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ESR/EANM - Common diagnostic guidelines on diabetic foot, osteomyelitis and prosthetic joint infection

Friday, March 3, 16:00 - 17:30 Room: M 5 Session Type: Joint Session of the ESR and the EANM Topics: Nuclear Medicine, Musculoskeletal Moderators: V. N. Cassar-Pullicino (Oswestry/UK), A. Signore (Rome/IT) Add session to my schedule In your schedule (remove)

A-570

Guidelines on osteomyelitis (part 1)

L. M. Sconfienza; San Donato Milanese/IT

Learning Objectives

1. To learn about the current literature evidence on the diagnosis of osteomyelitis using radiological and nuclear medicine modalities.
2. To understand the consensus process that led to build common diagnostic flowcharts on osteomyelitis.
3. To become familiar with diagnostic flowcharts on osteomyelitis involving radiological and nuclear medicine modalities.

Abstract

Although the bone was one of the first organs to be evaluated in radiology, the diagnosis of osteomyelitis still remains a challenge. Over time, plain radiography, computed tomography and magnetic resonance imaging have been variously used to detect acute and chronic osteomyelitis in different locations of the body. On the other hand, nuclear medicine has been also used with good diagnostic performance. From 2013 onwards, a collaboration between ESR, EANM and the relevant clinical societies has taken place to develop common guidelines on the topic. In this session, we present the process which led to the development of these guidelines and the results of such a work.

A-571

Guidelines on osteomyelitis (part 2)

A. Glaudemans; Groningen/NL

Learning Objectives

1. To learn about the current literature evidence on the diagnosis of osteomyelitis using radiological and nuclear medicine modalities.
2. To understand the consensus process that led to build common diagnostic flowcharts on osteomyelitis.
3. To become familiar with diagnostic flowcharts on osteomyelitis involving radiological and nuclear medicine modalities.

Abstract

In this session the latest version of the joint guidelines on the imaging of peripheral bone infection are presented. These guidelines have been prepared with the collaboration of delegates from ESR, EANM, ESCMID and EBJIS. The focus in this nuclear medicine part will be on the statements presented in the guidelines that focus on nuclear medicine techniques.

A-572

Guidelines on prosthetic joint infection (part 1)

L. M. Sconfienza; San Donato Milanese/IT

Learning Objectives

1. To learn about the current literature evidence on the diagnosis of prosthetic joint infection using radiological and nuclear medicine modalities.
2. To understand the consensus process that led to build common diagnostic flowcharts on prosthetic joint infection.
3. To become familiar with diagnostic flowcharts on prosthetic joint infections involving radiological and nuclear medicine modalities.

Abstract

With ageing of general population, prosthetic substitution of joints has become extremely diffuse. Prosthetic joint infection (PJI) is a complication occurring in about 3% of patients undergoing prosthetic substitution of joints. The diagnosis of PJI still remains a challenge. Over time, plain radiography, computed tomography and magnetic resonance imaging have been variously used to detect the presence of infection around metallic implants. On the other hand, nuclear medicine has been also used with good diagnostic performance. From 2013 onwards, a collaboration between ESR, EANM and the relevant clinical societies has taken place to develop common guidelines on the topic. In this session, we present the process which led to the development of these guidelines and the results of such a work.

A-573

Guidelines on prosthetic joint infection (part 2)

O. Gheysens; Leuven/BE

Learning Objectives

1. To learn about the current literature evidence on the diagnosis of prosthetic joint infection using radiological and nuclear medicine modalities.
2. To understand the consensus process that led to build common diagnostic flowcharts on prosthetic joint infection.
3. To become familiar with diagnostic flowcharts on prosthetic joint infections involving radiological and nuclear medicine modalities.

Abstract

The number of joint prosthesis replacements is still increasing due to an increased life expectancy. Even though in the majority of patients, better joint function and pain relief is obtained, prosthetic joint infection (PJI) is a complication with an incidence between 2 and 4%, which leads to a high socio-economic burden. Early diagnosis of PJI is of utmost importance to save the prosthesis and joint function. In this session, we will present the latest joint guidelines for the diagnosis of PJI. These guidelines have been prepared in collaboration between EANM and ESR as well as the clinical societies (EBJIS and ESCMID).

A-574

Guidelines on diabetic foot complications (part 1)

A. Leone; Rome/IT

Learning Objectives

1. To learn about the current literature evidence on the diagnosis of diabetic foot complications using radiological and nuclear medicine modalities.
2. To understand the consensus process that led to build common diagnostic flowcharts on diabetic foot complications.
3. To become familiar with diagnostic flowcharts on diabetic foot complications radiological and nuclear medicine modalities.

Abstract

Soft tissue and bone superimposed infection involving the foot is one of the most common long-term complications of diabetes mellitus. Diagnosing these complications is crucial to make proper decisions regarding therapeutic strategies, and should be clinically based on the presence of local or systemic signs or symptoms of inflammation. However, a probable diagnosing is reasonable if there are positive results on a combination of diagnostic tests such as probe-to-bone, serum inflammatory markers, and imaging modalities. Each imaging modality, however, does not provide enough information alone and a multimodal approach should be used for an accurate diagnosis. In an effort to provide guidance for diagnosing diabetes-related foot complications, this presentation is divided into 3 parts: part 1 will review diabetic foot complications and illustrate their major radiological imaging features. Part 2 will present the consensus process that led to build common diagnostic flowcharts on diabetic foot complications. Part 3 will illustrate some cases to become familiar with these diagnostic flowcharts.

A-575

Guidelines on diabetic foot complications (part 2)

A. Signore; Rome/IT

Learning Objectives

1. To learn about the current literature evidence on the diagnosis of diabetic foot complications using radiological and nuclear medicine modalities.
2. To understand the consensus process that led to build common diagnostic flowcharts on diabetic foot complications.
3. To become familiar with diagnostic flowcharts on diabetic foot complications radiological and nuclear medicine modalities.

Abstract

In this session, we will present the latest version of the joint guidelines prepared in collaboration between EANM and ESR on the imaging of infections in several musculoskeletal diseases, such as the diabetic foot, spondylodiscitis, prosthetic joint infections and peripheral bone osteomyelitis. These guidelines have been prepared also with the collaboration of other clinical European societies such as the EASD, the ESCMID, the ESNR and the EBJIS.

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