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ROLE OF MRI IN THE DIGNOSTIC OF ACUTE OSTEOMYELITIS IN PAEDITRIC
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Abstract
Objective: Describe the clinic features, imaging characteristics and evaluate the value of MRI for the diagnosis of osteomyelitis in paeditric. Materials and methods: Analysis of patient’s retrospective data, hospitalized at the National children hospital with supected acute osteomyelitis and had an MRI scan in the period of 06/2022 – 06/2024. The definitive dignostic is based on surgery and/or biosy. Results: A total of 45 patients were included into study, 34 patients were diagnosed acute osteomyelitis and 11 patients had other diagnoses. The common clinical symptoms were pain (85.3%), swelling and warmth (82.4%). On MRI: Bone marrow edema and intraosseous abscess (94.1%); subperiosteal abscess (85.3%); fistula (58.8%); sinus tract (11.8%); intramedullary and extramedullary fat (44.1%); local complications (soft tissue abscess and adjacent arthritis). The value of MRI in diagnosing acute osteomyelitis: Se = 94.1%; Sp = 81.8%; PPV = 94.1%; NPV = 81.1%; AC = 91.1%. Diagnostic value increases when combining MRI with X-ray (Sp = 90.9%). Conclusion: MRI has high value in dignostic acute osteomyelitis in paeditric.
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Keywords
Osteomyeltis, MRI, children.
References
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