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The Role of Serial Radiographs in Diagnosing Diabetic Foot Bone Osteomyelitis
BACKGROUND AND OBJECTIVE: Diagnosing diabetes-related foot osteomyelitis is sometimes a challenge for clinicians since it may occur without local or systemic signs of infection. Thus, the primary purpose of this article was to evaluate the role of progressive radiographic changes in diagnosing diabe...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Università Cattolica del Sacro Cuore
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9266704/ https://www.ncbi.nlm.nih.gov/pubmed/35865396 http://dx.doi.org/10.4084/MJHID.2022.055 |
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author | Leone, Antonio Bianco, Nicola Carlo D’Ambra, Giulia Lucchesi, Salvatore La Rosa, Elisa Infante, Amato Perla, Daniele Gullì, Consolato |
author_facet | Leone, Antonio Bianco, Nicola Carlo D’Ambra, Giulia Lucchesi, Salvatore La Rosa, Elisa Infante, Amato Perla, Daniele Gullì, Consolato |
author_sort | Leone, Antonio |
collection | PubMed |
description | BACKGROUND AND OBJECTIVE: Diagnosing diabetes-related foot osteomyelitis is sometimes a challenge for clinicians since it may occur without local or systemic signs of infection. Thus, the primary purpose of this article was to evaluate the role of progressive radiographic changes in diagnosing 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. |
format | Online Article Text |
id | pubmed-9266704 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Università Cattolica del Sacro Cuore |
record_format | MEDLINE/PubMed |
spelling | pubmed-92667042022-07-20 The Role of Serial Radiographs in Diagnosing Diabetic Foot Bone Osteomyelitis Leone, Antonio Bianco, Nicola Carlo D’Ambra, Giulia Lucchesi, Salvatore La Rosa, Elisa Infante, Amato Perla, Daniele Gullì, Consolato Mediterr J Hematol Infect Dis Original Article BACKGROUND AND OBJECTIVE: Diagnosing diabetes-related foot osteomyelitis is sometimes a challenge for clinicians since it may occur without local or systemic signs of infection. Thus, the primary purpose of this article was to evaluate the role of progressive radiographic changes in diagnosing 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. Università Cattolica del Sacro Cuore 2022-07-01 /pmc/articles/PMC9266704/ /pubmed/35865396 http://dx.doi.org/10.4084/MJHID.2022.055 Text en https://creativecommons.org/licenses/by-nc/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by-nc/4.0 (https://creativecommons.org/licenses/by-nc/4.0/) ), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Original Article Leone, Antonio Bianco, Nicola Carlo D’Ambra, Giulia Lucchesi, Salvatore La Rosa, Elisa Infante, Amato Perla, Daniele Gullì, Consolato The Role of Serial Radiographs in Diagnosing Diabetic Foot Bone Osteomyelitis |
title | The Role of Serial Radiographs in Diagnosing Diabetic Foot Bone Osteomyelitis |
title_full | The Role of Serial Radiographs in Diagnosing Diabetic Foot Bone Osteomyelitis |
title_fullStr | The Role of Serial Radiographs in Diagnosing Diabetic Foot Bone Osteomyelitis |
title_full_unstemmed | The Role of Serial Radiographs in Diagnosing Diabetic Foot Bone Osteomyelitis |
title_short | The Role of Serial Radiographs in Diagnosing Diabetic Foot Bone Osteomyelitis |
title_sort | role of serial radiographs in diagnosing diabetic foot bone osteomyelitis |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9266704/ https://www.ncbi.nlm.nih.gov/pubmed/35865396 http://dx.doi.org/10.4084/MJHID.2022.055 |
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