Reinert S, Widlitzek H, Venderink D J
Department of Oral and Maxilloficial Surgery, Plastic Surgery of Head and Neck, Ruhr-University Bochum, Germany.
Br J Oral Maxillofac Surg. 1999 Dec;37(6):459-63. doi: 10.1054/bjom.1999.0200.
Our aim was to evaluate the accuracy of magnetic resonance imaging (MRI) and bone scintigraphy in the diagnosis of mandibular osteomyelitis. Twenty patients with mandibular osteomyelitis were prospectively investigated by conventional radiography, bone scintigrams and MRI. All diagnoses were verified either by surgery or by the clinical course. There was no significant difference between bone scintigraphy and MRI in the detection of osteomyelitis or the assessment of its extent. MRI was significantly better than scintigraphy at detecting the presence and assessing the extent of extraosseous inflammation. We always use MRI to diagnose osteomyelitis. For long-term follow-up of patients with mandibular osteomyelitis, we recommend MRI and bone scintigraphy.
我们的目的是评估磁共振成像（MRI）和骨闪烁显像在诊断下颌骨骨髓炎中的准确性。对20例下颌骨骨髓炎患者进行了传统X线摄影、骨闪烁显像和MRI的前瞻性研究。所有诊断均通过手术或临床病程得以证实。在骨髓炎的检测或其范围评估方面，骨闪烁显像和MRI之间无显著差异。在检测骨外炎症的存在和评估其范围方面，MRI明显优于闪烁显像。我们总是使用MRI来诊断骨髓炎。对于下颌骨骨髓炎患者的长期随访，我们推荐使用MRI和骨闪烁显像。
