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骨与关节感染:影像学在精准诊断以改善患者治疗中的作用

Bone and Joint Infections: The Role of Imaging in Tailoring Diagnosis to Improve Patients' Care.

作者信息

Sambri Andrea, Spinnato Paolo, Tedeschi Sara, Zamparini Eleonora, Fiore Michele, Zucchini Riccardo, Giannini Claudio, Caldari Emilia, Crombé Amandine, Viale Pierluigi, De Paolis Massimiliano

机构信息

Orthopedics Unit, IRCCS Azienda Ospedaliero-Universitaria di Bologna, 40138 Bologna, Italy.

DIMEC, University of Bologna, 40133 Bologna, Italy.

出版信息

J Pers Med. 2021 Dec 7;11(12):1317. doi: 10.3390/jpm11121317.

Abstract

Imaging is needed for the diagnosis of bone and joint infections, determining the severity and extent of disease, planning biopsy, and monitoring the response to treatment. Some radiological features are pathognomonic of bone and joint infections for each modality used. However, imaging diagnosis of these infections is challenging because of several overlaps with non-infectious etiologies. Interventional radiology is generally needed to verify the diagnosis and to identify the microorganism involved in the infectious process through imaging-guided biopsy. This narrative review aims to summarize the radiological features of the commonest orthopedic infections, the indications and the limits of different modalities in the diagnostic strategy as well as to outline recent findings that may facilitate diagnosis.

摘要

骨与关节感染的诊断需要影像学检查,以确定疾病的严重程度和范围、规划活检以及监测治疗反应。对于每种使用的影像学检查方式,某些放射学特征是骨与关节感染的特征性表现。然而,由于这些感染与非感染性病因存在一些重叠,其影像学诊断具有挑战性。通常需要介入放射学来通过影像引导下活检来验证诊断并识别感染过程中涉及的微生物。本叙述性综述旨在总结最常见的骨科感染的放射学特征、诊断策略中不同检查方式的适应症和局限性,并概述可能有助于诊断的最新研究结果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a7f2/8709091/7ac12cdf6af0/jpm-11-01317-g001.jpg

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