Diabetic foot CT: Difference between revisions
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==Overview== | ==Overview== | ||
It is recommended to perform [[Computed tomography|CT scan]] only if [[Magnetic resonance imaging|MRI]] is [[Contraindication|contraindicated]]. [[Computed tomography|CT scan]] is a sensitive modality for detecting abnormal [[bone]] appearance in [[patients]] with [[diabetic foot]] [[ulceration]]. Altered appearance of [[bone|bones]] such as [[bone]] erosions, [[charcot joint]], reduced [[joint|joint space]], [[osteoporosis|osteopenia]] and [[Bone spur|osteophyte formation]] can be detected on [[Computed tomography|CT scan]]. | It is recommended to perform [[Computed tomography|CT scan]] only if [[Magnetic resonance imaging|MRI]] is [[Contraindication|contraindicated]]. [[Computed tomography|CT scan]] is a sensitive modality for detecting abnormal [[bone]] appearance in [[patients]] with [[diabetic foot]] [[ulceration]]. Altered appearance of [[bone|bones]] such as [[bone]] erosions, [[charcot joint]], reduced [[joint|joint space]], [[osteoporosis|osteopenia]] and [[Bone spur|osteophyte formation]] can be detected on [[Computed tomography|CT scan]]. | ||
== | ==CT scan== | ||
*The following are some of the key [[Computed tomography|CT findings]] in [[patients]] with [[diabetic foot]]:<ref name="FathimaaRekha2020">{{cite journal|last1=Fathimaa|first1=M. Rubina|last2=Rekha|first2=Arcot|title=CT Scan of the Foot in Patients with Chronic Non-Healing Diabetic Foot Ulcer|journal=Case Reports in Clinical Medicine|volume=09|issue=11|year=2020|pages=335–342|issn=2325-7075|doi=10.4236/crcm.2020.911047}}</ref><ref name="HochmanCheung2006">{{cite journal|last1=Hochman|first1=Mary G.|last2=Cheung|first2=Yvonne|last3=Brophy|first3=David P.|last4=Parker|first4=J. Anthony|title=Imaging of the Diabetic Foot|year=2006|pages=227–253|doi=10.1007/978-1-59745-075-1_12}}</ref> | *The following are some of the key [[Computed tomography|CT findings]] in [[patients]] with [[diabetic foot]]:<ref name="FathimaaRekha2020">{{cite journal|last1=Fathimaa|first1=M. Rubina|last2=Rekha|first2=Arcot|title=CT Scan of the Foot in Patients with Chronic Non-Healing Diabetic Foot Ulcer|journal=Case Reports in Clinical Medicine|volume=09|issue=11|year=2020|pages=335–342|issn=2325-7075|doi=10.4236/crcm.2020.911047}}</ref><ref name="HochmanCheung2006">{{cite journal|last1=Hochman|first1=Mary G.|last2=Cheung|first2=Yvonne|last3=Brophy|first3=David P.|last4=Parker|first4=J. Anthony|title=Imaging of the Diabetic Foot|year=2006|pages=227–253|doi=10.1007/978-1-59745-075-1_12}}</ref> | ||
**Altered appearance of [[bone|bones]] | **Altered appearance of [[bone|bones]] | ||
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***[[Bone]] erosions (In a study done on [[diabetes|diabetic]] [[patients]] with [[foot]] [[ulcers]] it was the most common [[bone]] change that has been detected on [[Computed tomography|CT scan]]) | ***[[Bone]] erosions (In a study done on [[diabetes|diabetic]] [[patients]] with [[foot]] [[ulcers]] it was the most common [[bone]] change that has been detected on [[Computed tomography|CT scan]]) | ||
*[[Computed tomography|CT scan]] is a sensitive modality for detecting abnormal [[bone]] appearance in [[patients]] with [[diabetic foot]] [[ulceration]].<ref name="FathimaaRekha2020">{{cite journal|last1=Fathimaa|first1=M. Rubina|last2=Rekha|first2=Arcot|title=CT Scan of the Foot in Patients with Chronic Non-Healing Diabetic Foot Ulcer|journal=Case Reports in Clinical Medicine|volume=09|issue=11|year=2020|pages=335–342|issn=2325-7075|doi=10.4236/crcm.2020.911047}}</ref> | *[[Computed tomography|CT scan]] is a sensitive modality for detecting abnormal [[bone]] appearance in [[patients]] with [[diabetic foot]] [[ulceration]].<ref name="FathimaaRekha2020">{{cite journal|last1=Fathimaa|first1=M. Rubina|last2=Rekha|first2=Arcot|title=CT Scan of the Foot in Patients with Chronic Non-Healing Diabetic Foot Ulcer|journal=Case Reports in Clinical Medicine|volume=09|issue=11|year=2020|pages=335–342|issn=2325-7075|doi=10.4236/crcm.2020.911047}}</ref> | ||
*In contrast to [[ | *In contrast to [[x-rays]], [[Computed tomography|CT scan]] can be used for [[diagnosis]] of [[osteomyelitis]].<ref name="HochmanCheung2006">{{cite journal|last1=Hochman|first1=Mary G.|last2=Cheung|first2=Yvonne|last3=Brophy|first3=David P.|last4=Parker|first4=J. Anthony|title=Imaging of the Diabetic Foot|year=2006|pages=227–253|doi=10.1007/978-1-59745-075-1_12}}</ref> | ||
*[[Computed tomography|CT scan]] is also an effective imaging modality to follow up [[patients]] after [[antibiotic]] [[treatment]].<ref name="pmid28465790">{{cite journal| author=Giurato L, Meloni M, Izzo V, Uccioli L| title=Osteomyelitis in diabetic foot: A comprehensive overview. | journal=World J Diabetes | year= 2017 | volume= 8 | issue= 4 | pages= 135-142 | pmid=28465790 | doi=10.4239/wjd.v8.i4.135 | pmc=5394733 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=28465790 }} </ref> | *[[Computed tomography|CT scan]] is also an effective imaging modality to follow up [[patients]] after [[antibiotic]] [[treatment]].<ref name="pmid28465790">{{cite journal| author=Giurato L, Meloni M, Izzo V, Uccioli L| title=Osteomyelitis in diabetic foot: A comprehensive overview. | journal=World J Diabetes | year= 2017 | volume= 8 | issue= 4 | pages= 135-142 | pmid=28465790 | doi=10.4239/wjd.v8.i4.135 | pmc=5394733 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=28465790 }} </ref> | ||
*It is recommended to perform [[Computed tomography|CT scan]] only if [[Magnetic resonance imaging|MRI]] is [[Contraindication|contraindicated]].<ref name="pmid28465790">{{cite journal| author=Giurato L, Meloni M, Izzo V, Uccioli L| title=Osteomyelitis in diabetic foot: A comprehensive overview. | journal=World J Diabetes | year= 2017 | volume= 8 | issue= 4 | pages= 135-142 | pmid=28465790 | doi=10.4239/wjd.v8.i4.135 | pmc=5394733 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=28465790 }} </ref> | *It is recommended to perform [[Computed tomography|CT scan]] only if [[Magnetic resonance imaging|MRI]] is [[Contraindication|contraindicated]].<ref name="pmid28465790">{{cite journal| author=Giurato L, Meloni M, Izzo V, Uccioli L| title=Osteomyelitis in diabetic foot: A comprehensive overview. | journal=World J Diabetes | year= 2017 | volume= 8 | issue= 4 | pages= 135-142 | pmid=28465790 | doi=10.4239/wjd.v8.i4.135 | pmc=5394733 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=28465790 }} </ref> | ||
==References== | ==References== | ||
{{reflist|2}} | {{reflist|2}} | ||
[[Category:Emergency medicine]] | [[Category:Emergency medicine]] | ||
[[Category:Endocrinology]] | [[Category:Endocrinology]] | ||
[[Category: | [[Category:Up To Date]] | ||
Latest revision as of 19:26, 17 September 2021
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Diabetic foot Microchapters |
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Diagnosis |
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Treatment |
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Case Studies |
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Diabetic foot CT On the Web |
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American Roentgen Ray Society Images of Diabetic foot CT |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Anahita Deylamsalehi, M.D.[2]
Overview
It is recommended to perform CT scan only if MRI is contraindicated. CT scan is a sensitive modality for detecting abnormal bone appearance in patients with diabetic foot ulceration. Altered appearance of bones such as bone erosions, charcot joint, reduced joint space, osteopenia and osteophyte formation can be detected on CT scan.
CT scan
- The following are some of the key CT findings in patients with diabetic foot:[1][2]
- Altered appearance of bones
- Charcot joint
- Decreased joint space
- Osteopenia
- Osteophyte formation
- Bone erosions (In a study done on diabetic patients with foot ulcers it was the most common bone change that has been detected on CT scan)
- Altered appearance of bones
- CT scan is a sensitive modality for detecting abnormal bone appearance in patients with diabetic foot ulceration.[1]
- In contrast to x-rays, CT scan can be used for diagnosis of osteomyelitis.[2]
- CT scan is also an effective imaging modality to follow up patients after antibiotic treatment.[3]
- It is recommended to perform CT scan only if MRI is contraindicated.[3]
References
- ↑ 1.0 1.1 Fathimaa, M. Rubina; Rekha, Arcot (2020). "CT Scan of the Foot in Patients with Chronic Non-Healing Diabetic Foot Ulcer". Case Reports in Clinical Medicine. 09 (11): 335–342. doi:10.4236/crcm.2020.911047. ISSN 2325-7075.
- ↑ 2.0 2.1 Hochman, Mary G.; Cheung, Yvonne; Brophy, David P.; Parker, J. Anthony (2006). "Imaging of the Diabetic Foot": 227–253. doi:10.1007/978-1-59745-075-1_12.
- ↑ 3.0 3.1 Giurato L, Meloni M, Izzo V, Uccioli L (2017). "Osteomyelitis in diabetic foot: A comprehensive overview". World J Diabetes. 8 (4): 135–142. doi:10.4239/wjd.v8.i4.135. PMC 5394733. PMID 28465790.