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MRI 命名法用于肌肉骨骼感染。

MRI nomenclature for musculoskeletal infection.

机构信息

NYU Langone Medical Center, New York, NY, USA.

UT Southwestern Medical Center, Dallas, TX, USA.

出版信息

Skeletal Radiol. 2021 Dec;50(12):2319-2347. doi: 10.1007/s00256-021-03807-7. Epub 2021 Jun 18.

Abstract

The Society of Skeletal Radiology (SSR) Practice Guidelines and Technical Standards Committee identified musculoskeletal infection as a White Paper topic, and selected a Committee, tasked with developing a consensus on nomenclature for MRI of musculoskeletal infection outside the spine. The objective of the White Paper was to critically assess the literature and propose standardized terminology for imaging findings of infection on MRI, in order to improve both communication with clinical colleagues and patient care.A definition was proposed for each term; debate followed, and the committee reached consensus. Potential controversies were raised, with formulated recommendations. The committee arrived at consensus definitions for cellulitis, soft tissue abscess, and necrotizing infection, while discouraging the nonspecific term phlegmon. For bone infection, the term osteitis is not useful; the panel recommends using terms that describe the likelihood of osteomyelitis in cases where definitive signal changes are lacking. The work was presented virtually to SSR members, who had the opportunity for review and modification prior to submission for publication.

摘要

骨骼放射学会(SSR)实践指南和技术标准委员会将肌肉骨骼感染确定为白皮书主题,并选择了一个委员会,负责就脊柱外肌肉骨骼感染的 MRI 命名达成共识。白皮书的目的是批判性地评估文献,并提出感染 MRI 影像学表现的标准化术语,以改善与临床同事的沟通和患者护理。为每个术语提出了定义;随后进行了辩论,委员会达成了共识。提出了潜在的争议,并制定了建议。委员会就蜂窝织炎、软组织脓肿和坏死性感染达成了共识定义,同时不鼓励使用非特异性术语“phlegmon”。对于骨感染,术语“osteitis”没有用处;专家组建议在缺乏明确信号改变的情况下,使用描述骨髓炎可能性的术语。这项工作以虚拟方式呈现给 SSR 成员,他们有机会在提交出版前进行审查和修改。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/be9d/8789645/81118bde51cc/256_2021_3807_Fig1_HTML.jpg

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