THE ROLE OF SERIAL RADIOGRAPHS TO DIAGNOSE DIABETIC FOOT BONE INFECTION.
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...
Saved in:
| Main Authors: | , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
PAGEPress Publications
2022-06-01
|
| Series: | Mediterranean Journal of Hematology and Infectious Diseases |
| Subjects: | |
| Online Access: | https://www.mjhid.org/index.php/mjhid/article/view/4984 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1846093711927148544 |
|---|---|
| author | ANTONIO LEONE Nicola Carlo BIANCO Giulia D'AMBRA Salvatore LUCCHESI Elisa LA ROSA Amato INFANTE Daniele PERLA Consolato GULLI' |
| author_facet | ANTONIO LEONE Nicola Carlo BIANCO Giulia D'AMBRA Salvatore LUCCHESI Elisa LA ROSA Amato INFANTE Daniele PERLA Consolato GULLI' |
| author_sort | ANTONIO LEONE |
| collection | DOAJ |
| description |
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.
|
| format | Article |
| id | doaj-art-6de1dbdbdd414bd7bad3e4461bcc449b |
| institution | Kabale University |
| issn | 2035-3006 |
| language | English |
| publishDate | 2022-06-01 |
| publisher | PAGEPress Publications |
| record_format | Article |
| series | Mediterranean Journal of Hematology and Infectious Diseases |
| spelling | doaj-art-6de1dbdbdd414bd7bad3e4461bcc449b2025-01-02T16:33:05ZengPAGEPress PublicationsMediterranean Journal of Hematology and Infectious Diseases2035-30062022-06-0114110.4084/MJHID.2022.055THE ROLE OF SERIAL RADIOGRAPHS TO DIAGNOSE DIABETIC FOOT BONE INFECTION.ANTONIO LEONE0Nicola Carlo BIANCO1Giulia D'AMBRA2Salvatore LUCCHESI3Elisa LA ROSA4Amato INFANTE5Daniele PERLA6Consolato GULLI'7a:1:{s:5:"en_US";s:24:"Catholic University Rome";}Catholic University RomeCatholic University RomeCatholic University RomeCatholic University RomeFondazione Policlinico Universitario Agostino Gemelli IRCCS - RomeFondazione Policlinico Universitario Agostino Gemelli IRCCS - RomeFondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome 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. https://www.mjhid.org/index.php/mjhid/article/view/4984Diabetic footOsteomyelitisRadiographyMagnetic resonance imaging |
| spellingShingle | ANTONIO LEONE Nicola Carlo BIANCO Giulia D'AMBRA Salvatore LUCCHESI Elisa LA ROSA Amato INFANTE Daniele PERLA Consolato GULLI' THE ROLE OF SERIAL RADIOGRAPHS TO DIAGNOSE DIABETIC FOOT BONE INFECTION. Mediterranean Journal of Hematology and Infectious Diseases Diabetic foot Osteomyelitis Radiography Magnetic resonance imaging |
| title | THE ROLE OF SERIAL RADIOGRAPHS TO DIAGNOSE DIABETIC FOOT BONE INFECTION. |
| title_full | THE ROLE OF SERIAL RADIOGRAPHS TO DIAGNOSE DIABETIC FOOT BONE INFECTION. |
| title_fullStr | THE ROLE OF SERIAL RADIOGRAPHS TO DIAGNOSE DIABETIC FOOT BONE INFECTION. |
| title_full_unstemmed | THE ROLE OF SERIAL RADIOGRAPHS TO DIAGNOSE DIABETIC FOOT BONE INFECTION. |
| title_short | THE ROLE OF SERIAL RADIOGRAPHS TO DIAGNOSE DIABETIC FOOT BONE INFECTION. |
| title_sort | role of serial radiographs to diagnose diabetic foot bone infection |
| topic | Diabetic foot Osteomyelitis Radiography Magnetic resonance imaging |
| url | https://www.mjhid.org/index.php/mjhid/article/view/4984 |
| work_keys_str_mv | AT antonioleone theroleofserialradiographstodiagnosediabeticfootboneinfection AT nicolacarlobianco theroleofserialradiographstodiagnosediabeticfootboneinfection AT giuliadambra theroleofserialradiographstodiagnosediabeticfootboneinfection AT salvatorelucchesi theroleofserialradiographstodiagnosediabeticfootboneinfection AT elisalarosa theroleofserialradiographstodiagnosediabeticfootboneinfection AT amatoinfante theroleofserialradiographstodiagnosediabeticfootboneinfection AT danieleperla theroleofserialradiographstodiagnosediabeticfootboneinfection AT consolatogulli theroleofserialradiographstodiagnosediabeticfootboneinfection AT antonioleone roleofserialradiographstodiagnosediabeticfootboneinfection AT nicolacarlobianco roleofserialradiographstodiagnosediabeticfootboneinfection AT giuliadambra roleofserialradiographstodiagnosediabeticfootboneinfection AT salvatorelucchesi roleofserialradiographstodiagnosediabeticfootboneinfection AT elisalarosa roleofserialradiographstodiagnosediabeticfootboneinfection AT amatoinfante roleofserialradiographstodiagnosediabeticfootboneinfection AT danieleperla roleofserialradiographstodiagnosediabeticfootboneinfection AT consolatogulli roleofserialradiographstodiagnosediabeticfootboneinfection |