New MRI grading system for the diagnosis and management of mycetoma
The management of patients with mycetoma depends on accurate identification of the causative organisms and of the extent of disease involvement along the different tissue planes. Disease involvement cannot accurately be assessed with the available diagnostic tools, so in this study we set out to eva...
Gespeichert in:
| Veröffentlicht in: | Transactions of the Royal Society of Tropical Medicine and Hygiene 2012-12, Vol.106 (12), p.738-742 |
|---|---|
| Hauptverfasser: | , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 742 |
|---|---|
| container_issue | 12 |
| container_start_page | 738 |
| container_title | Transactions of the Royal Society of Tropical Medicine and Hygiene |
| container_volume | 106 |
| creator | EL Shamy, M.E. Fahal, A.H. Shakir, M.Y. Homeida, M.M.A. |
| description | The management of patients with mycetoma depends on accurate identification of the causative organisms and of the extent of disease involvement along the different tissue planes. Disease involvement cannot accurately be assessed with the available diagnostic tools, so in this study we set out to evaluate the effectiveness of MRI in the diagnosis and management of mycetoma. Forty-two patients with confirmed mycetoma had MRI examination of the affected parts. A grading system, The Mycetoma Skin, Muscle, Bone Grading System (MSMBS), was used to describe and grade disease severity on the basis of MRI findings. The logistic regression test was used to correlate the clinical and MRI findings. The study showed that MRI can help in the diagnosis and management of mycetoma patients. The dot-in-circle sign, conglomerated foci with low signal intensity and macro- and micro-abscesses on a background of a hypointense matrix are all diagnostic of mycetoma. In patients with mycetoma, the MSMBS can grade disease severity, compare patients and help to manage them. Further studies are needed to determine to what extent the grading system can be used to determine a patient's prognosis. |
| doi_str_mv | 10.1016/j.trstmh.2012.08.009 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1285097719</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><oup_id>10.1016/j.trstmh.2012.08.009</oup_id><els_id>S0035920312001769</els_id><sourcerecordid>1197484450</sourcerecordid><originalsourceid>FETCH-LOGICAL-c465t-8d30cce8556906515ddd7ecf7818db1a43ac65e13dbf6831bddb103db1a9f7663</originalsourceid><addsrcrecordid>eNqNkNGKEzEUhoMobq2-gUhuBG9mNplMMsmNIGXVhV0F0euQJme6Kc2kJqnSt9-UqXrn7tWBnO8_f_gQek1JSwkVl9u2pFzCXdsR2rVEtoSoJ2hB5SAbxgl7ihaEMN6ojrAL9CLnLSEdp1w9RxddpyRldFig1Rf4jW-_XeNNMs5PG5yPuUDAY0y43AF23mymmH3GZnI4mMlsIMBUcBxxOFooMZiX6NlodhlenecS_fh49X31ubn5-ul69eGmsb3gpZGOEWtBci4UEfUnzrkB7DhIKt2amp4ZKzhQ5tajkIyuXX0l7LRS4yAEW6J38919ij8PkIsOPlvY7cwE8ZA17SQnahioehilauhl31dPS9TPqE0x5wSj3icfTDpqSvTJtN7q2bQ-mdZE6mq6xt6cGw7rAO5v6I_aCrw9AyZbsxuTmazP_zghaj_tK3c5c_Gwf2z1-zkBVfYvD0ln62Gy4HwCW7SL_v8H7gEOeayV</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1197484450</pqid></control><display><type>article</type><title>New MRI grading system for the diagnosis and management of mycetoma</title><source>MEDLINE</source><source>Oxford Journals</source><creator>EL Shamy, M.E. ; Fahal, A.H. ; Shakir, M.Y. ; Homeida, M.M.A.</creator><creatorcontrib>EL Shamy, M.E. ; Fahal, A.H. ; Shakir, M.Y. ; Homeida, M.M.A.</creatorcontrib><description>The management of patients with mycetoma depends on accurate identification of the causative organisms and of the extent of disease involvement along the different tissue planes. Disease involvement cannot accurately be assessed with the available diagnostic tools, so in this study we set out to evaluate the effectiveness of MRI in the diagnosis and management of mycetoma. Forty-two patients with confirmed mycetoma had MRI examination of the affected parts. A grading system, The Mycetoma Skin, Muscle, Bone Grading System (MSMBS), was used to describe and grade disease severity on the basis of MRI findings. The logistic regression test was used to correlate the clinical and MRI findings. The study showed that MRI can help in the diagnosis and management of mycetoma patients. The dot-in-circle sign, conglomerated foci with low signal intensity and macro- and micro-abscesses on a background of a hypointense matrix are all diagnostic of mycetoma. In patients with mycetoma, the MSMBS can grade disease severity, compare patients and help to manage them. Further studies are needed to determine to what extent the grading system can be used to determine a patient's prognosis.</description><identifier>ISSN: 0035-9203</identifier><identifier>EISSN: 1878-3503</identifier><identifier>DOI: 10.1016/j.trstmh.2012.08.009</identifier><identifier>PMID: 22981317</identifier><identifier>CODEN: TRSTAZ</identifier><language>eng</language><publisher>Oxford: Elsevier Ltd</publisher><subject>Adolescent ; Adult ; Aged ; Biological and medical sciences ; Biopsy ; Bone Diseases - diagnosis ; Bone Diseases - pathology ; Diagnosis ; Female ; Foot Diseases - diagnosis ; Foot Diseases - pathology ; General aspects ; Grading system ; Hand - pathology ; Humans ; Logistic Models ; Magnetic Resonance Imaging - methods ; Male ; Management ; Medical sciences ; Middle Aged ; MRI ; Mycetoma ; Mycetoma - diagnosis ; Mycetoma - pathology ; Prospective Studies ; Severity of Illness Index ; Sudan ; Thigh - pathology ; Young Adult</subject><ispartof>Transactions of the Royal Society of Tropical Medicine and Hygiene, 2012-12, Vol.106 (12), p.738-742</ispartof><rights>2012 Royal Society of Tropical Medicine and Hygiene</rights><rights>Royal Society of Tropical Medicine and Hygiene 2012</rights><rights>2014 INIST-CNRS</rights><rights>Copyright © 2012 Royal Society of Tropical Medicine and Hygiene. Published by Elsevier Ltd. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c465t-8d30cce8556906515ddd7ecf7818db1a43ac65e13dbf6831bddb103db1a9f7663</citedby><cites>FETCH-LOGICAL-c465t-8d30cce8556906515ddd7ecf7818db1a43ac65e13dbf6831bddb103db1a9f7663</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=26684414$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/22981317$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>EL Shamy, M.E.</creatorcontrib><creatorcontrib>Fahal, A.H.</creatorcontrib><creatorcontrib>Shakir, M.Y.</creatorcontrib><creatorcontrib>Homeida, M.M.A.</creatorcontrib><title>New MRI grading system for the diagnosis and management of mycetoma</title><title>Transactions of the Royal Society of Tropical Medicine and Hygiene</title><addtitle>Trans R Soc Trop Med Hyg</addtitle><addtitle>Trans R Soc Trop Med Hyg</addtitle><description>The management of patients with mycetoma depends on accurate identification of the causative organisms and of the extent of disease involvement along the different tissue planes. Disease involvement cannot accurately be assessed with the available diagnostic tools, so in this study we set out to evaluate the effectiveness of MRI in the diagnosis and management of mycetoma. Forty-two patients with confirmed mycetoma had MRI examination of the affected parts. A grading system, The Mycetoma Skin, Muscle, Bone Grading System (MSMBS), was used to describe and grade disease severity on the basis of MRI findings. The logistic regression test was used to correlate the clinical and MRI findings. The study showed that MRI can help in the diagnosis and management of mycetoma patients. The dot-in-circle sign, conglomerated foci with low signal intensity and macro- and micro-abscesses on a background of a hypointense matrix are all diagnostic of mycetoma. In patients with mycetoma, the MSMBS can grade disease severity, compare patients and help to manage them. Further studies are needed to determine to what extent the grading system can be used to determine a patient's prognosis.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Biological and medical sciences</subject><subject>Biopsy</subject><subject>Bone Diseases - diagnosis</subject><subject>Bone Diseases - pathology</subject><subject>Diagnosis</subject><subject>Female</subject><subject>Foot Diseases - diagnosis</subject><subject>Foot Diseases - pathology</subject><subject>General aspects</subject><subject>Grading system</subject><subject>Hand - pathology</subject><subject>Humans</subject><subject>Logistic Models</subject><subject>Magnetic Resonance Imaging - methods</subject><subject>Male</subject><subject>Management</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>MRI</subject><subject>Mycetoma</subject><subject>Mycetoma - diagnosis</subject><subject>Mycetoma - pathology</subject><subject>Prospective Studies</subject><subject>Severity of Illness Index</subject><subject>Sudan</subject><subject>Thigh - pathology</subject><subject>Young Adult</subject><issn>0035-9203</issn><issn>1878-3503</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkNGKEzEUhoMobq2-gUhuBG9mNplMMsmNIGXVhV0F0euQJme6Kc2kJqnSt9-UqXrn7tWBnO8_f_gQek1JSwkVl9u2pFzCXdsR2rVEtoSoJ2hB5SAbxgl7ihaEMN6ojrAL9CLnLSEdp1w9RxddpyRldFig1Rf4jW-_XeNNMs5PG5yPuUDAY0y43AF23mymmH3GZnI4mMlsIMBUcBxxOFooMZiX6NlodhlenecS_fh49X31ubn5-ul69eGmsb3gpZGOEWtBci4UEfUnzrkB7DhIKt2amp4ZKzhQ5tajkIyuXX0l7LRS4yAEW6J38919ij8PkIsOPlvY7cwE8ZA17SQnahioehilauhl31dPS9TPqE0x5wSj3icfTDpqSvTJtN7q2bQ-mdZE6mq6xt6cGw7rAO5v6I_aCrw9AyZbsxuTmazP_zghaj_tK3c5c_Gwf2z1-zkBVfYvD0ln62Gy4HwCW7SL_v8H7gEOeayV</recordid><startdate>20121201</startdate><enddate>20121201</enddate><creator>EL Shamy, M.E.</creator><creator>Fahal, A.H.</creator><creator>Shakir, M.Y.</creator><creator>Homeida, M.M.A.</creator><general>Elsevier Ltd</general><general>Royal Society of Tropical Medicine and Hygiene</general><general>Oxford University Press</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>M7N</scope></search><sort><creationdate>20121201</creationdate><title>New MRI grading system for the diagnosis and management of mycetoma</title><author>EL Shamy, M.E. ; Fahal, A.H. ; Shakir, M.Y. ; Homeida, M.M.A.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c465t-8d30cce8556906515ddd7ecf7818db1a43ac65e13dbf6831bddb103db1a9f7663</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2012</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Biological and medical sciences</topic><topic>Biopsy</topic><topic>Bone Diseases - diagnosis</topic><topic>Bone Diseases - pathology</topic><topic>Diagnosis</topic><topic>Female</topic><topic>Foot Diseases - diagnosis</topic><topic>Foot Diseases - pathology</topic><topic>General aspects</topic><topic>Grading system</topic><topic>Hand - pathology</topic><topic>Humans</topic><topic>Logistic Models</topic><topic>Magnetic Resonance Imaging - methods</topic><topic>Male</topic><topic>Management</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>MRI</topic><topic>Mycetoma</topic><topic>Mycetoma - diagnosis</topic><topic>Mycetoma - pathology</topic><topic>Prospective Studies</topic><topic>Severity of Illness Index</topic><topic>Sudan</topic><topic>Thigh - pathology</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>EL Shamy, M.E.</creatorcontrib><creatorcontrib>Fahal, A.H.</creatorcontrib><creatorcontrib>Shakir, M.Y.</creatorcontrib><creatorcontrib>Homeida, M.M.A.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><jtitle>Transactions of the Royal Society of Tropical Medicine and Hygiene</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>EL Shamy, M.E.</au><au>Fahal, A.H.</au><au>Shakir, M.Y.</au><au>Homeida, M.M.A.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>New MRI grading system for the diagnosis and management of mycetoma</atitle><jtitle>Transactions of the Royal Society of Tropical Medicine and Hygiene</jtitle><stitle>Trans R Soc Trop Med Hyg</stitle><addtitle>Trans R Soc Trop Med Hyg</addtitle><date>2012-12-01</date><risdate>2012</risdate><volume>106</volume><issue>12</issue><spage>738</spage><epage>742</epage><pages>738-742</pages><issn>0035-9203</issn><eissn>1878-3503</eissn><coden>TRSTAZ</coden><abstract>The management of patients with mycetoma depends on accurate identification of the causative organisms and of the extent of disease involvement along the different tissue planes. Disease involvement cannot accurately be assessed with the available diagnostic tools, so in this study we set out to evaluate the effectiveness of MRI in the diagnosis and management of mycetoma. Forty-two patients with confirmed mycetoma had MRI examination of the affected parts. A grading system, The Mycetoma Skin, Muscle, Bone Grading System (MSMBS), was used to describe and grade disease severity on the basis of MRI findings. The logistic regression test was used to correlate the clinical and MRI findings. The study showed that MRI can help in the diagnosis and management of mycetoma patients. The dot-in-circle sign, conglomerated foci with low signal intensity and macro- and micro-abscesses on a background of a hypointense matrix are all diagnostic of mycetoma. In patients with mycetoma, the MSMBS can grade disease severity, compare patients and help to manage them. Further studies are needed to determine to what extent the grading system can be used to determine a patient's prognosis.</abstract><cop>Oxford</cop><pub>Elsevier Ltd</pub><pmid>22981317</pmid><doi>10.1016/j.trstmh.2012.08.009</doi><tpages>5</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0035-9203 |
| ispartof | Transactions of the Royal Society of Tropical Medicine and Hygiene, 2012-12, Vol.106 (12), p.738-742 |
| issn | 0035-9203 1878-3503 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_1285097719 |
| source | MEDLINE; Oxford Journals |
| subjects | Adolescent Adult Aged Biological and medical sciences Biopsy Bone Diseases - diagnosis Bone Diseases - pathology Diagnosis Female Foot Diseases - diagnosis Foot Diseases - pathology General aspects Grading system Hand - pathology Humans Logistic Models Magnetic Resonance Imaging - methods Male Management Medical sciences Middle Aged MRI Mycetoma Mycetoma - diagnosis Mycetoma - pathology Prospective Studies Severity of Illness Index Sudan Thigh - pathology Young Adult |
| title | New MRI grading system for the diagnosis and management of mycetoma |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-02-11T23%3A07%3A47IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=New%20MRI%20grading%20system%20for%20the%20diagnosis%20and%20management%20of%20mycetoma&rft.jtitle=Transactions%20of%20the%20Royal%20Society%20of%20Tropical%20Medicine%20and%20Hygiene&rft.au=EL%20Shamy,%20M.E.&rft.date=2012-12-01&rft.volume=106&rft.issue=12&rft.spage=738&rft.epage=742&rft.pages=738-742&rft.issn=0035-9203&rft.eissn=1878-3503&rft.coden=TRSTAZ&rft_id=info:doi/10.1016/j.trstmh.2012.08.009&rft_dat=%3Cproquest_cross%3E1197484450%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=1197484450&rft_id=info:pmid/22981317&rft_oup_id=10.1016/j.trstmh.2012.08.009&rft_els_id=S0035920312001769&rfr_iscdi=true |