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- Title
A Comparison of the Association of Different Imaging Methods of Diabetic Foot Complications with Blood Flow Findings.
- Authors
KARAYOL, Sunay Sibel; SEVER, Mustafa; SHERMATOVA, Saime; DUSAK, Abdurrahim
- Abstract
Background: The aim of this study was to determine the relationship of soft tissue and bone lesions with vascular flow according to different imaging methods in patients with diabetic foot. Materials and Methods: This retrospective, cross-sectional, descriptive study was conducted in the Radiodiagnostic Department of a university hospital. Results: The most commonly seen finding was cellulitis (n:57, 72.2%) and the least seen was subchondral cyst (n:14, 17.7%). According to the CDUS findings, arterial blood flow was absent in 24.1%, and was monophasic in 27.8%. Vascular blood flow on CDUS was accepted as insufficient in 41 (51.9%) patients. On the CTA images, complete obstruction was determined in 21.5% of patients and >70% narrowing in 20.3%. Vascular blood flow was accepted as insufficient in 46 (58.2%) patients according to the CTA findings. In the interpretation of the CDUS findings, insufficient blood flow was determined in 63% of the patients determined with osteomyelitis, in 61% with cellulitis, in 34% with abscess, in 34% with tenosynovitis, in 29% with joint effusion, and in 17%with subchondral cyst. A statistically significant difference was determined in the blood flow determined with CDUS only in the patients determined with cellulitis (p=0.021). Conclusions: In the diagnosis of complications developing secondary to diabetes, and in the decision for amputation, both CDUS and CTA imaging methods are of value.
- Subjects
TENOSYNOVITIS; DIABETIC foot; CROSS-sectional method; RESEARCH methodology; BONE cysts; MAGNETIC resonance imaging; RETROSPECTIVE studies; CELLULITIS; DIAGNOSTIC imaging; BLOOD circulation; OSTEOMYELITIS; DISEASE complications
- Publication
Journal of Harran University Medical Faculty / Harran Üniversitesi Tıp Fakültesi Dergisi, 2022, Vol 19, Issue 2, p428
- ISSN
1304-9623
- Publication type
Article
- DOI
10.35440/hutfd.1146702