Imaging of necrotizing fasciitis

IF 1.8 4区医学 Q3 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING

Clinical Imaging Pub Date : 2024-10-23 DOI:10.1016/j.clinimag.2024.110331

Sergey Kochkine , David L. Payne , Katherine Chung , David Chen , Mark P. Bernstein , Alexander B. Baxter , John M. McMenamy

引用次数: 0

Abstract

Necrotizing Fasciitis (NF) is a rare, but highly lethal, rapidly progressive necrotic infection of the soft-tissue fascia. More common in immunocompromised patients, NF typically affects the extremities, perineal area, genital area (Fournier gangrene), and less commonly the torso. Although classically a clinical diagnosis, imaging is a powerful adjunct to facilitate early diagnosis in equivocal cases. The key features of NF of radiography, ultrasound, CT, and MRI are reviewed, as are the inherent limitations of NF diagnosis for each modality. With a high level of sensitivity, specificity, and soft tissue contrast, MRI remains the gold standard imaging method for evaluation of NF.

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坏死性筋膜炎的影像学检查

坏死性筋膜炎（NF）是一种罕见但致死率极高的快速进展性软组织筋膜坏死性感染。NF 常见于免疫力低下的患者，通常累及四肢、会阴部、生殖器部位（富尼耶坏疽），躯干较少见。尽管 NF 通常需要临床诊断，但影像学检查是一种强有力的辅助手段，有助于对不明确的病例进行早期诊断。本文回顾了放射、超声、CT 和核磁共振成像对 NF 诊断的主要特征，以及每种成像模式对 NF 诊断的固有局限性。核磁共振成像具有高度敏感性、特异性和软组织对比度，仍然是评估 NF 的金标准成像方法。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Clinical Imaging 医学-核医学

CiteScore

4.60

自引率

0.00%

发文量

265

审稿时长

35 days

期刊介绍： The mission of Clinical Imaging is to publish, in a timely manner, the very best radiology research from the United States and around the world with special attention to the impact of medical imaging on patient care. The journal''s publications cover all imaging modalities, radiology issues related to patients, policy and practice improvements, and clinically-oriented imaging physics and informatics. The journal is a valuable resource for practicing radiologists, radiologists-in-training and other clinicians with an interest in imaging. Papers are carefully peer-reviewed and selected by our experienced subject editors who are leading experts spanning the range of imaging sub-specialties, which include: -Body Imaging- Breast Imaging- Cardiothoracic Imaging- Imaging Physics and Informatics- Molecular Imaging and Nuclear Medicine- Musculoskeletal and Emergency Imaging- Neuroradiology- Practice, Policy & Education- Pediatric Imaging- Vascular and Interventional Radiology