mar 1994;233-40. [Medline].
Calianeller T, Ozdemir O, Yildirim E, Kiyici H, Altinörs N. Cavernous hemangioma of temporalis muscle: report of a case and review of the literature. Turk Neurosurg. 2007;17(1):33-6. Review. [Medline].
Magliulo G, Parrotto D, Sardella B, Della Rocca C, Re M. Cavernous hemangioma of the tympanic membrane and external ear canal. Am J Otolaryngol. May-Jun 2007;28(3):180-3. Review. [Medline].
Naama O, Gazzaz M, Akhaddar A, Belhachmi A, Asri A, Elmostarchid B, et al. Cavernous hemangioma of the skull: 3 case reports. Surg Neurol. Jan 18 2008;[Epub ahead of print]:[Medline].
Madge SN, Simon S, Abidin Z, Ghabrial R, Davis G, McNab A, et al. Primary orbital intraosseous hemangioma. Ophthal Plast Reconstr Surg. Jan-Feb 2009;25(1):37-41. [Medline].
Nielsen GP, Srivastava A, Kattapuram S, Deshpande V, O'Connell JX, Mangham CD, et al. Epithelioid hemangioma of bone revisited: a study of 50 cases. Am J Surg Pathol. Feb 2009;33(2):270-7. [Medline].
Khanam H, Lipper MH, Wolf CL, Lopes MB. Calvarial haemangiomas: report of two cases and review of the literature. Surg Neurol. 2001;55(1):63-67. [Medline].
Choi JJ, Murphey MD. Angiomatous skeletal lesions. Semin Musculoskeletal Radiology. 2000;4(1):103-12. [Medline].
Ross JS, Masaryk TJ, Modic MT, et al. Vertebral haemangiomas: MR imaging. Radiology. 1987;165(1):165-9.
Han BK, Ryu JS, Moon DH, et al. Bone SPECT imaging of vertebral haemangioma correlation with MR imaging and symptoms. Clin Nucl Med. 1995;20(10):916-21.
Kahana A, Lucarelli MJ, Grayev AM, Van Buren JJ, Burkat CN, Gentry LR. Noninvasive dynamic magnetic resonance angiography with Time-Resolved Imaging of Contrast KineticS (TRICKS) in the evaluation of orbital vascular lesions. Arch Ophthalmol. Dec 2007;125(12):1635-42. [Medline].
Acosta FL Jr, Sanai N, Chi JH, Dowd CF, Chin C, Tihan T, et al. Comprehensive management of symptomatic and aggressive vertebral hemangiomas. Review. Neurosurg Clin N Am. Jan; 2008;19(1):17-29. [Medline].
Bandiera S, Gasbarrini A, De lure F, et al. Symptomatic vertebral hemangioma; the treatment of 23 cases and a review of the literature. Chir Organi Mov. 2002;87(1):1-15. [Medline].
Cortet B, Cotten A, Deprex X, et al. Value of vertebroplasty combined with surgical decompression in the treatment of aggressive spinal angioma. Apropos of 3 cases. Revue du Rhumatisme. Edition Francaise. 1994;61:16-22.
Ide C, Gangi A, Rimmelin A, et al. Vertebral Haemangiomas with spinal cord compression: the place of preoperative percutaneous vertebroplasty with methyl methacrylate. Neuroradiology. 1996;38(6):585-9.
Feydy A, Cognard C, Miaux Y, et al. Acrylic vertebroplasty in symptomatic cervical vertebral haemangiomas: report of 2 cases. Neuroradiology. 1996;38:389-91.

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Keywords

bone hemangioma, hemangioma, hemangioma of bone, osseous hemangioma, cavernous hemangioma, capillary hemangioma

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Contributor Information and Disclosures

Author

Ishmael Chasi, MB, ChB, FRCR, Consultant Radiologist, Department of Radiology, University Hospital of North Durham, UK
Ishmael Chasi, MB, ChB, FRCR is a member of the following medical societies: Royal College of Radiologists
Disclosure: Nothing to disclose.

Coauthor(s)

Geoff Hide, MBBS, MRCP, FRCR, Consultant Musculoskeletal Radiologist, Department of Radiology, Freeman Hospital; Honorary Clinical Lecturer, Faculty of Medical Sciences, University of Newcastle upon Tyne
Geoff Hide, MBBS, MRCP, FRCR is a member of the following medical societies: British Medical Association, Royal College of Physicians, and Royal College of Radiologists
Disclosure: Nothing to disclose.

Medical Editor

Michael A Bruno, MD, Associate Professor, Departments of Radiology and Medicine, Pennsylvania State University College of Medicine; Director, Radiology Quality Management Services, Milton S Hershey Medical Center, Pennsylvania State University College of Medicine
Michael A Bruno, MD is a member of the following medical societies: American College of Radiology, American Roentgen Ray Society, Association of University Radiologists, Radiological Society of North America, Society of Nuclear Medicine, and Society of Skeletal Radiology
Disclosure: Nothing to disclose.

Pharmacy Editor

Bernard D Coombs, MB, ChB, PhD, Consulting Staff, Department of Specialist Rehabilitation Services, Hutt Valley District Health Board, New Zealand
Disclosure: Nothing to disclose.

Managing Editor

Theodore E Keats, MD, Professor, Departments of Radiology and Orthopedics, University of Virginia School of Medicine
Disclosure: Nothing to disclose.

CME Editor

Robert M Krasny, MD, Consulting Staff, Department of Radiology, Resolution Imaging Medical Corporation
Robert M Krasny, MD is a member of the following medical societies: American Roentgen Ray Society and Radiological Society of North America
Disclosure: Nothing to disclose.

Chief Editor

Felix S Chew, MD, MBA, EdM, Professor, Department of Radiology, Vice Chairman for Radiology Informatics, Section Head of Musculoskeletal Radiology, University of Washington
Felix S Chew, MD, MBA, EdM is a member of the following medical societies: American Roentgen Ray Society, Association of University Radiologists, and Radiological Society of North America
Disclosure: Nothing to disclose.

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eMedicine Specialties > Radiology > Musculoskeletal

Hemangioma, Bone: Multimedia

Multimedia

Bone hemangioma. Localized view of a frontal skull radiograph shows a well-demarcated lesion in the frontal bone with a characteristic sunburst appearance or a radiating, weblike trabecular pattern.

Bone hemangioma. Lateral projection in the same patient as in Image 1 in Multimedia depicts the diagnostic appearance of a calvarial hemangioma well.

Bone hemangioma. View depicting the typical corduroy or accordion appearance of coarse, thickened vertical trabeculae in a hemangioma affecting the right side of the vertebral body at L2.

Bone hemangioma. Lateral view in the same patient as in Image 3 in Multimedia shows no obvious involvement of the posterior elements, though this is better assessed with CT and MRI. The trabecular pattern on plain images is usually better seen on this view.

Bone hemangioma. Incidental finding of a small thoracic vertebral body hemangioma in a patient who had another lesion in the lumbar spine. Note the punctate sclerotic foci, or polka-dot appearance, which is a characteristic finding.

Bone hemangioma. Axial T2-weighted MRI shows the MRI equivalent of the CT polka-dot appearance. The hypointense foci correspond to coarsened, thickened trabeculae.

Bone hemangioma. Sagittal T1-weighted MRI of a spinal hemangioma affecting most of the body of L2. There is hyperintense change; hypointense thickened vertical trabeculae are also visible.

Bone hemangioma. T2-weighted image in the same patient as in Images 6-7 in Multimedia demonstrates the typically high signal intensity of marrow and the low signal intensity of the vertical trabeculae.

Bone hemangioma. Sagittal T1-weighted MRI of a typical example of a thoracic hemangioma involving only part of the vertebral body.

Bone hemangioma. Sagittal T2-weighted MRI in the same patient as in Image 9 in Multimedia.

More on Hemangioma, Bone

References

Further Reading

Keywords

Contributor Information and Disclosures

Author

Coauthor(s)

Medical Editor

Pharmacy Editor

Managing Editor

CME Editor

Chief Editor