Radiological Features of Osteoid Osteoma: Pictorial Review


Jahanbakhsh Hashemi 1 , * , M Gharahdaghi 2 , E Ansaripour 2 , F Jedi 3 , S Hashemi 2

1 Department of Radiology, Imam Reza Hospital, Mashhad University of Medical Sciences,, IR Iran

2 Department of Orthopedics, Imam Reza Hospital, Mashhad University of Medical Sciences, IR Iran

3 Department of Radiology, University Hospital Frankfurt Main, Johann Wolfgang Goethe University, Germany

How to Cite: Hashemi J, Gharahdaghi M, Ansaripour E, Jedi F, Hashemi S. Radiological Features of Osteoid Osteoma: Pictorial Review, Iran J Radiol. Online ahead of Print ; 8(3):182-189. doi: 10.5812/kmp.iranjradiol.17351065.3392.


Iranian Journal of Radiology: 8 (3); 182-189
Published Online: November 25, 2011
Article Type: Case Report
Received: August 15, 2010
Accepted: September 20, 2011

Osteoid osteoma is a benign bone tumor of undetermined etiology, composed of a central zone named nidus which is an atypical bone completely enclosed within a wellvascularized stroma and a peripheral sclerotic reaction zone. There are three types of radiographic features: cortical, medullary and subperiosteal. Forty-four patients with osteoid osteoma were studied retrospectively. In plain films, 35 patients presented as the cortical type, six cases were located in the medullary zone and three had subperiosteal osteoid osteoma. In all the cases, the nidus was visualized on computed tomography (CT) scan. The nidus was visible in four out of five patients who had also undergone magnetic resonance imaging (MRI). Double-density sign, seen on radionuclide bone scans
was positive in all patients. MRI is more sensitive in the diagnosis of bone marrow and soft tissue abnormalities adjacent to the lesion, and in the nidus that is located closer to the medullary zone. On the other hand, CT is more specific when it comes to detecting the lesion’s nidus.

  • Implication for health policy/practice/research/medical education:
    This pictorial essay provides medical imaging information about osteoid osteoma for educational objectives.
  • Please cite this paper as:
    Hashemi J, Gharahdaghi M, Ansaripour E, Jedi F, Hashemi S. Radiological Features of Osteoid Osteoma: Pictorial Review. Iran J Radiol.2011; 8(3):182-9. DOI: 10.5812/kmp.iranjradiol.17351065.3392

Copyright © 2011, Tehran University of Medical Sciences and Iranian
Society of Radiology. Published by Kowsar M.P.Co. All rights reserved.


Osteoma, Osteoid Magnetic Resonance Imaging Tomography, X-Ray Computed Radionuclide Imaging

© 2011, Author(s). This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License ( which permits copy and redistribute the material just in noncommercial usages, provided the original work is properly cited.

Full Text

Full text is available in PDF