title: Diagnostic utility of galium 67 SPECT/CT and role of pentoxifylline-tocopherol in chronic multifocal osteomyelitis.
abstract: Advances in radiology have helped in early diagnosis, surveillance and proper management of disease processes. SPECT scintigraphy is an imaging modality that helps in the detection & diagnosis of facial & skull osteomyelitis and is also useful for detecting silent lesions. Pentoxifylline-tocopherol together helps in faster healing of diseased bone. Pentoxifylline reduces blood viscosity and thus improves microcirculation. Tocopherol has a synergistic action with pentoxifylline and increases the oxygenation of tissues. Here, a case of chronic multifocal osteomyelitis, involving the mandible and occipital bone is presented which was diagnosed with conventional radiographs and gallium 67 bones SPECT. Simultaneous treatment with pentoxifylline-tocopherol and antibiotics relieved the patient's symptoms.
authors.affiliation: Department of Oral Medicine & Radiology, Amrita School of Dentistry, AIMS Campus, Ponekkara, Kochi- 682041, India; Tel: +91-9995504580; e-mail: sku9_2000@yahoo.com.
authors.forename: Seema
authors.initials: S
authors.lastname: Kurup
authors.forename: Renju
authors.initials: R
authors.lastname: Jose
authors.forename: Marina Lazar
authors.initials: ML
authors.lastname: Chandy