MRI scanning to diagnose osteomyelitis in United States and Glasgow

BMJ 1997; 315 doi: https://doi.org/10.1136/bmj.315.7103.309a (Published 02 August 1997) Cite this as: BMJ 1997;315:309

***We received four other letters making similar points.—Editor

Astute clinicians and experienced paediatric radiologists are the essential factors

  1. A G Wilkinson, Consultant paediatric radiologista
  1. a Royal Hospital for Sick Children, Glasgow G3 8SJ
  2. b Royal Hospital for Sick Children, Orthopaedic Department, Glasgow G3 8SJ

    Editor—Gordon C S Smith asks whether doctors at the Royal Hospital for Sick Children in Glasgow would have felt inhibited about asking for a magnetic resonance scan in another trust had his daughter presented with osteomyelitis.1 The answer is no: we do such scans as often as required. He also asks how we would make the diagnosis without a scanner of our own. We use ultrasonography regularly, and I have accurately diagnosed bilateral tibial osteomyelitis with subperiosteal collections using this modality. Bone scans and computed tomograms are often diagnostic, and magnetic resonance imaging has not yet, in my experience, been essential for the diagnosis. An astute clinician and an experienced paediatric radiologist are the essential factors in achieving …

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