MR imaging of the calvarium: pictorial essay

Magnetic resonance is unique in its ability to directly image the bone marrow. Thus, primary or secondary processes involving the bone marrow of the calvarium can be well visualized. In cases of superficial lesions, magnetic resonance demonstrates calvarial and bone marrow invasion. This is particularly important in cases where surgical preservation of the inner table in contemplated. Both erosion and involvement of the calvarium by intracranial processes can also be well visualized. Because of the ability of magnetic resonance to image in multiple orthogonal planes, it is particularly useful for precise delineation of the extent of lesions. Its ability to also image in oblique planes may aid in better demonstration of pathology. Use of both T1 and T2 weighted imaging sequences may also be of help in determination of the tissue type.