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American Journal of Roentgenology, Vol 145, Issue 5, 1079-1084
Copyright © 1985 by American Roentgen Ray Society

Articles

Scintigraphic evaluation of extremity pain in children: its efficacy and pitfalls

HM Park, PA Rothschild, and CB Kernek

Early detection of an inflammatory process involving bone and joints is very important in children with extremity pain. We reviewed the efficacy and pitfalls of three-phase bone scans in 100 consecutive children with acute extremity pain. Sixty-one of the subjects showed abnormalities on bone scans. The sensitivity and specificity of three-phase bone scans for acute osteomyelitis were 84% and 97%, respectively. Sensitivity and specificity for both acute septic joint and cellulitis were 93% and 100%, respectively. Pitfalls in interpretation of three-phase bone scans include simulation of infection by fracture and obscuration of osteomyelitis by septic arthritis, prior antibiotic treatment, and the occasional "cold" defect due to ischemia.
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E. Shalaby-Rana and M. Majd
99mTc-MDP Scintigraphic Findings in Children with Leukemia: Value of Early and Delayed Whole-Body Imaging
J. Nucl. Med., June 1, 2001; 42(6): 878 - 883.
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