Initial Report on the Use of In-Office Cone Beam Computed Tomography for Early Diagnosis of Osteomyelitis in Diabetic Patients
| Autor: | Mher Vartivarian, Tara Harrington, Chia-Ding Shih, Alexander M. Reyzelman, Irina Bazarov |
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| Rok vydání: | 2016 |
| Předmět: |
Male
medicine.medical_specialty Cone beam computed tomography Radiography medicine.medical_treatment 030218 nuclear medicine & medical imaging Bone Infection 03 medical and health sciences 0302 clinical medicine Diabetes mellitus medicine Humans business.industry Osteomyelitis 030206 dentistry General Medicine Cone-Beam Computed Tomography Middle Aged medicine.disease Diabetic foot Diabetic Foot Surgery Early Diagnosis Amputation Ambulatory Female Radiology business |
| Zdroj: | Journal of the American Podiatric Medical Association. 106:128-132 |
| ISSN: | 1930-8264 8750-7315 |
| DOI: | 10.7547/14-017 |
| Popis: | Osteomyelitis is one of the most feared sequelae of diabetic foot ulceration, which often leads to lower-extremity amputation and disability. Early diagnosis of osteomyelitis increases the likelihood of successful treatment and may limit the amount of bone resected, preserving ambulatory function. Although a variety of techniques exist for imaging the diabetic foot, standard radiography is still the only in-office imaging modality used today. However, radiographs lack sensitivity and specificity, making it difficult to diagnose bone infection at its early stages. In this report, we describe our initial experience with a cone beam computed tomography (CBCT)–based device, which may serve as an accurate and readily available tool for early diagnosis of osteomyelitis in a patient with diabetes. Two patients with infected diabetic foot ulcers were evaluated for osteomyelitis using radiography and CBCT. Positive imaging findings were confirmed by bone biopsy. In both patients, CBCT captured early osteolytic changes that were not apparent on radiographs, leading to early surgical intervention and successful treatment. The CBCT was helpful in facilitating detection and early clinical intervention for osteomyelitis in two diabetic patients with foot ulcers. These results are encouraging and warrant future evaluation. |
| Databáze: | OpenAIRE |
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