Devitalised soft tissue

Last revised by Dr Henry Knipe on 08 Mar 2022

Devitalised soft tissue occurs in diabetic feet or peripheral vascular disease, particularly deep to and around ulcers.

Terminology

Devitalised soft tissue is preferred to necrotic or ischemic soft tissue as the current understanding (c. 2022) is whether MRI appearances truly reflect necrosis or ischemia 1

Radiographic features

MRI

Devitalised tissue presents as geographic regions of non-enhancing homogeneous low T1 signal with no rim enhancement, often with a well-defined border 1-3.

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