ACR Appropriateness Criteria® on Suspected Osteomyelitis in Patients With Diabetes Mellitus

Imaging of the diabetic foot is among the most challenging areas of radiology. The authors present a consensus of the suggested tests in several clinical scenarios, such as early neuropathy, soft-tissue swelling, skin ulcer, and suspected osteomyelitis. In most of these situations, magnetic resonanc...

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Veröffentlicht in:Journal of the American College of Radiology 2008-08, Vol.5 (8), p.881-886
Hauptverfasser: Schweitzer, Mark E., MD, Daffner, Richard H., MD, Weissman, Barbara N., MD, Bennett, D. Lee, MD, Blebea, Judy S., MD, Jacobson, Jon A., MD, Morrison, William B., MD, Resnik, Charles S., MD, Roberts, Catherine C., MD, Rubin, David A., MD, Seeger, Leanne L., MD, Taljanovic, Mihra, MD, Wise, James N., MD, Payne, William K., MD
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container_end_page 886
container_issue 8
container_start_page 881
container_title Journal of the American College of Radiology
container_volume 5
creator Schweitzer, Mark E., MD
Daffner, Richard H., MD
Weissman, Barbara N., MD
Bennett, D. Lee, MD
Blebea, Judy S., MD
Jacobson, Jon A., MD
Morrison, William B., MD
Resnik, Charles S., MD
Roberts, Catherine C., MD
Rubin, David A., MD
Seeger, Leanne L., MD
Taljanovic, Mihra, MD
Wise, James N., MD
Payne, William K., MD
description Imaging of the diabetic foot is among the most challenging areas of radiology. The authors present a consensus of the suggested tests in several clinical scenarios, such as early neuropathy, soft-tissue swelling, skin ulcer, and suspected osteomyelitis. In most of these situations, magnetic resonance imaging (MRI) with or without contrast is the examination of choice. Most other imaging tests have complementary roles. For soft-tissue swelling or an ulcer, radiography and MRI with or without contrast are suggested. Bone scintigraphy with white blood cell scanning is used when MRI is contraindicated. In patients with diabetes without ulcers, radiography and MRI with or without contrast are suggested; bone scanning may be used when MRI is contraindicated.
doi_str_mv 10.1016/j.jacr.2008.05.002
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In patients with diabetes without ulcers, radiography and MRI with or without contrast are suggested; bone scanning may be used when MRI is contraindicated.</description><subject>Appropriateness criteria</subject><subject>diabetes mellitus</subject><subject>Diabetic Foot - diagnosis</subject><subject>diagnostic imaging</subject><subject>Diagnostic Imaging - standards</subject><subject>Humans</subject><subject>infection</subject><subject>neuroarthropathy</subject><subject>osteomyelitis</subject><subject>Osteomyelitis - diagnosis</subject><subject>Practice Guidelines as Topic</subject><subject>Radiology</subject><subject>United States</subject><issn>1546-1440</issn><issn>1558-349X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2008</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kc2KFDEUhYM4OD_6Ai4kK3dV5r_SIELT6jgww4ij6EII6dRtTFld1ZObEvqlfAifzBTdILiYVW7gnMM93yXkOWc1Z9y86urOh1QLxmzNdM2YeETOuNa2kmrx7fE8K1NxpdgpOUfsiqBprH1CTrk1uozyjHxfrj7R5W6Xxl2KPsMAiHSVYoby_fObjgO9m3AHIUNLbzHDuN1DH3NEGgf60ecIQ0b6NeYf9G30a8iA9Ab6IpnwKTnZ-B7h2fG9IF_ev_u8-lBd315erZbXVZDGiiqotQBYmFapVgbFWqaZUKAlWM8U20DQWrSBc6GMXBhvpZUePDdKyDUTQV6Ql4fcUuN-AsxuGzGUJfwA44TOLKQWDW-KUByEIY2ICTautN76tHecuZmp69zM1M1MHdOuICumF8f0ab2F9p_lCLEIXh8EUDr-ipAchoIlQBtTAefaMT6c_-Y_e-jjEIPvf8IesBunNBR6jjsUjrm7-arzUZktbtFo-RdBEp2O</recordid><startdate>200808</startdate><enddate>200808</enddate><creator>Schweitzer, Mark E., MD</creator><creator>Daffner, Richard H., MD</creator><creator>Weissman, Barbara N., MD</creator><creator>Bennett, D. 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source MEDLINE; Elsevier ScienceDirect Journals
subjects Appropriateness criteria
diabetes mellitus
Diabetic Foot - diagnosis
diagnostic imaging
Diagnostic Imaging - standards
Humans
infection
neuroarthropathy
osteomyelitis
Osteomyelitis - diagnosis
Practice Guidelines as Topic
Radiology
United States
title ACR Appropriateness Criteria® on Suspected Osteomyelitis in Patients With Diabetes Mellitus
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