MAGNETIC RESONANCE SEMIOTICS IN INFLAMMATORY LESIONS OF THE METAEPHYSICAL ZONE IN CHILDREN
Abstract
The study aims to analyze the possibilities of the magnetic resonance imaging method in acute lesions of the epiphyses and metaphyses of bones in children over one year old and adolescents. Material and methods. In the course of the study, the analysis of the radiography studies data of 76 urgently applied patients with acute hematogenous osteomyelitis was carried out. The age of the patients ranged from 1 to 17 years old, with
predominance of male patients of 12-18 years old (70 %). Results. The early period of osteomyelitis process was characterized with X-ray negative diagnostic stage due to the absence of destructive changes in the bone tissue. No signs of destruction were found during the first X-ray in 93.4 % (63/76) children with confirmed diagnosis of acute inflammatory disease. The ultrasound imaging study has shown the diagnostic efficiency in relation with
soft tissue and pathology of joint structures, providing indirect information about the bone pathology. Magnetic resonance imaging, performed at the early stage of inflammatory process, fully (76/76; 100 %) allowed to visualize
intramedullary changes such as trabecular edema of the bone marrow, periosteal thickening (73/76, 96.1 %) and changes of the paraosseous soft tissues (75/76; 98.7 %). These changes were determined on the 3-5th day of
the disease. The signs of synovitis were determined by magnetic resonance imaging, whilst ultrasound imaging provided information in 78.9 % of cases.
About the Author
N. A. Sholokhova
A. I. Yevdokimov Moscow State University of Medicine and Dentistry;
Children’s State Hospital of St. Vladimir, Moscow
Russian Federation
Russian Federation
Candidate of Sciences (Medicine), Associate Professor, Radiology Department;
Head, Radiology Department
E-mail: sholohova@bk.ru
References
1. Ольхова Е. Б., Шолохова Н. А., Жусмаитов С. В. Эхография в дифференциальной диагностике эпифизарных поражений у новорожденных // Детская хирургия. 2019. Т. 23, № 1S3. P. 49.
2. Румянцева Г. Н., Горшков А. Ю., Сергеечев С. П., Михайлова С. И. Острый метаэпифизарный остеомиелит у детей раннего возраста, особенности течения заболевания // Современные проблемы науки и образования. 2017. № 4. С. 41.
3. Шолохова Н. А., Ганиева А. М., Лежнев Д. А. Современное состояние вопроса комплексной лучевой диагностики лучевой диагностики у детей и подростков // Вестник СурГУ. Медицина. 2019. № 4. P. 8–13.
4. Lindsay A. J. et al. Extended field of view magnetic resonance imaging for suspected osteomyelitis in very young children: is it useful? // Pediatr Radiol. 2019. Vol. 49, Is. 3. P. 379–386.
5. Kasalak Ö. et al. Diagnostic value of MRI signs in differentiating Ewing sarcoma from osteomyelitis // Acta radiol. 2019. Vol. 60, Is. 2. P. 204–212.
6. Manz N. et al. Evaluation of the current use of imaging modalities and pathogen detection in children with acute osteomyelitis and septic arthritis // Eur J Pediatr. 2018. Vol. 177, Is. 7. P. 1071–1080.
7. Chan B. Y. et al. MR imaging of pediatric bone marrow // Radiographics. 2016. Vol. 36, Is. 6. P. 1911–1930.
8. Балонов М. И., Голиков В. Ю., Водоватов А. В. Научные основы радиационной защиты в современной медицине. Лучевая диагностика / под ред. профессора М. И. Балонова. СПб. : НИИРГ имени проф. П. В. Рамзаева, 2019. 320 с.
9. Жаворонков Л. П. Основы прикладной медико-биологической статистики. Обнинск. 2012. 87 с.
Review
For citations:
Sholokhova N.A. MAGNETIC RESONANCE SEMIOTICS IN INFLAMMATORY LESIONS OF THE METAEPHYSICAL ZONE IN CHILDREN. Vestnik SurGU. Meditsina. 2021;(3 (49)):25-29. (In Russ.)
Views:
148
Email this article 
