Short tau inversion recovery (STIR) imaging is the mainstay of clinical imaging in inflammatory musculoskeletal (MSK) diseases, and generates hyperintense signal in areas of inflammation in bone marrow (bone marrow oedema). However, the assessment of STIR images of bone marrow is based on qualitative judgement of signal intensity and can be confounded by variations in fat content resulting from the healing response in bone to inflammation. We aimed to develop a method which would (1) separate fat and water and (2) provide a water-specific T2 measurement, enabling separation and individual quantification of oedema and fat in the bone marrow.
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