Medical Imaging of the Diabetic Foot

Loredo, Rebecca A; Garcia, Glenn M.; Chhaya, Samir A.

doi:10.1016/j.cpm.2007.03.010

Cited by 19 publications

(15 citation statements)

References 23 publications

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“…It is especially useful for the detection of infectious/inflammatory soft tissue changes and localization of foreign bodies, diagnosis of tenosynovitis and joint effusion, and differentiation of infected/reactive collection. This modality is also important in providing guidance for the aspiration of abscesses, cystic lesions, and sterile collections (5, 7). …”

Section: Overview Of Imaging Modalitiesmentioning

confidence: 99%

“…The three-dimensional nature of CT makes it a useful tool for the analysis of compartmental anatomy. The main disadvantages of CT are insufficient demarcation of healthy and infected tissues due to severe beam hardening artifacts caused by small and closely located foot bones, and the presence of ionizing radiation (5, 7). …”

Section: Overview Of Imaging Modalitiesmentioning

confidence: 99%

“…Nevertheless, a clinical evaluation is necessary to obtain an accurate diagnosis. The diagnosis of focal cellulitis in the presence of adjacent osteomyelitis, an abscess, or a sinus tract is easier (5–7, 9). In patients with cellulitis, a bone scan is particularly useful to exclude osteomyelitis.…”

Section: Medical Imaging and Diabetes-related Foot Complicationsmentioning

confidence: 99%

“…The differentiation of soft tissue infection from an accompanying osteomyelitis and the early detection of abscess formation are the main goals of diagnostic imaging procedures (5). The prompt and efficient medical treatment of the diabetic foot is essential to avoid amputation (2).…”

mentioning

confidence: 99%

“…The most commonly used techniques for the multimodal imaging of the diabetic foot are plain radiography (PR), ultrasonography (US), magnetic resonance imaging (MRI), and nuclear medicine scintigraphy (NMS). Computed tomography (CT) is not sensitive enough but is widely used in combination with positron emission tomography (PET) (5–7). …”

mentioning

confidence: 99%

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Current challenges in imaging of the diabetic foot

Sanverdi

Ergen

Öznur

2012

Diabetic Foot & Ankle

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Although a variety of diagnostic imaging modalities are available for the evaluation of diabetes-related foot complications, the distinction between neuroarthropathy and osteomyelitis is still challenging. The early and accurate diagnosis of diabetic foot complications can help reduce the incidence of infection-related morbidities, the need for and duration of hospitalization, and the incidence of major limb amputation. Conventional radiography, computed tomography, nuclear medicine scintigraphy, magnetic resonance imaging, ultrasonography, and positron emission tomography are the main procedures currently in use for the evaluation of diabetes-related foot complications. However, each of these modalities does not provide enough information alone and a multimodal approach should be used for an accurate diagnosis. The present study is a review of the current concepts in imaging of diabetes-related foot complications and an analysis of the advantages and disadvantages of each method.

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Section: Overview Of Imaging Modalitiesmentioning

confidence: 99%

Section: Overview Of Imaging Modalitiesmentioning

confidence: 99%

Section: Medical Imaging and Diabetes-related Foot Complicationsmentioning

confidence: 99%

mentioning

confidence: 99%

mentioning

confidence: 99%

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Current challenges in imaging of the diabetic foot

Sanverdi

Ergen

Öznur

2012

Diabetic Foot & Ankle

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Advanced Cross‐Sectional Radiology‐Ultrasound, Computed Tomography and Magnetic Resonance Imaging of the Diabetic Foot

Komarraju

Chhabra

2020

The Foot in Diabetes

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Exploring the efficacy of photodynamic antimicrobial chemotherapy on diabetic foot ulcers in rats

Zhao,

Pang,

Zhao

et al. 2024

Journal of Biophotonics

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We investigate the efficacy of photodynamic antimicrobial chemotherapy (PACT) and its combination with an antibiotic in the treatment of diabetic foot ulcers (DFUs) in rats using a novel cationic amino acid porphyrin‐based photosensitizer. The research findings demonstrate that the combination of novel cationic photosensitizer‐mediated PACT and an antibiotic exhibits significant therapeutic efficacy in treating deep ulcers in a rat model of DFUs. Moreover, the PACT + Antibiotic group displays enhanced angiogenesis, improved tissue maturation, and superior wound healing effect. Micro‐computed tomography examination showed that the periosteal reaction was most obvious in the PACT + Antibiotic group. The cortical bone volume ratio (BV/TV), the bone mineral density, and trabecular thickness were significantly higher in the PACT + Antibiotic group than in the model group (p < 0.05). The combination of PACT and antibiotic plays a sensitizing therapeutic role, which provides a new idea for the clinical treatment of DFUs.

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Medical Imaging of the Diabetic Foot

Cited by 19 publications

References 23 publications

Current challenges in imaging of the diabetic foot

Current challenges in imaging of the diabetic foot

Advanced Cross‐Sectional Radiology‐Ultrasound, Computed Tomography and Magnetic Resonance Imaging of the Diabetic Foot

Exploring the efficacy of photodynamic antimicrobial chemotherapy on diabetic foot ulcers in rats

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