Abstract:
OBJECTIVE:In diagnosing osteomyelitis (OM) both MRI and [18 F]FDG PET-CT proved to be accurate modalities. In anticipation of the advent of hybrid PET/MRI scanners we analyzed our patient group to give direction to future imaging strategies in patients with suspected OM. MATERIALS AND METHODS:In this retrospective study all patients of a tertiary referral center who underwent both an MRI and a PET for the diagnosis of OM were included. The results of those scans were evaluated using patient's histology, microbiological findings, and clinical/radiological follow-up. Additionally, ROC curve analysis of the SUVmax and the SUVmax ratio on the PET scans was performed. Two imaging strategies were simulated: first MRI followed by PET, or vice versa. RESULTS:Twenty-seven localizations in 26 patients were included. Both MRI and PET were shown to be accurate in our patients for the qualitative detection of OM. A cut-off value for the SUVmax of 3 gave optimal results (a specificity of 90 % with a sensitivity of 88 %). The SUVmax ratio gave a worse performance. The two simulated imaging strategies showed no difference in the final diagnosis in 20 out of 27 cases. Remarkably, 6 equivocal cases were all correctly diagnosed by the second modality, i.e., PET or MRI. CONCLUSION:Both MRI and [18 F]FDG PET were accurate in diagnosing OM in a tertiary referral hospital population. Simulation of imaging strategies showed that a combined sequential strategy was optimal. It seems preferable to use MRI as a primary imaging tool for uncomplicated unifocal cases, whereas in cases with (possible) multifocal disease or a contraindication for MRI, PET is preferred. This combined sequential strategy looks promising, but needs to be confirmed in a larger prospective study.
journal_name
Skeletal Radioljournal_title
Skeletal radiologyauthors
Demirev A,Weijers R,Geurts J,Mottaghy F,Walenkamp G,Brans Bdoi
10.1007/s00256-014-1844-3subject
Has Abstractpub_date
2014-05-01 00:00:00pages
665-72issue
5eissn
0364-2348issn
1432-2161journal_volume
43pub_type
杂志文章abstract::Forces and torques, due to a 0.3 Tesla magnetic field were evaluated on ten hip prostheses and ten hemostat clips. Measurements were performed with an instrument utilizing the movement of a laser beam caused by the deflection of a cantilever. The results indicate effects, if any, to be smaller than the instrument's se...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/BF00355565
更新日期:1985-01-01 00:00:00
abstract:PURPOSE:The purpose of this nested case-control study was to identify baseline, incident, and progressive MRI findings visible on standard MRI clinical sequences that were associated with development of incident knee pain in subjects at risk for OA over a period of 48 months. METHODS:We analyzed 60 case knees developi...
journal_title:Skeletal radiology
pub_type: 杂志文章,多中心研究
doi:10.1007/s00256-016-2343-5
更新日期:2016-05-01 00:00:00
abstract:UNLABELLED:To evaluate the computed tomography (CT) findings of inflammatory lesions of the sternoclavicular joints (SCJ) in spondylarthropathies. DESIGN AND PATIENTS:CT scans of the SCJs were obtained in 23 patients (group 1) with inflammatory SCJ lesions in spondylarthropathies. These scans were reviewed by four rea...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/s002560050258
更新日期:1997-07-01 00:00:00
abstract::Orthodox radiological examination of patients presenting with disorders of the hip, usually on account of pain and limitation of movement, may vary in diagnostic value. As a supplementary study we have employed arthrography. During this procedure we have, since 1970, routinely assessed the capacity of the joint capsul...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/BF00347339
更新日期:1981-01-01 00:00:00
abstract::Primary perivascular epithelioid cell neoplasms (PEComas) of bone are rare mesenchymal tumors. Histologically, they are composed predominantly of perivascular epithelioid cells and have the capacity to metastasize. PEComas have been reported within intra-abdominal and intra-pelvic organs. To the best of our knowledge,...
journal_title:Skeletal radiology
pub_type: 杂志文章,评审
doi:10.1007/s00256-012-1479-1
更新日期:2012-11-01 00:00:00
abstract::The glomus tumor is a rare, benign, but painful vascular neoplasm arising from the neuromyoarterial glomus. Primary intraosseous glomus tumor is even rarer, with only about 20 cases reported in the literature so far, 5 of which involved the spine. Surgical resection is currently considered the treatment of choice. We ...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/s00256-011-1308-y
更新日期:2012-04-01 00:00:00
abstract::Despite advances in imaging techniques, hip arthrography is still a useful diagnostic tool. We have found that the lateral approach to the hip joint, with the needle inserted superior to the greater trochanter and parallel to the table top under fluoroscopic control, allows easy advancement of the needle into the late...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/BF00243064
更新日期:1992-01-01 00:00:00
abstract::We treated a patient with large multiple chondrosarcomas derived from multiple cartilaginous exostoses. One sarcoma originated in the left pubic bone and the other sarcoma in the posterior aspect of the greater trochanter of the left femur. Thirty months after hindquarter amputation, the patient is alive without relap...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/s002560050373
更新日期:1998-04-01 00:00:00
abstract:OBJECTIVE:To describe the multi-ossicle appearance of the os naviculare on MRI and CT examinations and to correlate this appearance with the published classification of this well-known skeletal variant. MATERIALS AND METHODS:We retrospectively reviewed 148 patients, examined within a 2-year period (170 CT and MRI stud...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/s00256-010-0944-y
更新日期:2011-01-01 00:00:00
abstract::While well-recognized in the orthopedic literature as a cause of chronic hip pain, acetabular retroversion has not been specifically described in the radiologic literature. Acetabular retroversion represents a particular form of hip dysplasia characterized by abnormal posterolateral orientation of the acetabulum. This...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/s00256-006-0150-0
更新日期:2007-06-01 00:00:00
abstract::The clinical, radiological and pathological features of a case of lipofibromatosis, a rare paediatric soft tissue neoplasm, are described. The tumour involved the foot of a male infant and was present at birth. Magnetic resonance imaging showed a lipomatous mass, with splaying of muscles of the sole by lobules of fat....
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/s00256-008-0458-z
更新日期:2008-06-01 00:00:00
abstract:OBJECTIVE:To describe the MR imaging findings in patients with osteolysis of the distal clavicle and to compare the MR imaging appearance of clavicular osteolysis following acute injury with that related to chronic stress. DESIGN AND PATIENTS:MR imaging examinations were reviewed in 17 patients (14 men, 3 women; ages ...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/s002560050501
更新日期:1999-04-01 00:00:00
abstract::Shoulder girdle lipomatosis is a distinct type of lipomatosis which has unique clinical and radiographic features. The MR findings reflect the pathologic findings and, in our opinion, allow the differentiation of shoulder girdle lipomatosis from other lipomatous masses on the basis of imaging findings alone. ...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/BF00941252
更新日期:1995-08-01 00:00:00
abstract::Computed tomography was used to identify three different ways in which primary bone tumors may transgress a bony cortex. Analysis of the pattern of cortical transgression was used in conjunction with the presence or absence of matrix mineralization to classify correctly the lesion into one of four different diagnostic...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/BF00355103
更新日期:1986-01-01 00:00:00
abstract::We report on a 9-year-old boy with metachronous aneurysmal bone cysts involving the tibia and pubis respectively. The patient has been clinically and radiographically followed for 3 years. ...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/s002560050288
更新日期:1997-09-01 00:00:00
abstract::A case of Petriellidium boydii (synonym: Allescheria boydii) infection of the knee joint is described. It followed a penetrating soft tissue injury with a pitchfork. Such infections are rare in this country and bone involvement has not been recorded previously except in maduramycosis contracted in tropical areas. ...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/BF00360494
更新日期:1982-01-01 00:00:00
abstract:OBJECTIVE:We used magnetic resonance imaging (MRI) to evaluate where articular degeneration begins and which ligaments are most often involved in the early clinical stage first carpometacarpal joint (CMCJ-1) osteoarthritis. MATERIALS AND METHODS:We retrospectively analyzed the MRI findings of 26 patients with early cl...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/s00256-020-03383-2
更新日期:2020-07-01 00:00:00
abstract:OBJECTIVE:To determine whether there is a subset of young patients (< 35 years) with acute, post-traumatic insults to the rotator cuff which mimic the early stages of impingement. DESIGN AND PATIENTS:One hundred and ninety-seven consecutive shoulder MR images were retrospectively reviewed, and the results of 83 clinic...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/s002560050134
更新日期:1996-08-01 00:00:00
abstract::Subcutaneous panniculitis-like T-cell lymphoma (SPTCL) represents a rare subclassification of peripheral T-cell lymphoma (PTCL). We present a case of a 21-year-old female who presented with a 1-month history of pain in the left buttock and hip, tender left inguinal lymph nodes, fevers, and night sweats. Percutaneous c...
journal_title:Skeletal radiology
pub_type: 杂志文章,评审
doi:10.1007/s00256-014-1879-5
更新日期:2014-09-01 00:00:00
abstract::This is a brief review of the physical and physiologic aspects and theories of thermography and its clinical use in musculoskeletal conditions. Thermography is a simple, non-invasive procedure with a potential for usefulness. However, the majority of clinical studies to date have not been performed independent of othe...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/BF00361052
更新日期:1986-01-01 00:00:00
abstract:DESIGN AND PATIENTS:We reviewed the MR appearances of six cases of longitudinal stress fracture of the lower extremity. RESULTS:One fracture was in the femur and five were in the tibia. Four of the tibial fractures showed edema starting in the mid-tibia at the level of the nutrient foramen with the fracture on the ant...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/s00256-002-0597-6
更新日期:2003-01-01 00:00:00
abstract::The spectrum of radiographic abnormalities accompanying bone and joint infection that results from human bites of the hand is presented in an analysis of 13 patients. Features include mono-articular involvement, predilection for a metacarpophalangeal joint, soft tissue swelling, joint space narrowing, bone erosions an...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/BF00352616
更新日期:1985-01-01 00:00:00
abstract::Three patients with benign subacute osteoporotic vertebral compression fractures are presented. T1 weighted magnetic resonance (MR) images (SE 500/30) showed decreased vertebral signal. Because the results of the MR examination were thought to indicate malignant disease, extensive medical workups, including one biopsy...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/BF00365140
更新日期:1988-01-01 00:00:00
abstract::Fatigue stress fractures are quite common in athletes, especially in women. They typically involve the lower extremities, but they have also been described in the pelvis and sacrum. Most of the time, they are radiographically occult at the beginning, and become visible only when the callus is detected. They are suspec...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/s00256-011-1244-x
更新日期:2012-01-01 00:00:00
abstract:: ...
journal_title:Skeletal radiology
pub_type:
doi:10.1007/s00256-018-2997-2
更新日期:2018-12-01 00:00:00
abstract::A 2-year-old child presenting with bone pain and bone lesions was found to have sinus histiocytosis with massive lymphadenopathy (SHML). SHML presenting with skeletal symptoms is unusual. Management has been conservative and the child has been symptom free for 30 months, although the bone lesions have not completely r...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/s002560050349
更新日期:1998-02-01 00:00:00
abstract::Skeletal lesions were radiographically apparent in 6 of 36 (16%) patients with chronic myelogenous leukemia. The spectrum of radiographic changes including diffuse osteoporosis, focal osteolytic and osteoblastic lesions, chloroma, and arthritis, and their clinical behavior is discussed. ...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/BF00347255
更新日期:1980-01-01 00:00:00
abstract::Scoliosis is defined as a lateral deviation of the spine from the normal plumb line. Commonly, there is a rotational component and deviation also in the sagittal plane (kyphosis or hyperlordosis). When scoliosis presents in adults, it is often painful. In contrast, back pain in a child is considered rare, and serious ...
journal_title:Skeletal radiology
pub_type: 杂志文章,评审
doi:10.1007/s00256-008-0517-5
更新日期:2009-03-01 00:00:00
abstract:PURPOSE:To determine the value of prebiopsy 18F-fluoro-2-deoxy-D-glucose positron emission tomography (FDG-PET)/computed tomography (CT) in discriminating malignant from benign vertebral bone lesions. MATERIALS AND METHODS:This retrospective study included 53 patients with 55 vertebral bone lesions that underwent FDG-...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/s00256-020-03426-8
更新日期:2020-09-01 00:00:00
abstract:OBJECTIVE:To assess the impact of different types of physical activity types on longitudinal knee joint structural changes over 48 months in overweight and obese subjects. MATERIALS AND METHODS:We included 415 subjects with a BMI ≥ 25 kg/m2, Kellgren-Lawrence scores ≤ 3 at baseline and Whole-Organ Magnetic Resonance I...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/s00256-020-03642-2
更新日期:2021-01-06 00:00:00