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The role of 99mTc-antigranulocyte SPECT/CT in community-acquired diabetic foot osteomyelitis: A clinical experience

Author(s):

İlker Uçkay*, Martin W. Hüllner, Yvonne Achermann, Andreas Plate, Madlaina Schöni, Andrea Rosskopf and Martin C. Berli  

Abstract:


Background: Magnetic resonance imaging (MRI) is the actual gold standard for the radiological diagnosis of diabetic foot osteomyelitis (DFO).

Materials and Methods: However, MRI is not always available, and many patients have contraindications. We evaluate the clinical value of 99mTc-antigranulocyte SPECT/CT (AGS) in eight DFO patients who underwent MRI before.

Results: The goal was to have a better clinical view on the extent of bone infection and to ameliorate the surgical approach for DFO. However, this additional scintigraphy did not change anything in the clinical approach. Conclusion: We share our experience with AGO for the clinical management of complex DFO cases.

Keywords:

anti-granulocyte SPECT/CT; diabetic foot; osteomyelitis; clinical benefit; magnetic resonance imaging; comparisons

Affiliation:

Infectiology,Balgrist University Hospital, Zurich, Department of Nuclear Medicine, University Hospital Zurich, University of Zurich, Zurich, Infectiology,Balgrist University Hospital, Zurich, Division of Infectious Diseases and Hospital Epidemiology, University Hospital Zurich, University of Zurich, Zurich, Department of Orthopedic Surgery, Balgrist University Hospital, Zurich, Department of Radiology, Balgrist University Hospital, Zurich, Department of Orthopedic Surgery, Balgrist University Hospital, Zurich



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