Unusual manifestations of vertebral osteomyelitis: Intraosseous lesions mimicking metastases

American Journal of Neuroradiology

Volumn 29, Issue 6, 2008, Pages 1104-1110

  Hsu, C Y ^a   Yu, C W ^a   Wu, M Z ^a   Chen, B B ^a   Huang, K M ^a,b   Shih, Tiffany Ting Fang ^a  

^a NATIONAL TAIWAN UNIVERSITY HOSPITAL   (Taiwan)

^b SHIN KONG WU HO SU MEMORIAL HOSPITAL   (Taiwan)

Author keywords

[No Author keywords available]

Indexed keywords

ADULT; AGED; ARTICLE; BONE LESION; BONE METASTASIS; CLINICAL ARTICLE; CONTROLLED STUDY; EVALUATION; FEMALE; FOLLOW UP; HUMAN; IMAGE ENHANCEMENT; INTERVERTEBRAL DISK; MALE; NUCLEAR MAGNETIC RESONANCE IMAGING; PATIENT SELECTION; SPONDYLITIS; DIFFERENTIAL DIAGNOSIS; METASTASIS; METHODOLOGY; MIDDLE AGED; OSTEOMYELITIS; PATHOLOGY; SPINAL CORD TUMOR;

ADULT; AGED; AGED, 80 AND OVER; DIAGNOSIS, DIFFERENTIAL; FEMALE; HUMANS; MAGNETIC RESONANCE IMAGING; MALE; MIDDLE AGED; OSTEOMYELITIS; SPINAL NEOPLASMS; SPONDYLITIS;

EID: 46749105165     PISSN: 01956108     EISSN: None     Source Type: Journal    
DOI: 10.3174/ajnr.A1003     Document Type: Article

References (31)

1. Unger E, Moldofsky P, Gatenby R, et al. Diagnosis of osteomyelitis by MR imaging. AJR Am J Roentgenol 1988;150:605-10
2. Tehranzadeh J, Wang F, Mesgarzadeh M. Magnetic resonance imaging of osteomyelitis. Crit Rev Diagn Imaging 1992;33:495-534
3. Sammak B, Abd El Bagi M, Al Shahed M, et al. Osteomyelitis: a review of currently used imaging techniques. Eur Radiol 1999;9:894-900
4. Modic MT, Feiglin DH, Piraino DW, et al. Vertebral osteomyelitis: assessment using MR. Radiology 1985;157:157-66
5. Carragee EJ. The clinical use of magnetic resonance imaging in pyogenic vertebral osteomyelitis. Spine 1997;22:780-85
6. Thrush A, Enzmann D. MR imaging of the infectious spondylitis. AJNR Am J Neuroradiol 1990;11:1171-80
7. Dagirmanjian A, Schils J, McHenry M, et al. MR imaging of vertebral osteomyelitis revisited. AJR Am J Roentgenol 1996;167:1539-43
8. Huang YJ, Shih TTF, Huang KM, et al. Infectious spondylitis: MRI characteristics. J Formos Med Assoc 1996;95:458-63
9. Ledermann HP, Schweitzer ME, Morrison WB, et al. MR imaging findings in spinal infections: rules or myths? Radiology 2003;228:506-14
10. Ahmadi J, Bajaj A, Destian S, et al. Spinal tuberculosis: atypical observations at MR imaging. Radiology 1993;189:489-93
11. Williams RL, Fukui MB, Meltzer CC, et al. Fungal spinal osteomyelitis in the immunocompromised patient: MR findings in three cases. AJNR Am J Neuroradiol 1999;20:381-85
12. Shih TTF, Huang KM, Hou SM. Early diagnosis of single segment vertebral osteomyelitis: MR pattern and its characteristics. Clin Imaging 1999;23:159-67
13. Tehranzadeh J, Wong E, Wang F, et al. Imaging of osteomyelitis in the mature skeleton. Radiol Clin North Am 2001;39:223-50
14. Santiago Restrepo C, Gimenez CR, McCarthy K. Imaging of osteomyelitis and musculoskeletal soft tissue infections: current concepts. Rheum Dis Clin North Am 2003;29:89-109
15. Hopkins KL, Li KCP, Bergman G. Gadolinium-DTPA-enhanced magnetic resonance imaging of musculoskeletal infectious process. Skeletal Radiol 1995;24:325-30
16. Erdmann WA, Tamburro F, Jayson HT, et al. Osteomyelitis: characteristics and pitfalls of diagnosis with MR imaging. Radiology 1991;180:533-39
17. Schweitzer ME, Levine C, Mitchell DG, et al. Bull's-eyes and halos: useful MR discriminators of osseous metastases. Radiology 1993;188:249-52
18. Chandnani VP, Beltran J, Morris CS, et al. Acute experimental osteomyelitis and abscesses: detection with MR imaging versus CT. Radiology 1990;74:233-36
19. Sandhu FS, Dillon WP. Spinal epidural abscess: evaluation with contrast-enhanced MR imaging. AJNR Am J Neuroradiol 1991;12:1087-93
20. Hass DW, McAndrew MP. Bacterial osteomyelitis in adults: evolving considerations in diagnosis and treatment. Am J Med 1996;101:550-61
21. Smith AS, Weinstein MA, Mizushima A, et al. MR imaging characteristics of tuberculous spondylitis versus vertebral osteomyelitis. AJNR Am J Neuroradiol 1989;10:619-25
22. Kapeller P, Fazekas F, Krametter D, et al. Pyogenic infectious spondylitis: clinical, laboratory and MRI features. Eur Neurol 1997;38:94-98
23. White LM, Schweitzer ME, Deely DM, et al. Study of osteomyelitis: utility of combined histologic and microbiologic evaluation of percutaneous biopsy samples. Radiology 1995;197:840-42
24. Floyed RL, Steele RW. Culture-negative osteomyelitis. Pediatr Infect Dis J 2003;22:731-35
25. Lucio E, Adesokan A, Hadjipavlou AG, et al. Pyogenic spondylodiskitis: a radiologic/pathologic and culture correlation study. Arch Pathol Lab Med 2000;124:712-16
26. Chew FS, Kline MJ. Diagnostic yield of CT-guided percutaneous aspiration procedures in suspected spontaneous infectious diskitis. Radiology 2001;218:211-14
27. Herneth AM, Friedrich K, Weidekamm C, et al. Diffusion weighted imaging of bone marrow pathologies. Eur J Radiol 2005;55:74-83
28. Pui MH, Mitha A, Rae WI, et al. Diffusion-weighted magnetic resonance imaging of spinal infection and malignancy. J Neuroimaging 2005;15:164-70
29. Fukuda Y, Ando K, Ishikura R, et al. Superparamagnetic iron oxide (SPIO) MRI contrast agent for bone marrow imaging: differentiating bone metastasis and osteomyelitis. Magn Reson Med Sci 2006;5:191-96
30. Tice AD, Hoaglund PA, Shoultz DA. Risk factors and treatment outcomes in osteomyelitis. J Antimicrob Chemother 2003;51:1261-68
31. Gillams AR, Chaddha B, Carter AP. MR appearances of the temporal evolution and resolution of infectious spondylitis. AJR Am J Roentgenol 1996;166:903-07