골수염은 임상의들에게 종종 진단상의 문제를 제기하는 점점 더 흔한 질환이다. 정확하고 시기적절한 진단은 생명이나 사지를 잃을 수 있는 합병증을 예방하는 데 중요하다. 과거력, 건강검진, 그리고 실험실 연구 외에도, 진단 영상은 진단 과정에 있어서 필수적이다. 본 서술적 고찰 논문은 골수염을 진단하기 위해 사용되는 다양한 영상기법, 즉 단순 방사선 검사, 컴퓨터 단층 촬영(CT), 자기 공명 영상(MRI), 초음파 검사, 골 신티그래피 및 양전자 방출 단층 촬영(PET)에 대해 논한다. PubMed에서 "골수염 진단 영상"이라는 주제와 관련된 논문을 입수하고 선별하였다. 저자들은 단순 방사선 영상에서 골용해성 변화가 드러나 보일 수 있고 다른 대안적 질병을 배제시킬 수 있기 때문에 단순 방사선 검사가 적절한 첫 단계라고 결론을 내렸다. MRI는 매우 민감하고 감염 후 며칠 내에 골수 변화를 나타낼 수 있기 때문에 종종 두 번째 단계로 가장 적절한 검사이다. CT, 초음파 및 골 신티그래피와 같은 다른 영상기법은 MRI 검사를 받을 수 없는 환자에게 유용할 수 있다. CT는 만성 감염 시 괴사성 뼈를 식별하는 데 유용하다. 초음파 검사는 겸상적혈구 질환을 가진 소아나 개인에게 유용할 수 있다. 골 신티그래피는 척추골수염을 감지하는 데 특히 유용하다. 마지막으로, PET는 높은 민감도와 특이성을 보여주었지만, 높은 비용과 낮은 가용성으로 인해 임상 적용은 제한적이다. 적절하게 사용될 경우, 진단 영상은 골수염을 감지하는 데 매우 민감하고 특이성을 가질 수 있으며, 이러한 쇠약 상태를 진단하는 과정에서 아주 중요한 단계가 될 수 있다.
Osteomyelitis is an increasingly common pathology that often poses a diagnostic challenge to clinicians. Accurate and timely diagnosis is critical to prevent complications that can result in the loss of life or limb. In addition to history, physical exam, and laboratory studies, diagnostic imaging plays an essential role in the diagnostic process. This narrative review article discusses various imaging modalities employed to diagnose , namely plain films, computed tomography (CT), magnetic resonance imaging (MRI), ultrasound, bone scintigraphy, and positron emission tomography (PET). Articles were obtained from PubMed and screened for relevance to the topic of diagnostic imaging for osteomyelitis. The authors conclude that plain films are an appropriate first step as they may reveal osteolytic changes and can help rule out alternative pathology. MRI is often the most appropriate second study, as it is highly sensitive and can detect bone marrow changes within days of an infection. Other studies such as CT, ultrasound, and bone scintigraphy may be useful in patients who cannot undergo MRI. CT is useful for identifying necrotic bones in chronic infections. Ultrasound may be useful in children or with sickle-cell disease. Bone scintigraphy is particularly useful for vertebral osteomyelitis. Finally, PET has demonstrated high sensitivity and specificity; however, its clinical application is limited by its high cost and poor availability. When used appropriately, diagnostic imaging can provide high sensitivity and specificity for detecting osteomyelitis, making radiographic evaluation a crucial step in the diagnostic process of this debilitating condition.
Osteomyelitis
is an increasingly common pathology condition that often poses a diagnostic challenge
to clinicians. Accurate and timely diagnosis is critical to prevent
complications that can result in the loss of life or limb. In addition to
history, physical examexamination, and laboratory studies, diagnostic
imaging plays an essential role in the diagnostic process. This narrative
review article discusses various imaging modalities employed to diagnose osteomyelitis1:, namely plain filmsradiography, computed tomography (CT), magnetic
resonance imaging (MRI), ultrasoundultrasonography2, bone scintigraphy, and positron
emission tomography (PET). Articles were obtained from PubMed and screened for
relevance to the topic of diagnostic imaging for osteomyelitis. The authors concludeconcluded3
that plain films are radiography is an appropriate first step as they because the
images4 may reveal osteolytic changes and can help rule out
alternative pathologydisease. MRI is often the most appropriate second study, asstep because it is highly sensitive and can detectreveal5
bone marrow changes within days of an infection. Other studiesimaging
modalities6 such as CT, ultrasoundultrasonography, and bone scintigraphy may be
useful in patients who cannot undergo MRI. CT is useful for identifying
necrotic bones in chronic infections. UltrasoundUltrasonography may be useful in children or with
sickle-cell disease. Bone scintigraphy is particularly useful for detecting7 vertebral osteomyelitis. Finally, PET
has demonstrated high sensitivity and specificity; however, its clinical
application is limited by its high cost and poor availability. When used
appropriately, diagnostic imaging can providebe highly
sensitiveity
and specificity for detecting osteomyelitis, making radiographic evaluation a
crucial step in the diagnostic process of this debilitating condition.
Osteomyelitis
is an increasingly common pathology condition that often
posespossesses1 a diagnostic
challenge to the clinicians. Accurate
and timely diagnosis is critical to preventcrucial for preventing2 complications that can
result in the loss of life or limb. In addition to history, physical examexamination,
and laboratory studies, diagnostic imaging plays anis3 essential role in
the diagnostic process. This4In this narrative review article discusses,
various imaging modalities employed to diagnose osteomyelitis5:,
namely are described; these include plain filmsradiography, computed tomography (CT), magnetic
resonance imaging (MRI), ultrasoundultrasonography6, bone scintigraphy, and positron
emission tomography (PET). Articles were obtained
from identified through7 PubMed
and screened for relevance to the topic of diagnostic imaging for
osteomyelitis. The authors concludeconcluded8 that plain films
are radiography is an
appropriate first step as they because the images9 may reveal osteolytic changes
and can help rule out alternative pathologydisease. MRI is often the most appropriate second study, asstep because it is highly sensitive and can detectreveal10
bone marrow changes within days of an infection. Other studiesimaging
modalities11 such as CT, ultrasoundultrasonography, and bone scintigraphy may be
useful infor
patients in who MRI cannot undergo
MRIbe performed. CT is useful
for identifying necrotic bones in chronic infections. UltrasoundUltrasonography
may be useful in children or individuals
with sickle-cell disease. Bone scintigraphy is particularly useful forin12 detecting13 vertebral osteomyelitis. Finally, PET
has demonstrated high sensitivity and specificity; however, as it is expensive and often unavailable its
clinical application is limited by its high cost and
poor availability. When used appropriately, diagnostic imaging can providebe highly
sensitiveity and specificity for detecting osteomyelitis, making radiographic
evaluation has high sensitivity and specificity for
detecting osteomyelitis; thus, it is a crucial step in the diagnostic process ofdiagnosing this debilitating condition.
Osteomyelitis is an increasingly common condition that possesses a diagnostic challenge to the clinicians. Accurate and timely diagnosis is crucial for preventing complications that can result in the loss of life or limb. In addition to history, physical examination, and laboratory studies, diagnostic imaging is essential in the diagnostic process. In this narrative review article, various imaging modalities to diagnose osteomyelitis are described; these includeplain radiography, computed tomography (CT), magnetic resonance imaging (MRI), ultrasonography, bone scintigraphy, and positron emission tomography (PET). Articles were identified through PubMed and screened for relevance to the topic of diagnostic imaging for osteomyelitis. The authors concluded that plain radiography is an appropriate first step because the images may reveal osteolytic changes and can help rule out alternative disease. MRI is often the most appropriate second step because it is highly sensitive and can reveal bone marrow changes within days of an infection. Other imaging modalities such as CT, ultrasonography, and bone scintigraphy may be useful for patients in who MRI cannot be performed. CT is useful for identifying necrotic bone in chronic infections. Ultrasonography may be useful in children or individuals with sickle-cell disease. Bone scintigraphy is particularly useful in detecting vertebral osteomyelitis. Finally, PET has demonstrated high sensitivity and specificity; however, as it is expensive and often unavailable its clinical application is limited. When used appropriately, radiographic evaluation has high sensitivity and specificity for detecting osteomyelitis; thus, it is a crucial step in diagnosing this debilitating condition.