@article{LEONE_BIANCO_D’AMBRA_LUCCHESI_LA ROSA_INFANTE_PERLA_GULLI’_2022, title={THE ROLE OF SERIAL RADIOGRAPHS TO DIAGNOSE DIABETIC FOOT BONE INFECTION.: Serial radiographs and diabetic foot osteomyelitis}, volume={14}, url={https://www.mjhid.org/mjhid/article/view/4984}, DOI={10.4084/MJHID.2022.055}, abstractNote={<p><em>Purpose</em>: To evaluate the role of progressive radiographic changes to diagnose diabetic foot osteomyelitis.</p> <p><em>Materials and Methods</em>: A retrospective review of databases of our Institution was performed to identify all long-standing diabetic foot patients who underwent two radiographic examinations spaced no more than five weeks apart and a subsequent magnetic resonance (MR) examination from November 2015 to November 2020. A total of 46 patients (32 men, 14 women; mean age, 57.3 years) were identified.</p> <p><em>Results</em>: serial radiographs showed 89% sensitivity, 38% specificity, 80% diagnostic accuracy, 87% positive predictive value (PPV), 43% negative predictive value (NPV) to diagnose osteomyelitis (P value < 0,05).  Bone destruction was the most reliable radiographic sign with 89% sensitivity, 88% specificity, 89% diagnostic accuracy, 97% PPV, 64% NPV (P value < 0,05).</p> <p><em>Conclusion</em>: Progressive bony changes detected by serial radiographs are a useful tool to diagnose diabetic foot osteomyelitis.</p>}, number={1}, journal={Mediterranean Journal of Hematology and Infectious Diseases}, author={LEONE, ANTONIO and BIANCO, Nicola Carlo and D’AMBRA, Giulia and LUCCHESI, Salvatore and LA ROSA, Elisa and INFANTE, Amato and PERLA, Daniele and GULLI’, Consolato}, year={2022}, month={Jun.}, pages={e2022055} }