SPECT/CT of Osteitis Condensans Ilii

Gemmel, Filip; Coningh, Arwin van Vrijberghe de; Collins, James D.; Rijk, Paul C.

doi:10.1097/rlu.0b013e3181feefe8

Cited by 10 publications

(3 citation statements)

References 9 publications

(18 reference statements)

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“…[19] Another report explained the use of pelvic X-ray coupled with bone-single PECT (SPECT)/CT to distinguish OCI in the early stages from AS or sacroiliitis. [20] One-stop shop hybrid SPECT/low-dose CT was also advocated as viable alternative. In nutshell, there has been the advent of interesting radiological advances to diagnose or differentiate OCI from other conditions.…”

Section: Diagnosismentioning

confidence: 99%

Osteitis condensans ilii: A mini review

Dharmshaktu¹,

Dharmshaktu²

2023

Ann Rheumatol Autoimmun

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Osteitis condensans ilii (OCI) is an uncommon cause of pain in the lower back region and is usually found in women. The condition is not fully understood and most articles in the medical literature describe a small series or anecdotal reports. This condition is an uncommon differential diagnosis of lower back pain and may be misdiagnosed in the absence of knowledge and careful assessment. This disorder can be diagnosed appropriately following a high index of suspicion and judicious use of advanced radiological imaging. This succinct review is based on the relevant findings, from the published article in PubMed and PubMed Central (searched during March-April 2023), with the search term "Osteitis condensans" and "Osteitis condensans ilii" and includes the articles published within the period of the last 10 years. The article aims to serve as a refresher of the knowledge regarding OCI for students and practitioners alike.

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Section: Diagnosismentioning

confidence: 99%

Osteitis condensans ilii: A mini review

Dharmshaktu¹,

Dharmshaktu²

2023

Ann Rheumatol Autoimmun

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“…78 OCI is considered a diagnosis of exclusion because plain radiograph and MRI findings of the spine were unremarkable; 79 while the characteristic X-ray image may show triangular sclerotic changes in the auricular portion of the bilateral ilium with preserved SI joint space. 80,81 Patients mostly exhibit normal physical and neurological examination but some show SI joint region tenderness and increased lumbar lordosis. 59 From a case-control study, OCI is shown to be associated with pain on SI stress tests.…”

Section: Quantitative Sacroiliac Scintigraphy For Osteitis Condensans Iliimentioning

confidence: 99%

“…MRI, SPECT, and PET/ CT might have the ability to distinguish OCI from other diseases and require larger-scale studies before use in the clinical setting. 81,83,84 Quantitative Sacroiliac Scintigraphy for Periostitis-Induced Sacroiliac Pain Juvenile-onset HLA-B27-associated 'unclassifiable' SpA, especially cases without evidence of enteric or genitourinary symptoms, may have tarsal periostitis as an early clinical manifestation and then show bilateral sacroiliac pain later on. 85 One article has reported improvements of the SI joint after convalesce of the foot periostitis, and concluded that stress events, exercise, and abnormal posture can all increase SI ratios, while corrected posture for a period of time, anti-inflammatory drugs, and rehabilitation programmes can all reduce SI ratios.…”

Section: Quantitative Sacroiliac Scintigraphy For Osteitis Condensans Iliimentioning

confidence: 99%

A Worthwhile Measurement of Early Vigilance and Therapeutic Monitor in Axial Spondyloarthritis: A Literature Review of Quantitative Sacroiliac Scintigraphy

et al. 2021

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Background: Back pain a common cause for hospital visits. Nuclear skeletal scintigraphy, at a high sensitivity, provides a functional imaging for detecting bone diseases. Sacroiliitis is an inflammation of the sacroiliac joint. Bone scan with quantitative sacroiliac scintigraphy (QSS) has been a useful inflammation indicator for sacroiliac joints. However, QSS has been ignored in the rehabilitation practice. Objective: To present the background, mechanisms, and current clinical applications of bone scan with QSS in spondyloarthropathy (SpA). Methods: The authors performed a literature review of QSS through database searching of MEDLINE, Embase, CINAHL, HaPI, Cochrane Review, and citation mining. Studies were included if they had QSS in the methodology performed in adult patients with various diseases. Any articles, including the authors’, that can be performed in a clinical setting were enrolled. Articles explicitly referencing QSS were retained for screening. Results: QSS appearance of SpA, including ankylosing spondylitis, may give rise to early detection. The specificity of sacroiliitis based on QSS increases from 73% to 97%. After investigating the relationship between serum C-reactive protein and sacroiliac joint inflammation in patients with SpA, there appeared to be a significant difference between serum C-reactive protein in serum and in sacroiliac ratio (particularly the middle part of the both joints), indicating a systemic inflammatory response to flair-up of SpA, for example, serum C-reactive protein as an indicator of inflammation. Sacroiliitis also occurs in post-streptococcal reactive arthritis. The involvement of sacroiliac joints in the development of post-streptococcal reactive arthritis had been demonstrated a significant correlation between anti-streptolysin O titres and QSS in patients with post-streptococcal reactive arthritis. Lower extremity periostitis acts as a human model in the study of bottom-up processing for periostitis-induced sacroiliac pain. The use of QSS can also monitor sacroiliac joint dysfunction before and after laser therapy. Improvements of the sacroiliac joint after convalescing of foot periostitis have been reported. Conclusions: Bone scan using QSS is a good screening measurement in scintigraphy rehabilitation for early detection of SpA and raises awareness of physicians toward the next step of diagnosis.

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Osteitis Condensans Ilii

Wyngaert

2023

Clinical Atlas of Bone SPECT/CT

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SPECT/CT of Osteitis Condensans Ilii

Cited by 10 publications

References 9 publications

Osteitis condensans ilii: A mini review

Osteitis condensans ilii: A mini review

A Worthwhile Measurement of Early Vigilance and Therapeutic Monitor in Axial Spondyloarthritis: A Literature Review of Quantitative Sacroiliac Scintigraphy

Osteitis Condensans Ilii

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