Osteomyelitis of the foot in diabetic patients: evaluation with plain film, 99mTc-MDP bone scintigraphy, and MR imaging

Yuh, William T. C.; Corson, John D.; Baraniewski, H M; Rezai, Karim; Shamma, Asad R.; Kathol, Mary H.; Sato, Yutaka; El‐Khoury, Georges Y.; Hawes, Donald R.; Platz, Charles E.

doi:10.2214/ajr.152.4.795

Cited by 171 publications

(69 citation statements)

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“…Although some have yielded promising results in early studies, none has yet emerged as a robust and useful test for general application [45][46][47][48][49][50].…”

Section: Scintigraphymentioning

confidence: 99%

Diagnosing and treating diabetic foot infections

Lipsky

Berendt

Embil

et al. 2004

Diabetes Metab. Res. Rev.

111

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Foot infections are a common, complex and costly complication of diabetes. We have made considerable progress in establishing consensus definitions for defining infection. Similarly, we have learned much about the appropriate ways to diagnose both soft tissue and bone infections. Accompanying these advances have been improvements in our knowledge of the proper approaches to antibiotic (and surgical) therapy for diabetic foot infections. Furthermore, investigators have explored the value of various adjunctive therapies, especially granulocyte colony stimulating factors and hyperbaric oxygen, for improving outcomes. This paper presents a summary of a minisymposium on infection of the diabetic foot that was held at the fourth International Symposium on the Diabetic Foot, in Noordwijkerhout, The Netherlands.

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“…Although some have yielded promising results in early studies, none has yet emerged as a robust and useful test for general application [45][46][47][48][49][50].…”

Section: Scintigraphymentioning

confidence: 99%

Diagnosing and treating diabetic foot infections

Lipsky

Berendt

Embil

et al. 2004

Diabetes Metab. Res. Rev.

111

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“…In addition, soft tissue changes are more extensive in infection than those of neuropathic arthropathy. Perhaps the most specific sign in this setting is the ªghostº sign [38]. The ghost sign is characterized by a loss of definition of the individual bones (usually tarsal) on T1-weighted images.…”

Section: Neuropathic Arthropathymentioning

confidence: 99%

MR imaging of the foot and ankle: patterns of bone marrow signal abnormalities

Weishaupt

Schweitzer

2001

Eur Radiol

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IntroductionMagnetic resonance imaging has demonstrated its usefulness in assessment of normal and abnormal bone marrow. Using MR imaging the continuous change of normal bone marrow composition throughout life and the varied responses of bone marrow to trauma or disease can be monitored [1].Magnetic resonance imaging characterization of location, morphology, distribution, and signal characteristics of a bone marrow abnormality enables diagnosis of a wide range of foot and ankle disorders with a high level of specificity. This pictorial review highlights applications of MR imaging of marrow disorders of the foot and ankle including traumatic and stress-related marrow changes, avascular necrosis, osteochondral defects, arthritic, and neuropathic arthropathies as well as osteomyelitis. Technical considerationsThe MR appearance of bone marrow is influenced by both composition (fat, water, minerals) and the specific imaging sequence used [1]; however, most of the MR imaging signal characteristics of marrow are dependent on the fat content [2,3]. A routine MR evaluation of bone marrow of the foot and ankle should include a T1-weighted spin-echo sequence and a fat-suppressed T2-weighted fast spin-echo or short tau inversion recovery (STIR) sequence. Since cellular infiltration within the fatty marrow may be less conspicuous or entirely obscured on T2-weighted fast spin-echo sequences, use of some form of fat suppression is mandatory on T2-weighted fast spin-echo MR images [4,5]. The most widely used form of fat suppression is frequency-selective presaturation. With this method, however, local field inhomogeneities that arise in areas of significantly varying morphology (e.g., ankle) often result in an uneven fat suppression. The inhomogeneous fat suppres- Eur. Radiol. (2002)

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“…During the early phases of neuroarthropathy, when radiographs are normal, MR imaging may show soft tissue oedema, joint effusions, fluid collections and abnormal marrow signal intensity. (7,39) Post-contrast MR imaging reveals enhancement of the marrow and periarticular soft tissue (40) (Fig. 8).…”

Section: A 6b 6cmentioning

confidence: 99%

Magnetic resonance imaging of diabetic foot complications

Low¹,

Peh²

2015

smedj

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This pictorial review aims to illustrate the various manifestations of the diabetic foot on magnetic resonance (MR) imaging. The utility of MR imaging and its imaging features in the diagnosis of pedal osteomyelitis are illustrated. There is often difficulty encountered in distinguishing osteomyelitis from neuroarthropathy, both clinically and on imaging. By providing an accurate diagnosis based on imaging, the radiologist plays a significant role in the management of patients with complications of diabetic foot.

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Osteomyelitis of the foot in diabetic patients: evaluation with plain film, 99mTc-MDP bone scintigraphy, and MR imaging

Cited by 171 publications

References 1 publication

Diagnosing and treating diabetic foot infections

Diagnosing and treating diabetic foot infections

MR imaging of the foot and ankle: patterns of bone marrow signal abnormalities

Magnetic resonance imaging of diabetic foot complications

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