Nuclear medicine imaging in osteonecrosis of hip: Old and current concepts

Agrawal, Kanhaiyalal; Trıpathy, Sujit Kumar; Sen, Ramesh Kumar; Bhattacharya, Anish

doi:10.5312/wjo.v8.i10.747

Cited by 24 publications

(10 citation statements)

References 26 publications

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“…CT can be useful for the detection of subchondral fracture, for the identification of subtle head collapse that is not detected on MRI, as well as for the assessment of the severity of secondary osteoarthritis [ 77 ]. Bone scintigraphy detects osteoblastic activity and blood flow in the early phases of osteonecrosis, and it can be considered when MRI is unavailable/contraindicated, or in the clinical suspect of multifocal osteonecrosis [ 78 ].…”

Section: Bone Involvement In Slementioning

confidence: 99%

Imaging of Joint and Soft Tissue Involvement in Systemic Lupus Erythematosus

et al. 2021

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Purpose of Review To highlight the potential uses and applications of imaging in the assessment of the most common and relevant musculoskeletal (MSK) manifestations in systemic lupus erythematosus (SLE). Recent Findings Ultrasound (US) and magnetic resonance imaging (MRI) are accurate and sensitive in the assessment of inflammation and structural damage at the joint and soft tissue structures in patients with SLE. The US is particularly helpful for the detection of joint and/or tendon inflammation in patients with arthralgia but without clinical synovitis, and for the early identification of bone erosions. MRI plays a key role in the early diagnosis of osteonecrosis and in the assessment of muscle involvement (i.e., myositis and myopathy). Conventional radiography (CR) remains the traditional gold standard for the evaluation of structural damage in patients with joint involvement, and for the study of bone pathology. The diagnostic value of CR is affected by the poor sensitivity in demonstrating early structural changes at joint and soft tissue level. Computed tomography allows a detailed evaluation of bone damage. However, the inability to distinguish different soft tissues and the need for ionizing radiation limit its use to selected clinical circumstances. Nuclear imaging techniques are valuable resources in patients with suspected bone infection (i.e., osteomyelitis), especially when MRI is contraindicated. Finally, dual energy X-ray absorptiometry represents the imaging mainstay for the assessment and monitoring of bone status in patients with or at-risk of osteoporosis. Summary Imaging provides relevant and valuable information in the assessment of MSK involvement in SLE.

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Section: Bone Involvement In Slementioning

confidence: 99%

Imaging of Joint and Soft Tissue Involvement in Systemic Lupus Erythematosus

et al. 2021

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“…In the acute phase (1 week), osteonecrosis generally appears as a photopenic area, and after 1 to 3 weeks there is an increase in the uptake of the radiotracer with a distribution in the subchondral bone. Osteonecrosis is visible on the bone scintigraphy a week after the initial event and has a very high sensitivity (up to 91% for the femoral neck), which makes it a very good tool for screening IBD patients with high risk for multifocal osteonecrosis [49].…”

Section: Clinical Musculoskeletal Manifestations In Ibd and Their Imamentioning

confidence: 99%

Musculoskeletal clinical and imaging manifestations in inflammatory bowel diseases

Sârbu

2019

Open Medicine

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AbstractRheumatic musculoskeletal manifestations are increasingly recognized as a major cause of morbidity and impaired quality of life in patients with inflammatory bowel diseases (IBDs). IBDs are associated with a variety of musculoskeletal pathologies, from peripheral arthritis to axial involvement, and from localized or regional pathologies to diffuse metabolic disorders. Recent advances, especially in imaging techniques, allow a better understanding of these pathologies, and assist their recognition even in the preclinical phase. This review aims to describe the musculoskeletal clinical and imaging manifestations in IBD with special emphasis on the current concepts and the updated radiological work-up.

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“…In addition to the area suspected of osteomyelitis, it may ensure the whole bone is screened. Additionally, SPECT remains weak for some anatomic localizations 16,17 .…”

Section: Single Photon Emission Computed Tomographymentioning

confidence: 99%

“…It is a very beneficial method for diagnosis of osteomyelitis or stress fractures especially in complex anatomic regions. In early periods than normal for direct radiography, PET/MRI is a beneficial method to show bone or soft tissue changes 16,17 .…”

Section: Single Photon Emission Computed Tomography/ Computed Tomographymentioning

confidence: 99%

Scintigraphy for Diagnosis of Pediatric Osteomyelitis

Pazarci

Salmanoglu

2019

Arşiv Kaynak Tarama Dergisi

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If osteomyelitis in the childhood period is not treated appropriately or if it is not diagnosed early, it may become a difficult disease causing permanent disability. There are many imaging methods used for diagnosis. If scintigraphy is considered, it provides findings for suspected cases before direct radiography does. In this study, the use of scintigraphy and new techniques in the diagnosis of pediatric osteomyelitis were reviewed in the light of the current literature.

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Nuclear medicine imaging in osteonecrosis of hip: Old and current concepts

Cited by 24 publications

References 26 publications

Imaging of Joint and Soft Tissue Involvement in Systemic Lupus Erythematosus

Imaging of Joint and Soft Tissue Involvement in Systemic Lupus Erythematosus

Musculoskeletal clinical and imaging manifestations in inflammatory bowel diseases

Scintigraphy for Diagnosis of Pediatric Osteomyelitis

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