ACR Appropriateness Criteria® on Suspected Osteomyelitis in Patients With Diabetes Mellitus

Mark E. Schweitzer, Richard H. Daffner, Barbara N. Weissman, D. Lee Bennett, Judy S. Blebea, Jon A. Jacobson, William B. Morrison, Charles S. Resnik, Catherine C. Roberts, David A. Rubin, Leanne L. Seeger, Mihra Taljanovic, James N. Wise, William K. Payne

Research output: Contribution to journalReview article

53 Scopus citations

Abstract

Imaging of the diabetic foot is among the most challenging areas of radiology. The authors present a consensus of the suggested tests in several clinical scenarios, such as early neuropathy, soft-tissue swelling, skin ulcer, and suspected osteomyelitis. In most of these situations, magnetic resonance imaging (MRI) with or without contrast is the examination of choice. Most other imaging tests have complementary roles. For soft-tissue swelling or an ulcer, radiography and MRI with or without contrast are suggested. Bone scintigraphy with white blood cell scanning is used when MRI is contraindicated. In patients with diabetes without ulcers, radiography and MRI with or without contrast are suggested; bone scanning may be used when MRI is contraindicated.

Original languageEnglish (US)
Pages (from-to)881-886
Number of pages6
JournalJournal of the American College of Radiology
Volume5
Issue number8
DOIs
StatePublished - Aug 2008

Keywords

  • Appropriateness criteria
  • diabetes mellitus
  • diagnostic imaging
  • infection
  • neuroarthropathy
  • osteomyelitis

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

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    Schweitzer, M. E., Daffner, R. H., Weissman, B. N., Bennett, D. L., Blebea, J. S., Jacobson, J. A., Morrison, W. B., Resnik, C. S., Roberts, C. C., Rubin, D. A., Seeger, L. L., Taljanovic, M., Wise, J. N., & Payne, W. K. (2008). ACR Appropriateness Criteria® on Suspected Osteomyelitis in Patients With Diabetes Mellitus. Journal of the American College of Radiology, 5(8), 881-886. https://doi.org/10.1016/j.jacr.2008.05.002