Abstract
Jaw osteomyelitis (JO) is an inflammatory disease that normally begins in the medullary space of the mandible or less often maxilla. Three entities are specified: acute osteomyelitis, secondary chronic osteomyelitis, and primary chronic osteomyelitis. This chapter describes the imaging findings and differential diagnosis of jaw osteomyelitis on bone SPECT/CT and the role of this imaging modality in patient management.
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References
Baltensperger MM, Eyrich GK, editors. Osteomyelitis of the jaws. Berlin: Springer; 2009.
Baltensperger M, Gratz K, Bruder E, Lebeda R, Makek M, Eyrich G. Is primary chronic osteomyelitis a uniform disease? Proposal of a classification based on a retrospective analysis of patients treated in the past 30 years. J Craniomaxillofac Surg. 2004;32(1):43–50.
Bolouri C, Merwald M, Huellner MW, Veit-Haibach P, Kuttenberger J, Perez-Lago M, et al. Performance of orthopantomography, planar scintigraphy, CT alone and SPECT/CT in patients with suspected osteomyelitis of the jaw. Eur J Nucl Med Mol Imaging. 2013;40(3):411–7.
Boronat-Ferrater M, Simo-Perdigo M, Cuberas-Borros G, Aguade-Bruix S, Dellepiane-Clarke F, Torrent-Llongarriu E, et al. Bone scintigraphy and radiolabeled white blood cell scintigraphy for the diagnosis of mandibular osteomyelitis. Clin Nucl Med. 2011;36(4):273–6.
Hakim SG, Bruecker CW, Jacobsen H, Hermes D, Lauer I, Eckerle S, et al. The value of FDG-PET and bone scintigraphy with SPECT in the primary diagnosis and follow-up of patients with chronic osteomyelitis of the mandible. Int J Oral Maxillofac Surg. 2006;35(9):809–16.
Hata H, Kitao T, Sato J, Asaka T, Ohga N, Imamachi K, et al. Monitoring indices of bone inflammatory activity of the jaw using SPECT bone scintigraphy: a study of ARONJ patients. Sci Rep. 2020;10(1):11385.
Heimann I, Kuttenberger J, Della Chiesa A, Bhure U, Del Sol Perez-Lago M, Roos JE, et al. Monitoring jaw osteomyelitis therapy with single-photon emission computed tomography/computed tomography. Nucl Med Commun. 2021;42(1):51–7.
Koorbusch GF, Fotos P, Goll KT. Retrospective assessment of osteomyelitis. Etiology, demographics, risk factors, and management in 35 cases. Oral Surg Oral Med Oral Pathol. 1992;74(2):149–54.
Kuijpers SC, de Jong E, Hamdy NA, van Merkesteyn JP. Initial results of the treatment of diffuse sclerosing osteomyelitis of the mandible with bisphosphonates. J Craniomaxillofac Surg. 2011;39(1):65–8.
Modabber A, Schick D, Mohlhenrich SC, Mottaghy FM, Verburg FA, Holzle F, et al. Evaluation of SPECT/CT in the assessment of inflammatory jaw pathologies. Eur J Radiol. 2020;125:108917.
Prasad KC, Prasad SC, Mouli N, Agarwal S. Osteomyelitis in the head and neck. Acta Otolaryngol. 2007;127(2):194–205.
Tiwari P, Bera RN, Kanojia S, Chauhan N, Hirani MS. Assessing the optimal imaging modality in the diagnosis of jaw osteomyelitis. A meta-analysis. Br J Oral Maxillofac Surg. 2021;59(9):982–992.
Toshima H, Ogura I. Assessment of inflammatory jaw pathologies using bone SPECT/CT maximum standardized uptake value. Dentomaxillofac Radiol. 2020;49(8):20200043.
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Strobel, K., Bhure, U. (2023). SPECT/CT in Jaw Osteomyelitis and Osteonecrosis. In: Van den Wyngaert, T., Gnanasegaran, G., Strobel, K. (eds) Clinical Atlas of Bone SPECT/CT. Springer, Cham. https://doi.org/10.1007/978-3-031-26449-8_26
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DOI: https://doi.org/10.1007/978-3-031-26449-8_26
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