Nuclear Medicine Topics in Pediatric Musculoskeletal Disease

Nadel, Helen; Stilwell, Moira E.

doi:10.1016/s0033-8389(05)70303-1

Cited by 24 publications

(10 citation statements)

References 45 publications

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“…The accuracy of three-phase bone scintigraphy for the detection of osteomyelitis is reported to approach 90%. 74 However, in neuropathic arthropathy, increased uptake can also be present in all three phases, and for this reason, three-phase bone scans have a high sensitivity but low specificity for osteomyelitis in the diabetic foot. To improve the specificity, a 24-hour image to create a fourth phase has been advocated.…”

Section: Technetium 99m Methylene Diphosphonatementioning

confidence: 99%

Postoperative Infection in the Foot and Ankle

Chan

Morrison

Kavanagh

2012

Semin Musculoskelet Radiol

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Our discussion highlights the commonly performed surgical procedures in the foot and ankle and reviews the various imaging modalities available for the detection of infection with graphic examples to better enable radiologists to approach the radiological evaluation of postoperative infection in the foot and ankle. Discrimination between infectious and noninfectious inflammation remains a diagnostic challenge usually needing a combination of clinical assessment, laboratory investigations, and imaging studies to increase diagnostic accuracy.

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Section: Technetium 99m Methylene Diphosphonatementioning

confidence: 99%

Postoperative Infection in the Foot and Ankle

Chan

Morrison

Kavanagh

2012

Semin Musculoskelet Radiol

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“…Its value is only in the localization of disease and determination of its spread (ie, metastasis) or polyostotic involvement (ie, polyostotic fibrous dysplasia) because the scan is expected to be positive in the setting of a fracture. 4,19 Laboratory studies are of limited utility in the diagnosis of bone tumors; however, they may be occasionally helpful in ruling out non-neoplastic processes such as infection or metabolic bone disease. 6 Basic laboratory studies should include a complete blood count with white blood cell differential, blood chemistries including ionized calcium, vitamin D and phosphate levels, as well as, erythrocyte sedimentation rate (ESR) and C-reactive protein (CRP).…”

Section: Imaging Studiesmentioning

confidence: 99%

Pathologic fractures through benign bone lesions in children and adolescents

Cruz

Lindskog

2011

Current Orthopaedic Practice

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Pathologic fractures through benign bone lesions in children and adolescents should be approached in a systematic fashion in order to ensure appropriate management. The etiology, natural history, and treatment of the underlying abnormality must be taken into account when treating these fractures because the treatment of the fracture will often be altered by the presence of the lesion and vice versa. Most pathologic fractures through benign lesions can be treated closed; however, there are certain circumstances in which open treatment is advisable. A thorough and thoughtful evaluation of the patient who presents with a pathologic fracture through a benign lesion will help lead to an optimal outcome.

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“…2) [1][2][3][4][5][6][7][8][9][10][11][12][13]. Areas of increased uptake approximately correlate with illdefined rarefactions seen on plain films, although they may look much more extensive.…”

Section: Imaging Acute Hematogenous Osteomyelitis: Opportunities and mentioning

confidence: 99%

“…Gallium scintigraphy has been used to overcome such difficulties, but previous antiobiotherapy may decrease its sensitivity, and it is, nowadays, rarely performed. More specific information may be provided by a white blood cell scan ( 111 indiumlabeled leucocytes) [4][5][6][7][10][11][12].…”

Section: Imaging Acute Hematogenous Osteomyelitis: Opportunities and mentioning

confidence: 99%

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Diagnostic imaging of pediatric hematogenous osteomyelitis: lessons learned from a multi-modality approach

Santos

2006

Eur Radiol

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Pediatric hematogenous osteomyelitis may present highly variable radiological expression, which is influenced by the age and condition of the patient, the virulence of the causative agent, the stage of the disease, or the selected imaging tool. Given the multiplicity of available modalities and the multi-faceted nature of the process, purposeful imaging of pediatric hematogenous osteomyelitis may be difficult. In order to avoid diagnostic delays and complications, familiarity with the variable expression of the disease and assumption of the potentialities, roles and limitations of the various imaging modalities is required. In this pictorial essay we review, illustrate and discuss, in a multi-modality approach, the various radiological patterns that may be found in pediatric hematogenous osteomyelitis, with emphasis on strategies, staging, uncommon distribution patterns, and differential diagnosis.

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Nuclear Medicine Topics in Pediatric Musculoskeletal Disease

Cited by 24 publications

References 45 publications

Postoperative Infection in the Foot and Ankle

Postoperative Infection in the Foot and Ankle

Pathologic fractures through benign bone lesions in children and adolescents

Diagnostic imaging of pediatric hematogenous osteomyelitis: lessons learned from a multi-modality approach

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