Diabetic foot other imaging findings: Difference between revisions
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*[[Leukocyte]] or [[white blood cells]] scan could be used when there is a high clinical suspicion for [[osteomyelitis]] while plain [[X-rays]] are negative.<ref name="pmid9431370">{{cite journal| author=Lipsky BA| title=Osteomyelitis of the foot in diabetic patients. | journal=Clin Infect Dis | year= 1997 | volume= 25 | issue= 6 | pages= 1318-26 | pmid=9431370 | doi=10.1086/516148 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=9431370 }} </ref> | *[[Leukocyte]] or [[white blood cells]] scan could be used when there is a high clinical suspicion for [[osteomyelitis]] while plain [[X-rays]] are negative.<ref name="pmid9431370">{{cite journal| author=Lipsky BA| title=Osteomyelitis of the foot in diabetic patients. | journal=Clin Infect Dis | year= 1997 | volume= 25 | issue= 6 | pages= 1318-26 | pmid=9431370 | doi=10.1086/516148 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=9431370 }} </ref> | ||
*In contrast to [[bone]] scan, it is reliable even in [[neuropathy|neuropathic]] [[patients]]. | *In contrast to [[bone]] scan, it is reliable even in [[neuropathy|neuropathic]] [[patients]]. | ||
*[[Leukocyte]] or [[white blood cells]] scan has a higher [[Specificity (tests)|specificity]] for [[ostemyelitis]] [[diagnosis]] compared to the [[bone]] scan. | |||
==References== | ==References== | ||
{{reflist|2}} | {{reflist|2}} | ||
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Anahita Deylamsalehi, M.D.[2]
Overview
Other Imaging Findings
Bone Scan
- Bone scan could be used when there is a high clinical suspicion for osteomyelitis while plain X-rays are negative.[1]
- Bone scan is not accurate in neuropathic patients, since it might become falsely positive in presence of hyperemia or charcot joint.
White Blood Cell Scan
- Leukocyte or white blood cells scan could be used when there is a high clinical suspicion for osteomyelitis while plain X-rays are negative.[1]
- In contrast to bone scan, it is reliable even in neuropathic patients.
- Leukocyte or white blood cells scan has a higher specificity for ostemyelitis diagnosis compared to the bone scan.
References
- ↑ 1.0 1.1 Lipsky BA (1997). "Osteomyelitis of the foot in diabetic patients". Clin Infect Dis. 25 (6): 1318–26. doi:10.1086/516148. PMID 9431370.