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Soft-Tissue Infections and Their Imaging Mimics: From Cellulitis to Necrotizing Fasciitis
Journal article   Peer reviewed

Soft-Tissue Infections and Their Imaging Mimics: From Cellulitis to Necrotizing Fasciitis

Mohammad Reza Hayeri, Pouya Ziai, Monda L Shehata, Oleg M Teytelboym and Brady K Huang
Radiographics, v 36(6), pp 1888-1910
Oct 2016
DOI: https://doi.org/10.1148/rg.2016160068
PMID: 27726741
Featured in Collection :   UN Sustainable Development Goals @ Drexel
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https://doi.org/10.1148/rg.2016160068View
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Abstract

Cellulitis - diagnostic imaging Diagnosis, Differential Diagnostic Errors - prevention & control Evidence-Based Medicine Fasciitis, Necrotizing - diagnostic imaging Humans Image Enhancement - methods Magnetic Resonance Imaging - methods Multimodal Imaging - methods Patient Positioning - methods Soft Tissue Infections - diagnostic imaging Tomography, X-Ray Computed - methods
Infection of the musculoskeletal system can be associated with high mortality and morbidity if not promptly and accurately diagnosed. These infections are generally diagnosed and managed clinically; however, clinical and laboratory findings sometimes lack sensitivity and specificity, and a definite diagnosis may not be possible. In uncertain situations, imaging is frequently performed to confirm the diagnosis, evaluate the extent of the disease, and aid in treatment planning. In particular, cross-sectional imaging, including computed tomography and magnetic resonance imaging, provides detailed anatomic information in the evaluation of soft tissues due to their inherent high spatial and contrast resolution. Imaging findings of soft-tissue infections can be nonspecific and can have different appearances depending on the depth and anatomic extent of tissue involvement. Although many imaging features of infectious disease can overlap with noninfectious processes, imaging can help establish the diagnosis when combined with the clinical history and laboratory findings. Radiologists should be familiar with the spectrum of imaging findings of soft-tissue infections to better aid the referring physician in managing these patients. The aim of this article is to review the spectrum of soft-tissue infections using a systematic anatomic compartment approach. We discuss the clinical features of soft-tissue infections, their imaging findings with emphasis on cross-sectional imaging, their potential mimics, and clinical management. RSNA, 2016.

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Collaboration types
Domestic collaboration
Web of Science research areas
Radiology, Nuclear Medicine & Medical Imaging
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