| Osteomyelitis in children: gadolinium-enhanced MR imaging. | |
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MedLine Citation:
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PMID: 1535888 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Fifteen pediatric patients with biopsy- or culture-proved nonspinal osteomyelitis were studied with magnetic resonance (MR) imaging. Osteomyelitis was acute in seven patients, subacute in three, and chronic in five. Four patients had subperiosteal abscesses, one had a large associated soft-tissue abscess, and one had an intraosseous (Brodie) abscess. Areas of active inflammation had decreased marrow signal intensity on T1-weighted images, increased signal intensity on T2-weighted images, and enhancement on T1-weighted images obtained after gadopentetate dimeglumine administration (n = 10). Abscesses were rim enhancing (n = 3) or not (n = 2) with gadolinium-enhanced MR imaging. Nonenhancing areas presumably represented necrotic material. Gadolinium-enhanced MR imaging assisted in definition of the presence and extent of nonvascularized fluid collections within the bone and/or adjacent soft tissues and the extent of bone involvement in patients with chronic osteomyelitis. It also helped guide surgical debridement of intraosseous disease (n = 7) and open or percutaneous drainage of subperiosteal or soft-tissue fluid collections (n = 5). |
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Authors:
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B C Dangman; F A Hoffer; F F Rand; E J O'Rourke |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Radiology Volume: 182 ISSN: 0033-8419 ISO Abbreviation: Radiology Publication Date: 1992 Mar |
Date Detail:
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Created Date: 1992-03-23 Completed Date: 1992-03-23 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 0401260 Medline TA: Radiology Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 743-7 Citation Subset: AIM; IM |
Affiliation:
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Department of Radiology, Children's Hospital, Boston, MA 02115-5747. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Abscess
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diagnosis,
microbiology Child Contrast Media Drug Combinations Female Gadolinium / diagnostic use* Gadolinium DTPA Humans Magnetic Resonance Imaging / methods* Male Meglumine / diagnostic use* Organometallic Compounds / diagnostic use* Osteomyelitis / diagnosis*, microbiology Pentetic Acid / diagnostic use* Staphylococcal Infections / diagnosis* |
| Chemical | |
Reg. No./Substance:
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0/Contrast Media; 0/Drug Combinations; 0/Organometallic Compounds; 6284-40-8/Meglumine; 67-43-6/Pentetic Acid; 7440-54-2/Gadolinium; 80529-93-7/Gadolinium DTPA |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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