Diabetic foot other imaging findings: Difference between revisions
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Revision as of 15:28, 30 July 2021
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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
Bone scan and white blood cells scan are two imaging modalities that can be used to assist physicians to better diagnose the diabetic foot ulcerations. Both could be used when there is a high clinical suspicion for osteomyelitis while plain X-rays are negative. Leukocyte or white blood cells scan has a higher specificity for ostemyelitis diagnosis and is accurate even in neuropathic patients, in contrast to the bone scan.
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][2]
- 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.
- ↑ 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.