The accuracy of diagnostic imaging for the assessment of chronic osteomyelitis: a systematic review and meta-analysis.

  title={The accuracy of diagnostic imaging for the assessment of chronic osteomyelitis: a systematic review and meta-analysis.},
  author={M. Frank Termaat and Pieter G.H.M. Raijmakers and Harm J. Scholten and Fred C. Bakker and Peter Patka and Henk J. Th. M. Haarman},
  journal={The Journal of bone and joint surgery. American volume},
  volume={87 11},
BACKGROUND A variety of diagnostic imaging techniques is available for excluding or confirming chronic osteomyelitis. Until now, an evidence-based algorithmic model for choosing the most suitable imaging technique has been lacking. The objective of this study was to determine the accuracy of current imaging modalities in the diagnosis of chronic osteomyelitis. METHODS A systematic review and meta-analysis of the literature was conducted with a comprehensive search of the MEDLINE, EMBASE, and… 

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Magnetic Resonance Imaging for Diagnosing Foot Osteomyelitis

It is found that MRI performs well in the diagnosis of osteomyelitis of the foot and ankle and can be used torule outthediagnosis.



Chronic complicated osteomyelitis of the lower extremity: evaluation with MR imaging.

Close correlation was found between the extent of disease seen on surgical and pathologic examination and that demonstrated by MR imaging, which could delineate the course of sinus tracts, which was helpful in assessing the activity of chronic complicated osteomyelitis and beneficial in surgical planning for these patients.

Chronic post-traumatic osteomyelitis of the lower extremity: comparison of magnetic resonance imaging and combined bone scintigraphy/immunoscintigraphy with radiolabelled monoclonal antigranulocyte antibodies

MRI is more sensitive in low-grade infection during the later course than combined BS/IS and can be excluded with high probability if the MRI findings are negative, while scintigraphic errors due to ectopic, peripheral, haematopoietic bone marrow can be corrected by MRI.

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It is concluded that combined BS/99mTc-MAB-IS represents a very sensitive and reproducible method with an acceptable specificity for the investigation of chronic OM.

Diagnosis of infection by preoperative scintigraphy with indium-labeled white blood cells.

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99Tcm-HMPAO-labelled leucocyte scintigraphy in suspected chronic osteomyelitis related to an orthopaedic device: clinical usefulness.

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Combined 99mTc-MDP/111In-WBC imaging is useful in the detection of osteomyelitis at fracture nonunion sites and improves the specificity of 111In- WBC imaging by differentiating inflammation/infection in adjacent soft tissue from osteomyalitis at the fracture site.

Radionuclide diagnosis of vertebral osteomyelitis: indium-111-leukocyte and technetium-99m-methylene diphosphonate bone scintigraphy.

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