Usefulness of Magnetic Resonance Imaging for the Diagnosis of Acute Musculoskeletal Infections in Children

Mazur, John M.; Ross, Glen; Cummings, J. R.; Hahn, A. G.; McCluskey, William P.

doi:10.1097/01241398-199515020-00002

Cited by 27 publications

(36 citation statements)

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“…Aspiration can be guided by ultrasound or CT. However, MRI is more sensitive than CT for detecting early inflammatory changes [8]. In our review, CT was the diagnostic tool in 12 cases (57%), MRI was used in six cases (33%) and both CT and MRI in two cases.…”

Section: Discussionmentioning

confidence: 98%

Fever and a progressively limping gait in a 9-year-old boy

Lin

Chou

et al. 2003

European Journal of Pediatrics

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Section: Discussionmentioning

confidence: 98%

Fever and a progressively limping gait in a 9-year-old boy

Lin

Chou

et al. 2003

European Journal of Pediatrics

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“…A 3-phase bone scan has high sensitivity (84 -100%) and specificity (70 -96%) for diagnosing osteomyelitis, which will cause an increased signal in all 3 phases (12,13). When further imaging is needed or symptoms are localized, MRI is the preferred technique with suspected osteomyelitis, since it has been reported to have very high sensitivity (97%) and specificity (92%) for detecting bone infection (14) and can provide superior anatomic detail of the diseased bone that is involved in an infection. In children, osteomyelitis tends to occur in the rapidly growing metaphyses of the long bones (15).…”

Section: Osteomyelitismentioning

confidence: 99%

A 9‐year‐old girl with ankle, knee, and shoulder pain

Shiner¹,

McLEAN²,

Pang³

et al. 2011

Arthritis Care & Research

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“…Die sichere Abgrenzung gegenüber primär malignen Tumoren ist nicht möglich. Nachteil dieser Methode ist einerseits die niedrige Spezifität (etwa 60-70%) und andererseits die Strahlenbelastung sowie bei Kindern die nicht selten notwendige Sedierung [6,19].…”

Section: Nach Roberts [22]) Und Nachweis Von Unscharf Begrenzten Multunclassified

“…Die MRT gilt im Nachweis einer Osteomyelitis als ähnlich sensitiv (bis 100%) wie die Szintigraphie [6,19,26]. Aufgrund einer besseren dreidimensionalen Auflösung und dem hohen Weichteilkontrast ist die MRT insbesondere unter Einbeziehung von fettunterdrück-ten Untersuchungen mit Kontrastmitteln das spezifischere Nachweisverfahren [4,20].…”

Section: Nach Roberts [22]) Und Nachweis Von Unscharf Begrenzten Multunclassified

“…Aufgrund einer besseren dreidimensionalen Auflösung und dem hohen Weichteilkontrast ist die MRT insbesondere unter Einbeziehung von fettunterdrück-ten Untersuchungen mit Kontrastmitteln das spezifischere Nachweisverfahren [4,20]. Die Sensitivität der MRT soll bei annähernd 100%, die Spezifität bei über 90% liegen [6,7,19,20]. Sowohl die akute als auch die subakute Form der HOM weist eine Signalreduktion auf T1-Bildern und eine Signalerhöhung auf T2-Bildern auf [4,6,26].Weiter zeigt besonders der Rand der Entzündung ein deutliches Kontrastmittelenhancement [4,20].…”

Section: Nach Roberts [22]) Und Nachweis Von Unscharf Begrenzten Multunclassified

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Die primär subakute hämatogene Osteomyelitis im Kindesalter

Diedrich

Kraft

Sasse³

et al. 2002

Unfallchirurg

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The most frequent form of bone infection is haematogenous osteomyelitis (HOM), typically affecting infants and children. Dependent on the virulence of the pathogen and the patients immune response, one can distinguish between the acute (AHOM) and primary subacute haematogenous osteomyelitis (PSHO). In contrast to AHOM, diagnosis of PSHO is severely impeded in that clinical and blood-chemistry findings usually do not enable differentiation from primary malignant bone tumors. With a comparable age predilection and clinical symptoms, as well as very similar conventional radiographic, MRI- and bone-scan-findings, the most important differential diagnosis is Ewing's-sarcoma. The here demonstrated case of a 12 year-old girl shows that PSHA may imitate a sarcoma very closely, even concerning such usually fairly reliable radiographic aspects like osteolysis and lamellar periostal bone reaction. Despite the use of MRI, the diagnosis initially remained uncertain and a malignant bony lesion could only be ruled out after open biopsy and histopathological evaluation.

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Usefulness of Magnetic Resonance Imaging for the Diagnosis of Acute Musculoskeletal Infections in Children

Cited by 27 publications

References 0 publications

Fever and a progressively limping gait in a 9-year-old boy

Fever and a progressively limping gait in a 9-year-old boy

A 9‐year‐old girl with ankle, knee, and shoulder pain

Die primär subakute hämatogene Osteomyelitis im Kindesalter

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