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Radionuclide Imaging: Title and subTitle BreakUse in Diagnosis of Osteomyelitis in Children FREE

Michael J. Gelfand, MD; Edward B. Silberstein, MD
[+] Author Affiliations

Read before the annual meeting of the Southeastern Chapter of the Society of Nuclear Medicine, Atlanta, Oct 14, 1976.

Reprint requests to Radioisotope Laboratory, Cincinnati General Hospital, 234 Goodman St, Cincinnati, OH 45267 (Dr Gelfand).


JAMA. 1977;237(3):245-247. doi:10.1001/jama.1977.03270300049005
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Forty-four children were studied for the presence of osteomyelitis by scintigraphy using Tc 99m etidronate tin complex. Evidence of osteomyelitis on radionuclide images was found in 16 of 19 patients considered to have osteomyelitis by their attending physicians. Bone scintigraphic changes were noted prior to or in the absence of roentgenographic abnormalities in 10 of 19 patients. Cases of acute hematogenous osteomyelitis, chronic osteomyelitis, and osteomyelitis caused by penetrating trauma and contiguous infection were identified. Three bone infarctions were correctly diagnosed.

(JAMA 237:245-247, 1977)

REFERENCES

Letts RM, Afifi A, Sutherland JB:  Technetium bone scanning as an aid in the diagnosis of atypical osteomyelitis in children . Surg Gynecol Obstet 140:899-902, 1975;.
Treves S, Khettry J, Broker FH, et al:  Osteomyelitis: Early scintigraphic detection in children . Pediatrics 57:173-186, 1976;.
Gilday DL, Paul DJ, Paterson JP:  Diagnosis of osteomyelitis by combined blood pool and bone imaging . Radiology 117:331-335, 1975;.
Duszynski DO, Kuhn JP, Afshani E, et al:  Early radionuclide diagnosis of acute osteomyelitis . Radiology 117:337-340, 1975;.
Staheli LT, Nelp WB, Marty R, et al:  The early diagnosis of bone and joint infections in children by 87mSr scanning  (abstracted). J Nucl Med 13:468, 1972;.
Alavi A, Bond JP, Kuhl DE, et al:  Scan detection of bone marrow infarcts in sickle cell disorders . J Nucl Med 15:1003-1007, 1974;.
Goergen TG, Alazraki NP, Halpern SE, et al: " Cold" bone lesions: A newly recognized phenomenon of bone imaging . J Nucl Med 15:1120-1124, 1974;.
Sy WM, Westring DW, Weinberger G: " Cold" lesions on bone imaging . J Nucl Med 16:1013-1016, 1975;.
Hammel CF, DeNardo SJ, DeNardo GL, et al:  Bone marrow and bone mineral scintigraphic studies in sickle cell disease . Br J Haematol 25:593-598, 1973;.
Lutzker LG, Alavi A:  Bone and marrow imaging in sickle cell disease: Diagnosis of infarction . Sem Nucl Med 6:83-93, 1976;.
Majd M, Frankel RS:  Radionuclide imaging in skeletal inflammatory and ischemic disease . Am J Roentgenol Rad Ther Nucl Med 126:823-841, 1976;.

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Letts RM, Afifi A, Sutherland JB:  Technetium bone scanning as an aid in the diagnosis of atypical osteomyelitis in children . Surg Gynecol Obstet 140:899-902, 1975;.
Treves S, Khettry J, Broker FH, et al:  Osteomyelitis: Early scintigraphic detection in children . Pediatrics 57:173-186, 1976;.
Gilday DL, Paul DJ, Paterson JP:  Diagnosis of osteomyelitis by combined blood pool and bone imaging . Radiology 117:331-335, 1975;.
Duszynski DO, Kuhn JP, Afshani E, et al:  Early radionuclide diagnosis of acute osteomyelitis . Radiology 117:337-340, 1975;.
Staheli LT, Nelp WB, Marty R, et al:  The early diagnosis of bone and joint infections in children by 87mSr scanning  (abstracted). J Nucl Med 13:468, 1972;.
Alavi A, Bond JP, Kuhl DE, et al:  Scan detection of bone marrow infarcts in sickle cell disorders . J Nucl Med 15:1003-1007, 1974;.
Goergen TG, Alazraki NP, Halpern SE, et al: " Cold" bone lesions: A newly recognized phenomenon of bone imaging . J Nucl Med 15:1120-1124, 1974;.
Sy WM, Westring DW, Weinberger G: " Cold" lesions on bone imaging . J Nucl Med 16:1013-1016, 1975;.
Hammel CF, DeNardo SJ, DeNardo GL, et al:  Bone marrow and bone mineral scintigraphic studies in sickle cell disease . Br J Haematol 25:593-598, 1973;.
Lutzker LG, Alavi A:  Bone and marrow imaging in sickle cell disease: Diagnosis of infarction . Sem Nucl Med 6:83-93, 1976;.
Majd M, Frankel RS:  Radionuclide imaging in skeletal inflammatory and ischemic disease . Am J Roentgenol Rad Ther Nucl Med 126:823-841, 1976;.
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