Nuclear medicine imaging of posttraumatic osteomyelitisReport as inadecuate

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European Journal of Trauma and Emergency Surgery

, Volume 42, Issue 4, pp 397–410

First Online: 17 February 2016Received: 07 December 2015Accepted: 01 February 2016


IntroductionEarly recognition of a possible infection and therefore a prompt and accurate diagnostic strategy is essential for a successful treatment of posttraumatic osteomyelitis PTO. However, at this moment there is no single routine test available that can detect osteomyelitis beyond doubt and the performed diagnostic tests mostly depend on personal experience, available techniques and financial aspects. Nuclear medicine techniques focus on imaging pathophysiological changes which usually precede anatomical changes. Together with recent development in hybrid camera systems, leading to better spatial resolution and quantification possibilities, this provides new opportunities and possibilities for nuclear medicine modalities to play an important role in diagnosing PTO.

AimIn this overview paper the techniques and available literature results for PTO are discussed for the three most commonly used nuclear medicine techniques: the three phase bone scan with SPECT-CT, white blood cell scintigraphy also called leukocyte scan with SPECT-CT and F-fluorodeoxyglucose FDG-PET-CT. Emphasis is on how these techniques are able to answer the diagnostic questions from the clinicians trauma and orthopaedic surgeons and which technique should be used to answer a specific question. Furthermore, three illustrative cases from clinical practice are described.

KeywordsPosttraumatic osteomyelitis Nuclear medicine FDG-PET Bone scan White blood cell scan  Download fulltext PDF

Author: G. A. M. Govaert - A. W. J. M. Glaudemans


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