Septic arthritis MRI: Difference between revisions
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==Overview== | ==Overview== | ||
The role of [[MRI]] in the diagnosis of septic arthritis has been increasing in recent years in an effort to detect this entity earlier. | The role of [[MRI]] in the diagnosis of septic arthritis has been increasing in recent years in an effort to detect this entity earlier. Findings are usually evident within 24 hours following the onset of infection and include: [[synovial]] enhancement, perisynovial [[edema]] and joint effusion. Signal abnormalities in the bone marrow can indicate a concomitant [[osteomyelitis]].The [[sensitivity]] and [[specificity]] of MRI for the detection of septic arthritis has been reported to be 100% and 77% respectively. | ||
== MRI == | == MRI == | ||
In the diagnosis of septic arthritis, MRI may be particularly useful in patients with joint infection where it is difficult to access (e.g. [[Sacroiliitis|sacroilitis]]) as it displays greater resolution than [[Computed tomography|CT]] or [[radiography]] for [[anatomy]], soft tissue abnormalities, visualizing joint effusion and differentiating bone and soft tissue infections.<ref name="pmid10591923">Graif M, Schweitzer ME, Deely D, Matteucci T (1999) [https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&retmode=ref&cmd=prlinks&id=10591923 The septic versus nonseptic inflamed joint: MRI characteristics.] ''Skeletal Radiol'' 28 (11):616-20. PMID: [https://pubmed.gov/10591923 10591923]</ref> Like, other imaging studies MRI also unable to differentiate infectious and [[Inflammatory arthritis|inflammatory arthropathies]].<ref name="pmid2068324">Erdman WA, Tamburro F, Jayson HT, Weatherall PT, Ferry KB, Peshock RM (1991) [https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&retmode=ref&cmd=prlinks&id=2068324 Osteomyelitis: characteristics and pitfalls of diagnosis with MR imaging.] ''Radiology'' 180 (2):533-9. [http://dx.doi.org/10.1148/radiology.180.2.2068324 DOI:10.1148/radiology.180.2.2068324] PMID: [https://pubmed.gov/2068324 2068324]</ref><ref name="pmid8059255">Sandrasegaran K, Saifuddin A, Coral A, Butt WP (1994) [https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&retmode=ref&cmd=prlinks&id=8059255 Magnetic resonance imaging of septic sacroiliitis.] ''Skeletal Radiol'' 23 (4):289-92. PMID: [https://pubmed.gov/8059255 8059255]</ref> | In the diagnosis of septic arthritis, MRI may be particularly useful in patients with joint infection where it is difficult to access (e.g. [[Sacroiliitis|sacroilitis]]) as it displays greater resolution than [[Computed tomography|CT]] or [[radiography]] for [[anatomy]], soft tissue abnormalities, visualizing joint effusion and differentiating bone and soft tissue infections.<ref name="pmid10591923">Graif M, Schweitzer ME, Deely D, Matteucci T (1999) [https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&retmode=ref&cmd=prlinks&id=10591923 The septic versus nonseptic inflamed joint: MRI characteristics.] ''Skeletal Radiol'' 28 (11):616-20. PMID: [https://pubmed.gov/10591923 10591923]</ref> Like, other imaging studies MRI also unable to differentiate infectious and [[Inflammatory arthritis|inflammatory arthropathies]].<ref name="pmid2068324">Erdman WA, Tamburro F, Jayson HT, Weatherall PT, Ferry KB, Peshock RM (1991) [https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&retmode=ref&cmd=prlinks&id=2068324 Osteomyelitis: characteristics and pitfalls of diagnosis with MR imaging.] ''Radiology'' 180 (2):533-9. [http://dx.doi.org/10.1148/radiology.180.2.2068324 DOI:10.1148/radiology.180.2.2068324] PMID: [https://pubmed.gov/2068324 2068324]</ref><ref name="pmid8059255">Sandrasegaran K, Saifuddin A, Coral A, Butt WP (1994) [https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&retmode=ref&cmd=prlinks&id=8059255 Magnetic resonance imaging of septic sacroiliitis.] ''Skeletal Radiol'' 23 (4):289-92. PMID: [https://pubmed.gov/8059255 8059255]</ref><ref name="pmid3714999">Modic MT, Pflanze W, Feiglin DH, Belhobek G (1986) [https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&retmode=ref&cmd=prlinks&id=3714999 Magnetic resonance imaging of musculoskeletal infections.] ''Radiol Clin North Am'' 24 (2):247-58. PMID: [https://pubmed.gov/3714999 3714999]</ref> <ref name="pmid1476623">Tehranzadeh J, Wang F, Mesgarzadeh M (1992) [https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&retmode=ref&cmd=prlinks&id=1476623 Magnetic resonance imaging of osteomyelitis.] ''Crit Rev Diagn Imaging'' 33 (6):495-534. PMID: [https://pubmed.gov/1476623 1476623]</ref> | ||
'''MRI of Right Hip Septic arthritis Coronal STIR''' | '''MRI of Right Hip Septic arthritis Coronal STIR''' | ||
[[File:Septic arthritis of right hip.gif| | [[File:Septic arthritis of right hip.gif|200X200px|]] | ||
'''MRI of Right Hip Septic arthritis Coronal T2''' | '''MRI of Right Hip Septic arthritis Coronal T2''' | ||
[[File:Acute hip arthritis.jpg|600px]] | [[File:Acute hip arthritis.jpg|600px]] | ||
==References== | ==References== | ||
{{reflist|2}} | {{reflist|2}} | ||
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[[Category:Arthritis]] | [[Category:Arthritis]] | ||
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[[Category:Disease]] | [[Category:Disease]] | ||
[[Category:Rheumatology]] | [[Category:Rheumatology]] | ||
[[Category:Emergency medicine]] | |||
[[Category:Emergency mdicine]] | |||
[[Category:Up-To-Date]] | |||
[[Category:Infectious disease]] | [[Category:Infectious disease]] | ||
[[Category: | [[Category:Orthopedics]] | ||
Latest revision as of 00:08, 30 July 2020
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Septic arthritis MRI On the Web |
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American Roentgen Ray Society Images of Septic arthritis MRI |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Venkata Sivakrishna Kumar Pulivarthi M.B.B.S [2]
Overview
The role of MRI in the diagnosis of septic arthritis has been increasing in recent years in an effort to detect this entity earlier. Findings are usually evident within 24 hours following the onset of infection and include: synovial enhancement, perisynovial edema and joint effusion. Signal abnormalities in the bone marrow can indicate a concomitant osteomyelitis.The sensitivity and specificity of MRI for the detection of septic arthritis has been reported to be 100% and 77% respectively.
MRI
In the diagnosis of septic arthritis, MRI may be particularly useful in patients with joint infection where it is difficult to access (e.g. sacroilitis) as it displays greater resolution than CT or radiography for anatomy, soft tissue abnormalities, visualizing joint effusion and differentiating bone and soft tissue infections.[1] Like, other imaging studies MRI also unable to differentiate infectious and inflammatory arthropathies.[2][3][4] [5]
MRI of Right Hip Septic arthritis Coronal STIR
MRI of Right Hip Septic arthritis Coronal T2
References
- ↑ Graif M, Schweitzer ME, Deely D, Matteucci T (1999) The septic versus nonseptic inflamed joint: MRI characteristics. Skeletal Radiol 28 (11):616-20. PMID: 10591923
- ↑ Erdman WA, Tamburro F, Jayson HT, Weatherall PT, Ferry KB, Peshock RM (1991) Osteomyelitis: characteristics and pitfalls of diagnosis with MR imaging. Radiology 180 (2):533-9. DOI:10.1148/radiology.180.2.2068324 PMID: 2068324
- ↑ Sandrasegaran K, Saifuddin A, Coral A, Butt WP (1994) Magnetic resonance imaging of septic sacroiliitis. Skeletal Radiol 23 (4):289-92. PMID: 8059255
- ↑ Modic MT, Pflanze W, Feiglin DH, Belhobek G (1986) Magnetic resonance imaging of musculoskeletal infections. Radiol Clin North Am 24 (2):247-58. PMID: 3714999
- ↑ Tehranzadeh J, Wang F, Mesgarzadeh M (1992) Magnetic resonance imaging of osteomyelitis. Crit Rev Diagn Imaging 33 (6):495-534. PMID: 1476623