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 |
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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><identifier>ISSN: 1546-1440</identifier><identifier>EISSN: 1558-349X</identifier><identifier>DOI: 10.1016/j.jacr.2008.05.002</identifier><identifier>PMID: 18657783</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>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</subject><ispartof>Journal of the American College of Radiology, 2008-08, Vol.5 (8), p.881-886</ispartof><rights>American College of Radiology</rights><rights>2008 American College of Radiology</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3682-c4b2ee96d44d3c40d05024e53e8a040fec552dc11246396a8383aea16423b02c3</citedby><cites>FETCH-LOGICAL-c3682-c4b2ee96d44d3c40d05024e53e8a040fec552dc11246396a8383aea16423b02c3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S1546144008002275$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3536,27903,27904,65309</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/18657783$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Schweitzer, Mark E., MD</creatorcontrib><creatorcontrib>Daffner, Richard H., MD</creatorcontrib><creatorcontrib>Weissman, Barbara N., MD</creatorcontrib><creatorcontrib>Bennett, D. Lee, MD</creatorcontrib><creatorcontrib>Blebea, Judy S., MD</creatorcontrib><creatorcontrib>Jacobson, Jon A., MD</creatorcontrib><creatorcontrib>Morrison, William B., MD</creatorcontrib><creatorcontrib>Resnik, Charles S., MD</creatorcontrib><creatorcontrib>Roberts, Catherine C., MD</creatorcontrib><creatorcontrib>Rubin, David A., MD</creatorcontrib><creatorcontrib>Seeger, Leanne L., MD</creatorcontrib><creatorcontrib>Taljanovic, Mihra, MD</creatorcontrib><creatorcontrib>Wise, James N., MD</creatorcontrib><creatorcontrib>Payne, William K., MD</creatorcontrib><title>ACR Appropriateness Criteria® on Suspected Osteomyelitis in Patients With Diabetes Mellitus</title><title>Journal of the American College of Radiology</title><addtitle>J Am Coll Radiol</addtitle><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.</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. Lee, MD</creator><creator>Blebea, Judy S., MD</creator><creator>Jacobson, Jon A., MD</creator><creator>Morrison, William B., MD</creator><creator>Resnik, Charles S., MD</creator><creator>Roberts, Catherine C., MD</creator><creator>Rubin, David A., MD</creator><creator>Seeger, Leanne L., MD</creator><creator>Taljanovic, Mihra, MD</creator><creator>Wise, James N., MD</creator><creator>Payne, William K., MD</creator><general>Elsevier Inc</general><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></search><sort><creationdate>200808</creationdate><title>ACR Appropriateness Criteria® on Suspected Osteomyelitis in Patients With Diabetes Mellitus</title><author>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</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3682-c4b2ee96d44d3c40d05024e53e8a040fec552dc11246396a8383aea16423b02c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2008</creationdate><topic>Appropriateness criteria</topic><topic>diabetes mellitus</topic><topic>Diabetic Foot - diagnosis</topic><topic>diagnostic imaging</topic><topic>Diagnostic Imaging - standards</topic><topic>Humans</topic><topic>infection</topic><topic>neuroarthropathy</topic><topic>osteomyelitis</topic><topic>Osteomyelitis - diagnosis</topic><topic>Practice Guidelines as Topic</topic><topic>Radiology</topic><topic>United States</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Schweitzer, Mark E., MD</creatorcontrib><creatorcontrib>Daffner, Richard H., MD</creatorcontrib><creatorcontrib>Weissman, Barbara N., MD</creatorcontrib><creatorcontrib>Bennett, D. 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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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