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Osteomyelitis and Arthritis

Katrin D M KD Stumpe and Klaus K Strobel

Semin Nucl Med 39(1):9 (2009) PMID 19038598

Infections of bone and the joints can represent major diagnostic and therapeutic challenges to all clinicians. Together with osteomyelitis and septic arthritis, soft-tissue infections like cellulites/fasciitis and abscess formation can occur, which have to be treated appropriately. Bone scintigraphy is a sensitive method that can be used to search for bone and joint infections. Labeled leukocytes often are used as the gold standard to identify infectious foci in the musculoskeletal system, but major drawbacks of this method are the imaging of chronic infections and imaging of the axial skeleton. Like ^1^1^1In-labeled leukocyte imaging, ^9^9^mTc-labeled antigranulocyte antibody scintigraphy has a role in the imaging of osteomyelitis of the peripheral skeleton. Magnetic resonance imaging is widely used to evaluate musculoskeletal infections and is excellent in identifying abscess formation, but the extent and spread of infection is sometimes difficult to delineate because hyperemia and infection are not congruent.

Copyright © 2009 Elsevier Ltd. All rights reserved.

DOI: 10.1053/j.semnuclmed.2008.08.003
Version: za2963e q8zad q8zb8 q8zc2 q8zdb q8zeb q8zfc q8zg6

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