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Imaging of Infection in the Diabetic Foot

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Book cover The Diabetic Foot

Part of the book series: Contemporary Diabetes ((CDI))

Abstract

Information derived from imaging studies can play an important role in the management of complicated foot problems in the diabetic patient. This chapter reviews the various modalities available for imaging of the diabetic foot—radiography, nuclear medicine studies such as bone scans, labeled leukocyte scans, bone marrow scans, and FDG PET scans, cross-sectional studies such as MRI, CT, and ultrasound, and various forms of catheter and noninvasive angiography—and highlights their relative strengths and weaknesses for the diagnosis of osteomyelitis, soft tissue infection, and neuroarthropathy. A suggested imaging algorithm for the diagnosis of osteomyelitis in the diabetic foot is presented.

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Acknowledgments

Sincere thanks to Drs. Yvonne Cheung, J. Anthony Parker, Kevin Donohoe, David Brophy, Yuri Shif, Darlene Metter, and Kevin Banks for their contributions. Heartfelt thanks, as well, to Ms. Clotell Forde for her invaluable assistance in the preparation of this manuscript.

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Authors and Affiliations

  1. Department of Radiology, Musculoskeletal Imaging and Intervention, Harvard Medical School, Beth Israel Deaconess Medical Center, Boston, MA, USA

    Mary G. Hochman MD, MBA

  2. Department of Radiology, Mt. Auburn Hospital, Cambridge, MA, USA

    Caitlin Connolly MD

  3. Harvard Medical School, Boston, MA, USA

    Caitlin Connolly MD

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  1. Mary G. Hochman MD, MBA
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  2. Caitlin Connolly MD
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Correspondence to Mary G. Hochman MD, MBA .

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Editors and Affiliations

  1. Rongxiang Xu, MD, Professor of Surgery, Harvard Medical School Director, The Rongxiang Xu, MD, Center for Regenerative Therapeutics Research Director, Joslin-Beth Israel Deaconess Foot Center Beth Israel Deaconess Medical Center, Boston, MA, USA

    Aristidis Veves

  2. Chief, Division of Podiatry, Beth Israel Deaconess Medical Center, Associate Professor of Surgery, Harvard Medical School, Co-director, Joslin-Bl Deaconess Diabetic Foot Center Consultant, Joslin Diabetes Center, Boston, MA, USA

    John M. Giurini

  3. Associate Professor of Surgery, Harvard Medical School, Division of Vascular and Endovascular Surgery, Beth Israel Deaconess Medical Center, Joslin Diabetes Center, Boston, MA, USA

    Raul J. Guzman

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Hochman, M.G., Connolly, C. (2018). Imaging of Infection in the Diabetic Foot. In: Veves, A., Giurini, J., Guzman, R. (eds) The Diabetic Foot. Contemporary Diabetes. Humana, Cham. https://doi.org/10.1007/978-3-319-89869-8_5

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