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Abstract

Bone infections and inflammations are among the most common and important indications for bone scintigraphy, the sensitivity of which has been firmly established (Duszynski et al. (1975) Early radionuclide diagnosis of acute osteomyelitis. Radiology 117:337–340; Gilday et al. (1975) Diagnosis of osteomyelitis in children by combined blood pool and bone imaging. Radiology 117:331–335). Etiologically, the offending organisms are diverse, and the causes of nonspecific osteitides are obscure except for X- or γ-irradiation in radiation osteitis. For a scintigraphic description, bone infections may be categorized according to the site of initial affliction. Thus, pyogenic infection in the bone marrow is termed osteomyelitis, and infections of the cortex, periosteum, and soft tissues are referred to, respectively, as infective osteitis or abscess, infective periostitis, and soft-tissue abscess. More often than not, the three types of bone infection as well as soft-tissue infection become concurrent if the initial event is not brought under prompt control.

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References

  • Ash JM, Gilday DL (1980) The futility of bone scanning in neonatal osteomyelitis. J Nucl Med 21:417–420

    Google Scholar 

  • Bahk YW, Kim OH, Chung SK (1987) Pinhole collimator scintigraphy in differential diagnosis of metastasis, fracture, and infections of the spine. J Nucl Med 28:447–451

    Google Scholar 

  • Capitanio MA, Kirkpatrick JA (1970) Early roentgen observations in acute osteomyelitis. Am J Roentgenol 108:488–496

    Google Scholar 

  • Duszynski DO, Kuhn JP, Afshani E et al (1975) Early radionuclide diagnosis of acute osteomyelitis. Radiology 117:337–340

    Google Scholar 

  • Feldman F, Auerbach R, Johnston A (1971) Tuberculous dactylitis in the adult. AJR Am J Roentgenol 112:460–479

    Google Scholar 

  • Gilday DL, Eng B, Paul DJ et al (1975) Diagnosis of osteomyelitis in children by combined blood pool and bone imaging. Radiology 117:331–335

    Google Scholar 

  • Gill GV (1977) Epidemic of Tietze’s syndrome. Br Med J 2:499

    Google Scholar 

  • Grieco MH (1972) Pseudomonas arthritis and osteomyelitis. J Bone Joint Surg Am 54:1693–1704

    Google Scholar 

  • Hotze AL, Briele B, Overbeck B et al (1992) Technetium-99 m-labeled anti-granulocyte antibodies in suspected bone infections. J Nucl Med 33:526–531

    Google Scholar 

  • Jones DC, Cady RB (1981) “Cold” bone scans in acute osteomyelitis. J Bone Joint Surg Br 63:376–378

    Google Scholar 

  • Lee SM, Bae SK, Cho MR (2000) Acute osteomyelitis shown as a cold lesion on bone scan. Korean J Nucl Med 34:516–520

    Google Scholar 

  • Majd M, Frankel RS (1976) Radionuclide imaging in skeletal inflammatory and ischemic disease in children. AJR Am J Roentgenol 126:832–841

    Google Scholar 

  • Martino G, Cariati S, Elmore U et al (1994) Tietze’s syndrome in the elderly: description of a case and review of literature. G Chir 15:119–123

    Google Scholar 

  • Maurer AH, Chen DC, Camargo EE et al (1981) Utility of three-phase skeletal scintigraphy in suspected osteomyelitis. J Nucl Med 22:941–949

    Google Scholar 

  • McAfee JG, Gagne G, Subramanian G, Schneider RF (1991) The localization of indium-111-leukocytes, gallium-67-polyclonal IgG and other radioactive agents in acute focal inflammatory lesions. J Nucl Med 32:2126–2131

    Google Scholar 

  • Medina M, Viglietti AL, Gozzoli L et al (2000) Indium111 labelled white blood cells scintigraphy in cranial and spinal septic lesions. Eur J Nucl Med 27:1473–1480

    Google Scholar 

  • Mok PM, Reilly BJ, Ash JM (1982) Osteomyelitis in neonate: clinical aspects and the role of radiography and scintigraphy in diagnosis and management. Radiology 145:677–682

    Google Scholar 

  • Mukamel M, Komreich L, Horev G, Zeharia A, Mimouni M (1997) Tietze’s syndrome in children and infants. J Pediatr 131:774–775

    Google Scholar 

  • Nelson JD (2000) Osteomyelitis and suppurative arthritis. In: Behrman RE, Kliegman RM, Jenson HB (eds) Textbook of pediatrics, 16th edn. WB Saunders, Philadelphia, PA

    Google Scholar 

  • Park HM, Wheat LJ, Siddiqui AR et al (1982) Scintigraphic evaluation of diabetic osteomyelitis. J Nucl Med 23:569–573

    Google Scholar 

  • Peters AM (1994) The utility of [99mTc]HMPAO-leukocytes for imaging infection. Semin Nucl Med 24:110–127

    Google Scholar 

  • Rinsky L, Goris ML, Schurman DJ et al (1977) 99mTechnetium bone scanning in experimental osteomyelitis. Clin Orthop Rel Res 128:361–366

    Google Scholar 

  • Rogers LF (1987) Infections and inflammations of bones. In: Juhl JH, Crummy AB (eds) Essentials of radiologic imaging, 5th edn. Lippincott, Philadelphia, PA

    Google Scholar 

  • Rosenthall L, Kloiber R, Damteu B et al (1982) Sequential use of radiophosphate and radiogallium imaging in the differential diagnosis of bone, joint, and soft tissue infection: quantitative analysis. Diagn Imaging 51:249–258

    Google Scholar 

  • Sain AK (1978) Bone scan in Tietze’s syndrome. Clin Nucl Med 3:470–471

    Google Scholar 

  • Tietze A (1921) Über eine eigenartige Häufung von Fällen mit Dystrophie der Rippenknorpel. Berl Klin Wochenschr 58:829–831

    Google Scholar 

  • Waldvogel FA, Papageorgiou PS (1980) Osteomyelitis: the past decade. N Engl J Med 303:360–370

    Google Scholar 

  • Waldvogel FA, Medoff G, Swartz MN (1970) Osteomyelitis: a review of clinical features, therapeutic considerations and unusual aspects. N Engl J Med 282:198–206

    Google Scholar 

  • Yang WJ, Chung SK, Bahk YW (1988) Three phase bone scintigraphy in active and inactive osteomyelitis. Korean J Nucl Med 39:209–213

    Google Scholar 

  • Yang WJ, Bahk YW, Chung SK et al. (1994) Pinhole scintigraphic manifestations of Tietze’s disease. Eur J Nucl Med 21:947–952

    Google Scholar 

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Correspondence to Yong-Whee Bahk MD, PhD, FACS .

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Bahk, YW. (2017). Infective and Inflammatory Diseases of Bone. In: Combined Scintigraphic and Radiographic Diagnosis of Bone and Joint Diseases. Springer, Singapore. https://doi.org/10.1007/978-981-10-2759-8_6

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  • DOI: https://doi.org/10.1007/978-981-10-2759-8_6

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