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首页> 外文期刊>International journal of clinical rheumatology. >Imaging of osteomyelitis: the key is in the combination
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Imaging of osteomyelitis: the key is in the combination

机译：骨髓炎的影像学：关键在于组合

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An accurate diagnosis of osteomyelitis requires the combination of anatomical and functional imaging techniques. Conventional radiography is the first imaging modality to begin with, as it provides an overview of both the anatomy and the pathologic conditions of the bone. Sonography is most useful in the diagnosis of fluid collections, periosteal involvement and soft tissue abnormalities, and may provide guidance for diagnostic or therapeutic interventions. MRI highlights sites with tissue edema and increased regional perfusion, and provides accurate information of the extent of the infectious process and the tissues involved. To detect osteomyelitis before anatomical changes are present, functional imaging could have some advantages over anatomical imaging. Fluorine-18 f luorodeoxyglucose-PET has the highest diagnostic accuracy for confirming or excluding the diagnosis of chronic osteomyelitis. For both SPECT and PET, specificity improves considerably when the scintigraphic images are fused with computed tomography. Close cooperation between clinicians and imagers remains the key to early and adequate diagnosis when osteomyelitis is suspected or evaluated.
机译：骨髓炎的准确诊断需要解剖学和功能成像技术的结合。常规放射线照相是开始的第一种成像方式，因为它提供了骨骼的解剖结构和病理状况的概述。超声检查对液体收集，骨膜受累和软组织异常的诊断最有用，并可为诊断或治疗干预提供指导。 MRI突出显示具有组织水肿和局部灌注增加的部位，并提供有关感染过程和所涉组织范围的准确信息。为了在出现解剖学改变之前检测出骨髓炎，功能成像可能比解剖学成像具有一些优势。氟-18氟去氧葡萄糖-PET在确认或排除慢性骨髓炎的诊断中具有最高的诊断准确性。对于SPECT和PET，当闪烁显像与计算机断层扫描融合时，特异性会大大提高。当怀疑或评估了骨髓炎时，临床医生和成像人员之间的密切合作仍然是早期和充分诊断的关键。

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