Indium-111 chloride imaging in chronic osteomyelitis.
Sixty-eight patients with clinically suspected chronic osteomyelitis were studied with [111In]chloride. Fifty-four images were categorized as true positive; seven were categorized as true negative. There were four false-positive studies, two of which were associated with healing cancellous bone grafts. There were three false-negative studies in patients previously treated with long-term antibiotic therapy. Images in eight noninfected healing fractures 3 to 8 mo old were normal. Three patients with infected total hip prostheses had positive images. Two patients with loose prostheses had negative images. This study shows that [111In]chloride imaging is an accurate way to localize chronic osteomyelitis and may overcome some of the disadvantages of [67Ga]citrate such as localization in noninfected healing fractures and in some loose [67Ga]citrate such as localization in noninfected healing fractures and in some loose prostheses.
D000293:Adolescent; D000328:Adult; D000368:Aged; D016025:Bone Transplantation; D002908:Chronic Disease; D005188:False Negative Reactions; D005189:False Positive Reactions; D005269:Femur / Q000000981:diagnostic imaging; D006622:Hip Prosthesis / Q000009:adverse effects; D006801:Humans; D007204:Indium; D008875:Middle Aged; D010019:Osteomyelitis / Q000000981:diagnostic imaging*; D011868:Radioisotopes; D011877:Radionuclide Imaging; D013977:Tibia / Q000000981:diagnostic imaging
D011868:Radioisotopes; D007204:Indium; C020758:indium trichloride