Question 2164
{"accessible":false,"alternatives":[{"id":10742,"text":"bone marrow to joint fluid signal intensity ratio"},{"id":10743,"text":"medullarly pattern of bone marrow edema"},{"id":10744,"text":"perimedullarly pattern of bone marrow edema"},{"id":10745,"text":"bone marrow edema"},{"id":10746,"text":"ulcer area"},{"id":10747,"text":"ulcer distance to bone"}],"archived":false,"correctAlternativeId":10742,"explanation":"\u003cp\u003eA bone marrow to joint fluid signal intensity ratio of ≥53% on T2/STIR sequences\u0026nbsp;has been shown to be the only significant way to diagnose early osteomyelitis in the diabetic foot with discordant bone marrow signal. Ulcer area and ulcer distance to bone have all been shown to not be significant. Bone marrow edema is non-specific and can be seen in acute neuropathic joints as well as osteomyelitis.\u0026nbsp;\u003c/p\u003e\u003cp\u003eReference:\u0026nbsp;Alessandra J. Sax, Ethan J. Halpern, Adam C. Zoga, Johannes B. Roedl, Jeffrey A. Belair, William B. Morrison. Predicting osteomyelitis in patients whose initial MRI demonstrated bone marrow edema without corresponding T1 signal marrow replacement. (2020) Skeletal Radiology. 49 (8): 1239. doi:\u003ca href=\"https://doi.org/10.1007/s00256-020-03396-x\"\u003e10.1007/s00256-020-03396-x\u003c/a\u003e\u003c/p\u003e","id":2164,"imageUrl":null,"imageAttribution":null,"imageAttributionCaseInfo":null,"firstQuestionPath":"/questions/2173","nextQuestionPath":null,"relatedArticles":[{"id":7662,"title":"Osteomyelitis","link":"/articles/osteomyelitis?lang=us"},{"id":62224,"title":"Bone marrow edema","link":"/articles/bone-marrow-oedema?lang=us"}],"alsoUsedIn":[{"id":997,"kind":"Course","title":"2021 Virtual Conference Private Use - page 997","link":"https://radiopaedia.org/courses/2021-virtual-conference-private-use/pages/997"},{"id":997,"kind":"Course","title":"Radiopaedia 2021 - isoCME - page 997","link":"https://radiopaedia.org/courses/radiopaedia-2021-isocme/pages/997"},{"id":997,"kind":"Course","title":"2022 Virtual Conference Private Use - page 997","link":"https://radiopaedia.org/courses/2022-virtual-conference-private-use/pages/997"},{"id":970,"kind":"RestrictedPage","title":"Page 970 (in no courses)","link":"https://radiopaedia.org/admin/restricted_pages/970"},{"id":955,"kind":"RestrictedPage","title":"Page 955 (in no courses)","link":"https://radiopaedia.org/admin/restricted_pages/955"},{"id":1,"kind":"LiveSchedule","title":"1","link":"https://radiopaedia.org/admin/live_schedules/1"},{"id":71,"kind":"LiveSchedule","title":"71","link":"https://radiopaedia.org/admin/live_schedules/71"},{"id":934,"kind":"Course","title":"Radiopaedia 2021 - isoCME - page 934","link":"https://radiopaedia.org/courses/radiopaedia-2021-isocme/pages/934"},{"id":934,"kind":"Course","title":"Musculoskeletal Lectures - page 934","link":"https://radiopaedia.org/courses/musculoskeletal-lectures/pages/934"},{"id":934,"kind":"Course","title":"2021 Virtual Conference Private Use - page 934","link":"https://radiopaedia.org/courses/2021-virtual-conference-private-use/pages/934"}],"stem":"\u003cp\u003eWhich of the following is the most accurate way to diagnose osteomyelitis in the diabetic foot with discordant bone marrow signal?\u003c/p\u003e","menuLinks":[{"text":"Report problem with question","url":"https://docs.google.com/forms/d/e/1FAIpQLSfO3soWYhOjJ7yErSysyCe5V4A1CqW7WK3rDA7MtAkecMGqNw/viewform?entry.1624461248\u0026entry.553583435=https://radiopaedia.org/questions/2164"}],"attemptsPercentages":[{"alternativeId":"10747","percentage":12},{"alternativeId":"10742","percentage":57},{"alternativeId":"10743","percentage":11},{"alternativeId":"10746","percentage":6},{"alternativeId":"10744","percentage":7},{"alternativeId":"10745","percentage":6}],"promptToLogin":false,"questionManager":false,"articleId":"charcot-joint"}