Objective: Identify key magnetic resonance imaging (MRI) features that have a signifficant correlation with osteomyelitis of pressure ulcers in spinal injury patients. Design: Retrospective review study. Participants: Adult patients admitted to the National Spinal Injuries Centre with spinal cord injury (SCI) and signs of pressure ulceration investigated with MRI. Methods: Analysis of MRI examinations and clinical records collected over a 4-year period. Images were independently assessed by 2 experienced radiologists for osteomyelitis based on assigned predictive indicators including cortical bone erosion, soft tissue edema, deep collections, heterotopic new bone, hip effusion, and abnormal signal change of the marrow. Results: Thirty-seven patients underwent 41 MRI scans. The prevalence of osteomyelitis was highly correlated with cortical bone erosion (r = 0.84) and abnormal bone marrow changes on T1-weighted images (r = 0.82).
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Original Article|
April 14 2012
Magnetic Resonance Imaging of Pressure Sores in Spinal Cord Injured Patients: Accuracy in Predicting Osteomyelitis
Luis López de Heredia;
Luis López de Heredia
1
National Spinal Injuries Centre, Stoke Mandeville Hospital, Aylesbury, UK
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Jennifer Hauptfleisch;
Jennifer Hauptfleisch
1
National Spinal Injuries Centre, Stoke Mandeville Hospital, Aylesbury, UK
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Richard Hughes;
Richard Hughes
1
National Spinal Injuries Centre, Stoke Mandeville Hospital, Aylesbury, UK
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Allison Graham;
Allison Graham
1
National Spinal Injuries Centre, Stoke Mandeville Hospital, Aylesbury, UK
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Tom Meagher
Tom Meagher
1
National Spinal Injuries Centre, Stoke Mandeville Hospital, Aylesbury, UK
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Top Spinal Cord Inj Rehabil (2012) 18 (2): 146–148.
Citation
Luis López de Heredia, Jennifer Hauptfleisch, Richard Hughes, Allison Graham, Tom Meagher; Magnetic Resonance Imaging of Pressure Sores in Spinal Cord Injured Patients: Accuracy in Predicting Osteomyelitis. Top Spinal Cord Inj Rehabil 1 April 2012; 18 (2): 146–148. doi: https://doi.org/10.1310/sci1802-146
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