Skeletal Radiology最新文献_第3页

Aseptic abscess associated with SAPHO syndrome: a case report. 无菌性脓肿伴SAPHO综合征1例报告。

IF 1.9 3区医学

Skeletal Radiology Pub Date : 2024-10-01 Epub Date: 2023-10-27 DOI: 10.1007/s00256-023-04493-3

Chang Guk Kim, Yeo Ju Kim, Seunghun Lee, Tae-Hwan Kim, Hyunsung Kim

引用次数: 0

Botryomycosis: a rare mimic of sarcoma as an initial presentation of acquired immunodeficiency syndrome. 芽孢菌病:一种罕见的肉瘤的模仿，最初表现为获得性免疫缺陷综合征。

IF 1.9 3区医学

Skeletal Radiology Pub Date : 2024-10-01 Epub Date: 2023-12-01 DOI: 10.1007/s00256-023-04527-w

Sean L Boone, Andrew E Horvai, Melissa N Zimel, Robert Brown, Thomas M Link, Kevin C McGill

{"title":"Botryomycosis: a rare mimic of sarcoma as an initial presentation of acquired immunodeficiency syndrome.","authors":"Sean L Boone, Andrew E Horvai, Melissa N Zimel, Robert Brown, Thomas M Link, Kevin C McGill","doi":"10.1007/s00256-023-04527-w","DOIUrl":"10.1007/s00256-023-04527-w","url":null,"abstract":"Botryomycosis is a rare granulomatous response to chronic bacterial infection most frequently associated with Staphylococcus aureus. This disease, which predominantly affects immunocompromised patients, may present with cutaneous, visceral, or soft tissue manifestations. Soft tissue involvement typically has an aggressive mass-like appearance on imaging which can be concerning for malignancy. In immunocompromised patients, botryomycosis can resemble fungal infection both clinically and histologically; therefore, definitive diagnosis requires tissue sampling along with histological and microbiological analysis. Presented here is a 25-year-old man with an enlarging intramuscular soft tissue mass of the right forearm as his first presentation of undiagnosed acquired immunodeficiency syndrome (AIDS). MR imaging showed a mildly T2 hyperintense and enhancing mass with infiltrative margins extending through tissue planes. Biopsy of the mass revealed Staphylococcus aureus-associated botryomycosis, which improved with nonsurgical treatment employing antibiotics. Unfortunately, the patient subsequently expired from other manifestations of his new AIDS diagnosis. This case describes the MR and PET-CT appearance of botryomycosis and also underscores that infection can mimic sarcoma, particularly in the setting of immunodeficiency.","PeriodicalId":21783,"journal":{"name":"Skeletal Radiology","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138462559","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Approach to imaging modalities in the setting of suspected infection. 疑似感染情况下的成像方式方法。

IF 1.9 3区医学

Skeletal Radiology Pub Date : 2024-10-01 Epub Date: 2023-10-20 DOI: 10.1007/s00256-023-04478-2

Meghan Jardon, Erin F Alaia

{"title":"Approach to imaging modalities in the setting of suspected infection.","authors":"Meghan Jardon, Erin F Alaia","doi":"10.1007/s00256-023-04478-2","DOIUrl":"10.1007/s00256-023-04478-2","url":null,"abstract":"Imaging plays an important role in the workup of musculoskeletal infection, in conjunction with clinical history and physical exam. There are multiple imaging modalities that can be of clinical utility in the setting of suspected infection, each with their own benefits and limitations. Radiography is a low-cost, accessible modality providing a broad osseous overview, but can be insensitive for early osteomyelitis. Ultrasound plays a more limited role in the workup of musculoskeletal infection, but can be useful in the pediatric population or for real-time guidance for joint and soft tissue aspirations. Computed tomography (CT) plays an important role in the timely and accurate diagnosis of critically ill patients in the emergency setting. Its superior soft tissue characterization allows for diagnosis of abscesses, and it can help confirm the clinical diagnosis of necrotizing fasciitis when soft tissue gas is present. Magnetic resonance imaging (MRI) is often the modality of choice in the diagnosis of infection, as its superior contrast resolution allows for clear delineation of the presence and extent of both soft tissue infection and osteomyelitis. Additionally, the use of intravenous contrast and advanced imaging sequences such as diffusion weighted imaging (DWI) further increases the diagnostic utility of MRI in the assessment for infection. Familiarity with the diagnostic utility of each imaging modality will allow the radiologist to appropriately guide imaging workup in the setting of clinically suspected infection.","PeriodicalId":21783,"journal":{"name":"Skeletal Radiology","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49682118","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The musculoskeletal manifestations of SARS-CoV-2 infections/vaccinations are more diverse than expected. SARS-CoV-2 感染/接种后的肌肉骨骼表现比预期的更为多样。

IF 1.9 3区医学

Skeletal Radiology Pub Date : 2024-10-01 Epub Date: 2024-02-03 DOI: 10.1007/s00256-024-04607-5

Josef Finsterer

引用次数: 0

Lower extremity infections: Essential anatomy and multimodality imaging findings. 下肢感染：基本解剖和多模态成像发现。

IF 1.9 3区医学

Skeletal Radiology Pub Date : 2024-10-01 Epub Date: 2024-01-20 DOI: 10.1007/s00256-024-04567-w

George R Matcuk, Matthew R Skalski, Dakshesh B Patel, Brandon K K Fields, Leah E Waldman, Paolo Spinnato, Ali Gholamrezanezhad, Sanaz Katal

引用次数: 0

Imaging mimickers of MSK infection. MSK 感染的成像模拟物。

IF 1.9 3区医学

Skeletal Radiology Pub Date : 2024-10-01 Epub Date: 2024-08-16 DOI: 10.1007/s00256-024-04763-8

M S Taljanovic, I M Omar, D M Melville, C L Shultz, A S Klauser, J S Weaver

引用次数: 0

Upper extremity infection: imaging features with focus on magnetic resonance imaging. 上肢感染：以磁共振成像为重点的成像特征。

IF 1.9 3区医学

Skeletal Radiology Pub Date : 2024-10-01 Epub Date: 2023-12-15 DOI: 10.1007/s00256-023-04545-8

Tatiane Cantarelli Rodrigues, Atul Kumar Taneja, Abdalla Skaf, Ivan Rodrigues Barros Godoy

{"title":"Upper extremity infection: imaging features with focus on magnetic resonance imaging.","authors":"Tatiane Cantarelli Rodrigues, Atul Kumar Taneja, Abdalla Skaf, Ivan Rodrigues Barros Godoy","doi":"10.1007/s00256-023-04545-8","DOIUrl":"10.1007/s00256-023-04545-8","url":null,"abstract":"Upper extremity infections are frequently seen, especially in individuals with weakened immune system, posttraumatic events, and after surgery procedures. If not properly treated, such conditions can lead to serious consequences, such as movement impairment, amputation, and even mortality. These infections have the potential to spread extensively from their initial site of entry, traversing interconnected spaces either intra or extra-compartmental. Understanding the relevant anatomy is crucial to assess location and stage of infection, since surgical intervention and intravenous antibiotics are usually required. In this article, the authors provide a comprehensive review of the imaging findings of upper extremity infection, focusing on magnetic resonance imaging (MRI). Furthermore, this article sheds light on the pivotal role of radiology in managing hand, elbow, and shoulder infections offering an overview of available treatment options. KEY FINDINGS: Various types of infections affecting the upper extremity will be discussed, including infectious tenosynovitis, deep space infections, septic arthritis, and osteomyelitis. Authors also highlight anatomical spaces, common pathogens, spread routes, and key radiological features of these conditions.","PeriodicalId":21783,"journal":{"name":"Skeletal Radiology","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138809332","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Imaging of MSK infections in the ER. 急诊室 MSK 感染的成像。

IF 1.9 3区医学

Skeletal Radiology Pub Date : 2024-10-01 Epub Date: 2023-12-26 DOI: 10.1007/s00256-023-04554-7

Andrew Kompel, Ali Guermazi

引用次数: 0

Can gas and infection coexist in the intervertebral disc? A retrospective analysis of percutaneously biopsied suspected discitis-osteomyelitis cases. 椎间盘内的气体和感染能否共存？经皮活检疑似椎间盘炎-骨髓炎病例的回顾性分析。

IF 1.9 3区医学

Skeletal Radiology Pub Date : 2024-10-01 Epub Date: 2024-02-27 DOI: 10.1007/s00256-024-04631-5

Jad S Husseini, Arnau Hanly, Emre Omeroglu, Sandra B Nelson, Mary Kate Jesse, F Joseph Simeone, Connie Y Chang

{"title":"Can gas and infection coexist in the intervertebral disc? A retrospective analysis of percutaneously biopsied suspected discitis-osteomyelitis cases.","authors":"Jad S Husseini, Arnau Hanly, Emre Omeroglu, Sandra B Nelson, Mary Kate Jesse, F Joseph Simeone, Connie Y Chang","doi":"10.1007/s00256-024-04631-5","DOIUrl":"10.1007/s00256-024-04631-5","url":null,"abstract":"Objectives: To retrospectively evaluate the correlation between intradiscal gas and infection in patients percutaneously biopsied for suspected discitis-osteomyelitis.Materials and methods: We retrospectively reviewed all CT-guided discitis-osteomyelitis biopsies performed between 2002 and 2022. Two independent trained musculoskeletal radiologists evaluated for presence of gas on CT and/or MRI within 1 week of the biopsy. Disagreements were resolved by a third musculoskeletal radiologist. CT was considered the gold standard for the detection of intradiscal gas. Pathology, microbiology, and imaging and clinical follow-up were used as the gold standard for presence of infection. Interrater agreement on CT and MRI, sensitivity, and positive predictive value were calculated, using the presence of gas as an indicator (test positive) for \"no infection.\"Results: There were 284 biopsies in 275 subjects (mean age 58 ± 1.0 (range 4-99) years; 101 (37%) females and 174 (63%) males). Of the biopsies, 12 (4%) were cervical, 80 (28%) were thoracic, 192 (68%) were lumbar, and 200 (70%) were considered true discitis-osteomyelitis based on pathology, imaging, and clinical follow-up. Interrater agreement was excellent for CT (kappa = 0.83) and poor for MRI (kappa = - 0.021). The presence of gas had a 94% specificity and 76% negative predictive value for the absence of infection.Conclusion: CT is the preferred method for detecting intradiscal gas. The presence of gas means that discitis-osteomyelitis is unlikely. If intradiscal gas is present in the setting of discitis-osteomyelitis, the gas bubbles tend to be smaller and fewer in number.","PeriodicalId":21783,"journal":{"name":"Skeletal Radiology","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139983722","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Imaging of musculoskeletal tuberculosis. 肌肉骨骼结核的成像。

IF 1.9 3区医学

Skeletal Radiology Pub Date : 2024-10-01 Epub Date: 2024-01-17 DOI: 10.1007/s00256-023-04556-5

Wiem Abid, Mohamed F Ladeb, Natesan Chidambaranathan, Wilfred C G Peh, Filip M Vanhoenacker

引用次数: 0