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Color Doppler Mapping in Diagnosis of Acute Hematogenous Osteomyelitis in Children

Abstract

37 children with acute hematogenous osteomyelitis were examined. All children were operated. All patients were divided into groups depending on the timing since disease onset. The first group included children enrolled in the first 3 days of disease onset (n = 7; 18.9%), the second group - in the 4-7th day from disease onset (n = 8; 21.6%), the third group - in the 8-14th day from disease onset (n = 12; 32.4%), the fourth group - in the 15-21st day from disease onset (n = 10; 27.0%). The study was done on the M7 ultrasound system (Mindray, China) with a linear transducer (9-12 MHz). Vascularization was characterized in four types: from avascularization (0) to hypervascularization (3). The sensitivity of B-mode and color flow mapping in the diagnosis of acute hematogenous osteomyelitis among all patients (n = 37) was 83.8 and 94.6%, correspondingly. The sensitivity of B-mode and color flow mapping in the diagnosis of acute hematogenous osteomyelitis in the first group (the first 3 days of disease onset) was 57.1 and 85.7%; in the second group (the 4-7th day from disease onset) - 75.0 and 87.5%; in the third group (the 8-14th day from disease onset) - 91.7 and 100.0%; in the fourth group (the 15-21st day from disease onset) - 100.0 and 100.0%, correspondingly.

About the Authors

V. D. Zavadovskaya
Siberian State Medical University
Russian Federation


S. A. Polkovnikova
Emergency Hospital No. 2
Russian Federation


V. M. Maslikov
Siberian State Medical University
Russian Federation


V. A. Shalygin
Siberian State Medical University
Russian Federation


V. G. Osipkin
Emergency Hospital No. 2
Russian Federation


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For citations:


Zavadovskaya V.D., Polkovnikova S.A., Maslikov V.M., Shalygin V.A., Osipkin V.G. Color Doppler Mapping in Diagnosis of Acute Hematogenous Osteomyelitis in Children. Ultrasound & Functional Diagnostics. 2016;(5):60-68. (In Russ.)

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