TABLE 6

Clinical Scenarios for the Diagnosis of PJI of the Hip and Knee

Scenario no.DescriptionAppropriatenessScore
Hip
 36Bone scintigraphy (99mTc-MDP or 99mTc-HDP)May be appropriate4
 3767Ga scintigraphyRarely appropriate2
 38Combined bone/67Ga scintigraphyRarely appropriate2
 39Labeled leukocyte scintigraphyAppropriate7
 40Combined labeled leukocyte/bone scintigraphyAppropriate7
 41Combined labeled leukocyte/bone marrow scintigraphyAppropriate7
 4218F-FDG PET and PET/CTAppropriate7
Knee
 43Bone scintigraphy (99mTc-MDP or 99mTc-HDP)May be appropriate4
 4467Ga scintigraphyRarely appropriate2
 45Combined bone/67Ga scintigraphyRarely appropriate2
 46Labeled leukocyte scintigraphyMay be appropriate6
 47Combined labeled leukocyte/bone scintigraphyAppropriate8
 48Combined labeled leukocyte/bone marrow scintigraphyAppropriate8
 4918F-FDG PET and PET/CTMay be appropriate6