Radiological Methods in Diagnostics of Acute Haematogenous Osteomyelitis in Children

Минаев, С В; Filipieva, N.V.; Leskin, V.V.; Zagumennova, I.Yu.; Rostova, N.P.; Shamadaev, E.Z.

doi:10.31550/1727-2378-2018-149-5-32-36

Cited by 4 publications

(1 citation statement)

References 16 publications

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“…В последние годы роль компьютерной томографии в диагностике ОГО у детей получила значительное признание в детской хирургической практике [9][10][11], а использование МРТ и МСКТ с применением метода цветового картирования и оценкой рентгенологической плотности стало использоваться относительно недавно [12][13][14]. В то же время о высокой информативности МСКТ в диагностике ОГО сообщали многие исследователи [15][16][17].…”

Section: Discussionunclassified

Comparative analysis of the results of multispiral computed tomography using color mapping and magnetic resonance imaging in the diagnosis of acute hematogenous osteomyelitis in children

Pozdnyakov,

Svarich,

Lyurov

2023

Russian Journal of Pediatric Surgery, Anesthesia and Intensive

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BACKGROUND: Although acute hematogenous osteomyelitis is considered a fairly well-studied disease, several articles emphasize that the frequency of diagnostic errors remains quite high. The clinical presentation of acute hematogenous osteomyelitis largely depends on its reactivity and localization. The latter has features of the clinical course in children of different age groups. Osteomyelitis can be difficult to detect because of the variability and nonspecificity of symptoms and physical and laboratory parameters. Rapid diagnosis is crucial for successful disease outcomes because untimely treatment increases the number of complications. Therefore, visualization should be aimed at early diagnosis and, ultimately, successful treatment. AIM: This study aimed to evaluate the informative value of magnetic resonance imaging and multispiral computed tomography (MSCT) in the diagnosis of the intramedullary phase of acute hematogenous osteomyelitis as its earliest stage. MATERIALS AND METHODS: Thirty patients suspected with acute hematogenous osteomyelitis underwent magnetic resonance imaging and MSCT using color mapping techniques and X-ray density assessment. At the final stage of the diagnostic algorithm, osteotonometry was performed. The contents of the bone marrow canal were taken for microbiological and bacteriological studies. RESULTS: In the intramedullary phase of acute hematogenous osteomyelitis, magnetic resonance imaging and MSCT revealed signs of bone marrow edema in 96% of the cases. The sensitivity of magnetic resonance imaging was 96%, the same as that of MSCT; however, the specificity was significantly lower than that of MSCT using the color mapping method and X-ray density assessment, which was 67% and 83%, respectively (p 0.05). DISCUSSION: In recent years, the role of computed tomography in the diagnosis of acute hematogenous osteomyelitis has received considerable recognition in pediatric surgical practice, and MSCT with color mapping and X-ray density assessment in the diagnosis of acute hematogenous osteomyelitis in children has been used relatively recently. Simultaneously, many researchers have reported the high informativeness of MSCT in the diagnosis of acute hematogenous osteomyelitis. CONCLUSIONS: The intramedullary phase of acute hematogenous osteomyelitis according to magnetic resonance imaging and MSCT indicates bone marrow edema as its earliest stage. According to the data of the present study, MSCT using color mapping and X-ray density assessment has high specificity and can be used with MRI as the main method for diagnosing the intramedullary phase of acute hematogenous osteomyelitis.

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Section: Discussionunclassified

Comparative analysis of the results of multispiral computed tomography using color mapping and magnetic resonance imaging in the diagnosis of acute hematogenous osteomyelitis in children

Pozdnyakov,

Svarich,

Lyurov

2023

Russian Journal of Pediatric Surgery, Anesthesia and Intensive

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Modern ideas about metaepiphyseal osteomyelitis. Review

Grishaev,

Shamsiev

2023

Russian Journal of Pediatric Surgery, Anesthesia and Intensive

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This paper presents a review of domestic and foreign literature on the issues of diagnosis and treatment of young children with metaepiphyseal osteomyelitis, the changes in the immune system and cytokine levels, and the targeted correction of the disorders that have arisen. This work aims to highlight modern approaches to the diagnosis and treatment of metaepiphyseal osteomyelitis in young children with emphasis on the changes in the immune status of the patient. Literary search was performed in the databases in Russian eLibrary.ru, English Medline, Web of Science, and PubMed using the following keywords: metaepiphyseal osteomyelitis, infants, immune system, cytokines, interleukins, and roncoleukin. A total of 405 papers were found, of which 66 were fully consistent with the purpose of our study and thus selected for the analysis. Results showed that the search for effective methods for the early diagnosis of the osteomyelitic process in young children continues to be relevant; no study has provided a complete picture of the severity of the pathological process. Although numerous studies have been performed, no consensus has been achieved in assessing the significance of changes in the parameters of the immune system and its cytokine link during the development of metaepiphyseal osteomyelitis. The data indicated a positive effect of the use of recombinant interleukin-2 in the complex treatment of a number of diseases, especially in young children with various pathological conditions. Metaepiphyseal osteomyelitis in young children is an urgent problem in pediatric surgery largely due to the increase in the number of children with reduced immuno-biological reactivity, which requires the use of effective immunocorrection agents as part of the complex etiotropic and pathogenetic treatment. This approach applies to such powerful means of immunocorrection as recombinant cytokine preparations.

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The current state of the issue of using cone beam computed tomography in the diagnosis of musculoskeletal diseases

Sholokhova,

Zharkov,

Lezhnev

et al. 2023

Acta biomedica scientifica

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The high incidence rate and wide range of musculoskeletal pathologies determine the improvement of the diagnostic process. Late diagnosis leads to complications, which in turn increase the percentage of disability. Therefore, the search for the most informative method with the least radiation load on the patient remains an urgent problem for radiologists. Cone beam computed tomography (CBCT) is a modern and promising technique that has already found wide application in dentistry and otorhinolaryngology. Among the advantages of CBCT are: three-dimensional image; high spatial resolution; low radiation dose. Thanks to technical improvements in equipment and the introduction of new image processing protocols, it has become possible to expand the indications for conducting the researches, including the researches based on imaging of the upper and lower extremities. Based on the results of a CBCT study, we can evaluate: the shape and contour of the bone; solution of continuity of the bone and malposition of bone fragments; the structure of bone tissue and the pathological processes occurring in it (destruction, osteoporosis, osteosclerosis); joint congruence and changes in articular surfaces surrounding soft tissues. Therefore, CBCT can be introduced into the diagnostic process of bones and joints diseases. The use of this technique will find wide application in traumatology and orthopedics (fractures, dislocations, post-traumatic deformities, aseptic necrosis, osteoarthritis), rheumatology (rheumatoid arthritis, polyarthropathy, juvenile arthritis, gout), surgery (osteomyelitis), oncology (benign and malignant bone tumors) both in the adult population and in pediatric practice. This paper presents a review of the literature, which examines the degree of development of the issue of using CBCT and describes study protocols and protocols for processing the obtained images in the diagnosis of musculoskeletal diseases.

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Radiological Methods in Diagnostics of Acute Haematogenous Osteomyelitis in Children

Cited by 4 publications

References 16 publications

Comparative analysis of the results of multispiral computed tomography using color mapping and magnetic resonance imaging in the diagnosis of acute hematogenous osteomyelitis in children

Comparative analysis of the results of multispiral computed tomography using color mapping and magnetic resonance imaging in the diagnosis of acute hematogenous osteomyelitis in children

Modern ideas about metaepiphyseal osteomyelitis. Review

The current state of the issue of using cone beam computed tomography in the diagnosis of musculoskeletal diseases

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