Simpfendorfer Claus S
Section of Musculoskeletal Radiology, Imaging Institute, Cleveland Clinic, CCLCM/CWRU, 9500 Euclid Avenue, Cleveland, OH 44195, USA.
Infect Dis Clin North Am. 2017 Jun;31(2):299-324. doi: 10.1016/j.idc.2017.01.004. Epub 2017 Mar 30.
Imaging is often used to establish a diagnosis of musculoskeletal infections and evaluate the full extent and severity of disease. Imaging should always start with radiographs, which provide an important anatomic overview. MRI is the test of choice in most musculoskeletal infections because of its superior soft tissue contrast resolution and high sensitivity for pathologic edema. However, MRI is not always possible. Alternative imaging modalities including ultrasound scan, computed tomography, and radionuclide imaging may be used. This article reviews the individual imaging modalities and discusses how specific musculoskeletal infections should be approached from an imaging perspective.
影像学检查常用于确立肌肉骨骼感染的诊断，并评估疾病的整体范围和严重程度。影像学检查应始终从X线片开始，其能提供重要的解剖学概览。由于磁共振成像（MRI）具有卓越的软组织对比分辨率以及对病理性水肿的高敏感性，因此在大多数肌肉骨骼感染中是首选检查方法。然而，并非总能进行MRI检查。其他可供选择的影像学检查方式包括超声扫描、计算机断层扫描和放射性核素成像等。本文回顾了各种影像学检查方式，并探讨从影像学角度应如何处理特定的肌肉骨骼感染。
