What is the role of imaging studies in wound care?

Updated: Apr 24, 2020
  • Author: Brian J Daley, MD, MBA, FACS, FCCP, CNSC; Chief Editor: Zubin J Panthaki, MD, CM, FACS, FRCSC  more...
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Answer

Plain radiography, CT, and MRI may help in looking for underlying osseous abnormalities (including osteomyelitis), proximity of the wound to hardware, or foreign bodies.

Vascular ultrasonography may be indicated to evaluate for aneurysmal disease, arterial-occlusive disease, or deep venous occlusion.

In cases in which plain radiography or MRI are not diagnostic, bone scanning may be needed to evaluate for osteomyelitis. Technetium Tc 99m–labeled WBC scanning (Ceretec) has high specificity and sensitivity for osteomyelitis. However, it requires 24 hours for completion and it lacks anatomic detail.


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