In-111 WBC imaging of osteomyelitis in patients with underlying bone scan abnormalities

被引:28
作者
Kolindou, A [1 ]
Liu, Y [1 ]
Ozker, K [1 ]
Krasnow, AZ [1 ]
Isitman, AT [1 ]
Hellman, RS [1 ]
Collier, BD [1 ]
机构
[1] MED COLL WISCONSIN, DEPT RADIOL, NUCL MED SECT, MILWAUKEE, WI 53226 USA
关键词
SCINTIGRAPHY; LEUKOCYTE; DIAGNOSIS; INDIUM-111-LEUKOCYTE; INFECTION; OSTEOARTHROPATHY; CHEMOTAXIS; FRACTURE; MR;
D O I
10.1097/00003072-199603000-00001
中图分类号
R8 [特种医学]; R445 [影像诊断学];
学科分类号
1002 ; 100207 ; 1009 ;
摘要
One hundred seven combined In-ill WBC/Tc-99m MDP scans performed on 87 patients with a high clinical suspicion of osteomyelitis were retrospectively reviewed, An 86% sensitivity and a 94% specificity for detecting osteomyelitis were found, In addition, patients were grouped into one of five clinical settings for more detailed analysis: diabetic osteoarthropathy, previous arthroplasty, fracture, overlying skin ulcer, and other etiology, Forty-seven studies were performed while patients received antibiotic therapy without loss of sensitivity for detecting osteomyelitis. Results obtained with scintigraphy compared favorably to other imaging and laboratory studies used to detect osteomyelitis. In conclusion, the combined In-111 WBC/Tc-99m MDP scan is a very sensitive end specific method to detect osteomyelitis in patients with concurrent diabetic osteoarthropathy, fracture, postoperative healing, and overlying skin ulcer, Antibiotic treatment does not appear to adversely affect the sensitivity of these scans.
引用
收藏
页码:183 / 191
页数:9
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