Radionuclide imaging of musculoskeletal infection

Christopher J. Palestro, Charito Love

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

Radionuclide imaging studies are routinely used to evaluate patients suspected of having musculoskeletal infection. Three-phase bone imaging is readily available, relatively inexpensive, and very accurate in the setting of otherwise normal bone. Labeled leukocyte imaging should be used in cases of "complicating osteomyelitis" such as prosthetic joint infection. This test also is useful in clinically unsuspected diabetic pedal osteomyelitis as well as in the neuropathic joint. It is often necessary, however, to perform complementary bone marrow imaging, to maximize the accuracy of labeled leukocyte imaging. In contrast to other regions in the skeleton, labeled leukocyte imaging is not useful for diagnosing spinal osteomyelitis. At the moment, gallium is the preferred radionuclide procedure for this condition and is a useful adjunct to magnetic resonance imaging. FDG-PET likely will play an important role in the evaluation of musculoskeletal infection, especially spinal osteomyelitis, and may replace gallium imaging for this purpose.

Original languageEnglish (US)
Pages (from-to)15-27
Number of pages13
JournalBrazilian Archives of Biology and Technology
Volume50
Issue numberSPECIALISSUE
DOIs
StatePublished - 2007
Externally publishedYes

Fingerprint

Osteomyelitis
Radionuclide Imaging
Gallium
Leukocytes
Infection
Joints
Bone and Bones
Diabetic Foot
Skeleton
Radioisotopes
Bone Marrow
Magnetic Resonance Imaging

Keywords

  • Bone scintigraphy
  • FDG-PET
  • Gallium
  • Labeled leukocytes
  • Musculoskeletal infection
  • Osteomyelitis

ASJC Scopus subject areas

  • General

Cite this

Radionuclide imaging of musculoskeletal infection. / Palestro, Christopher J.; Love, Charito.

In: Brazilian Archives of Biology and Technology, Vol. 50, No. SPECIALISSUE, 2007, p. 15-27.

Research output: Contribution to journalArticle

Palestro, Christopher J. ; Love, Charito. / Radionuclide imaging of musculoskeletal infection. In: Brazilian Archives of Biology and Technology. 2007 ; Vol. 50, No. SPECIALISSUE. pp. 15-27.
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