Multimodality imaging of osteomyelitis |
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Authors: | Abdelhamid H Elgazzar Hussein M Abdel-Dayem James D Clark Harry R Maxon III |
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Institution: | (1) Department of Radiology, Eugene L. Saenger Radioisotope Laboratory, University of Cincinnati Medical Center, Cincinnati, Ohio, USA;(2) Department of Radiology, New York Medical College, Valhalla, New York;(3) Department of Radiology, Nuclear Medicine Section, St. Vincent's Hospital and Medical Center of New York, New York, USA;(4) Mount Sinai School of Medicine, One Gustave place, Box 1141, 10029 New York, NY, USA |
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Abstract: | Early diagnosis of osteomyelitis continues to be a clinical problem. Multiple imaging modalities are being used for the diagnosis of osteomyelitis, but none of them is ideal for all cases. The choice of modality depends on several factors based on an understanding of the pathophysiologic aspects of different forms of osteomyelitis. After a brief introduction outlining some basic principles regarding the diagnosis of osteomyelitis, pathophysiologic aspects are reviewed. Advantages and disadvantages of each imaging modality and their applications in different forms of osteomyelitis are discussed. The use of different imaging modalities in the diagnosis of special forms of osteomyelitis, including chronic, diabetic foot, and vertebral osteomyelitis, and osteomyelitis associated with orthopedic appliances and sickle cell disease is reviewed. Taking into account the site of suspected osteomyelitis and the presence or absence of underlying pathologic changes and their nature, an algorithm summarizing the use of various imaging modalities in the diagnosis of osteomyelitis is presented. |
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Keywords: | Diagnosis of osteomyelitis Osteomyelitis radiologic diagnosis Imaging of infection |
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