Abstract
Several MRI investigations for detecting or excluding acutre and non-post-traumatic chronic osteomyelitis were performed in 31 children, osteomyelitis was evident in 21 patients. The sensitivity of MRI for osteomyelitis was 90%, and specificity was 100%. In children with confirmed osteomyelitis 23 follow-up investigations were carried out in order to evaluate duration of the medullary edema. in uncomplicated cases only in treated by antibiotics edema regression was evident after 4 weeks and completed after 12–16 weeks. In cases in whom extended concomitant soft-tissue infection was depicted regression of edema was prolonged independent of surgical intervention. The study reveals that at onset of acute osteomyelitis in children MRI can replace technetium 99m-labeled scintigraphy and reduce plain-film investigations. The results support the usefulness of MRI in discrimination of isolated soft-tissue infection and noninfectious diseases of bone.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Abiri MM, Kirpekar M, Ablow RC (1989) Osteomyelitis detection with US. Radiology 172: 509–510
Beltram J, Noto AM, McGhee RB et al. (1987) Infections of the musculoskeletal system: high-field-strength MR. Radiology 164: 449–454
Berquist Th, Brown MR, Fitzgerald RH et al. (1985) Magnetic resonance imaging: application in musculoskeletal infections. Magn Reson Imaging 3: 219–230
Dangman BC, Hoffer FA, Rand FF et al. (1992) Osteomyelitis in children: gadolinium-enhanced MR Imaging. Radiology 182:743–747
Erdmann WE, Tamburro F, Jayson HT et al. (1991) Osteomyelitis: characteristics and pitfalls of diagnosis with MR imaging. Radiology 180:533–539
Fletscher MD, Scoles PV, Nelson AD (1984) Osteomyelitis in children: detection by magnetic resonance. Radiology 150: 57–60
Hennig J, Nauert H, Friedburg H (1986) RARE imaging: a fast imaging method for clinical MR. Magn Reson Imaging 6: 391–396
Manson D, Wilmot DM, King S et al. (1989) Physeal involvement in chronic recurrent multifocal osteomyelitis. Pediatr Radiol 30: 76–79
Modic MI, Pflanze W, Feilin DH et al. (1986) Magnetic resonance imaging of musculoskeletal infections. Radiol Clin North Am 24: 247–258
Unger E, Moldofsky P, Gatenby R et al. (1988) Diagnosis of osteomyelitis by MR imaging. AJR 150: 605–611
Tang JSH, Gold RH, Bassel LW et al. (1988) Musculoskeletal infection of the extremities: evaluation with MR imaging. Radiology 166: 205–209
Vade A, Eisenstadt R, Schaff HB (1992) MRI of aggressive bone lesions of childhood. Magn Reson Imaging 10: 89–96
Williamson SL, Seibert JJ, Glasier CM et al. (1991) Ultrasound in advanced pediatric osteomyelitis. Pediatr Radiol 21: 288–290
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Stöver, B., Sigmund, G., Langer, M. et al. MRI in diagnostic evaluation of osteomyelitis in children. Eur. Radiol. 4, 347–352 (1994). https://doi.org/10.1007/BF00599069
Received:
Revised:
Accepted:
Issue Date:
DOI: https://doi.org/10.1007/BF00599069