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15	Charcot Arthropathy vs Osteomyelitis DIFFERENTIATION BY IMAGING Conventional Bone Scan (Tc 99 MDP) Ceretec Scan (Tc 99 HMPAO) White Cell Scan (In 111 Oxine) Other (Tc 99 Sulfur Colloid) COMBINATION – Increased Sensitivity Increased Specificity
16	ALTERNATIVE Tc HMPAO OR Indium 111 ALONE – Not in Combination Charcot Arthropathy vs Osteomyelitis
17	CHRONIC Scenario Tc HMPAO (Ceretec Scan) OR Indium 111 (White Cell Scan) Charcot Arthropathy vs Osteomyelitis
18	Imaging – False Positives Fractures / Contusions Tumor / Malignancy Inflammatory Arthritis (R.A., Gout, etc) Occult Fractures Avascular Necrosis (AVN) RECENT SURGICAL MANIPULATION
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