Original Articles
Vol. 14 No. 1 (2022): Review Articles, Original Article, Scientific Letter, Case Reports Letter to the Editor
THE ROLE OF SERIAL RADIOGRAPHS TO DIAGNOSE DIABETIC FOOT BONE INFECTION.
Serial radiographs and diabetic foot osteomyelitis
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All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
Received: March 25, 2022
Accepted: May 29, 2022
Accepted: May 29, 2022
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Purpose: To evaluate the role of progressive radiographic changes to diagnose diabetic foot osteomyelitis.
Materials and Methods: 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.
Results: 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).
Conclusion: Progressive bony changes detected by serial radiographs are a useful tool to diagnose diabetic foot osteomyelitis.
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How to Cite
“THE ROLE OF SERIAL RADIOGRAPHS TO DIAGNOSE DIABETIC FOOT BONE INFECTION.: Serial radiographs and diabetic foot osteomyelitis” (2022) Mediterranean Journal of Hematology and Infectious Diseases, 14(1), p. e2022055. doi:10.4084/MJHID.2022.055.
Copyright (c) 2022 ANTONIO LEONE, Nicola Carlo BIANCO, Giulia D'AMBRA, Salvatore LUCCHESI, Elisa LA ROSA, Amato INFANTE, Daniele PERLA, Consolato GULLI'
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
