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Osteomyelitis MRI
Aka: Osteomyelitis MRI, MRI in Suspected Osteomyelitis
- Indications
- First-line test in Osteomyelitis after a non-diagnostic Osteomyelitis XRay
- Efficacy
- Best Test Sensitivity and Specificity for Osteomyelitis (except in region of surgical hardware)
- Only PET Scan has higher efficacy, but it is very expensive
- Test Sensitivity: 99% (82-100% in Diabetic Foot Osteomyelitis)
- Test Specificity: 81% (75-96% in Diabetic Foot Osteomyelitis)
- False Positives with Osteoarthropathy and in regions of surgical hardware
- Advantages
- Defines infection boundaries including anatomic landmarks
- Best distinguishes soft tissue infection from bone infection
- Distinguishes Cellulitis from Osteomyelitis
- Can detect Osteomyelitis within 3-5 days of onset
- References
- Kapoor (2007) Arch Intern Med 167:125-32 [PubMed]
- Pineda (2006) Infect Dis Clin North Am 20:789-825 [PubMed]
- Termaat (2005) J Bone Joint Surg Am 87: 2464-71 [PubMed]