{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,8]],"date-time":"2026-07-08T11:14:04Z","timestamp":1783509244844,"version":"3.55.0"},"reference-count":46,"publisher":"MDPI AG","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2018,11,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Magnetic resonance imaging (MRI) is both sensitive and specific in the diagnosis of osteomyelitis, and it is an important imaging modality in preoperative planning of resection of infected bone. In many cases, however, the extent of osseous infection is evident on plain radiographs, and little additional information is gained from the MRI. The goal of this study was to assess the accuracy of radiographs against MRIs in assessing the spread of suspected osteomyelitis from one phalanx to another or to a metatarsal.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>A medical record review was performed, and 14 patients with 16 toes confirmed to have osteomyelitis involving one or more phalanges were included in the study. An investigator blinded to the MRI findings interpreted the extent of osseous involvement based solely on the radiographic and clinical presentation. The accuracy of the radiographic interpretation was then calculated against the MRI findings.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>In 14 of the 16 toes (87.5%), whether osteomyelitis had spread from one bone to another was determined based on the radiographic and clinical presentation. In one toe, the radiograph did not adequately depict osteomyelitis in adjacent infected bone. In one more toe, the radiograph depicted features of osteomyelitis in uninfected bone.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>In a large percentage of patients, the phalanges affected by osteomyelitis had visible findings on the radiograph, and operative planning could have been based on the radiograph alone.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.7547\/16-148","type":"journal-article","created":{"date-parts":[[2019,2,11]],"date-time":"2019-02-11T16:24:31Z","timestamp":1549902271000},"page":"472-477","source":"Crossref","is-referenced-by-count":0,"title":["Reevaluating Magnetic Resonance Imaging in Radiographically Suspected Osteomyelitis of the Toe"],"prefix":"10.3390","volume":"108","author":[{"given":"Nicholas","family":"Ciotola","sequence":"first","affiliation":[{"name":"Department of Orthopaedics, Lenox Hill Hospital, New York, NY. Dr. Ciotola is now in private practice in Methuen, MA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"William D.","family":"Spielfogel","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Lenox Hill Hospital, New York, NY. Dr. Ciotola is now in private practice in Methuen, MA."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","reference":[{"key":"ref31","doi-asserted-by":"crossref","first-page":"557","DOI":"10.1148\/radiology.196.2.7617877","article-title":"Osteomyelitis in feet of diabetics: clinical accuracy, surgical utility, and cost-effectiveness of MR imaging","volume":"196","author":"Morrison","year":"1995","journal-title":"Radiology"},{"key":"ref91","doi-asserted-by":"crossref","first-page":"749","DOI":"10.1053\/j.jfas.2012.06.017","article-title":"Rate of residual osteomyelitis after partial foot amputation in diabetic patients: a standardized method for evaluating bone margins with intraoperative culture","volume":"51","author":"Atway","year":"2012","journal-title":"J Foot Ankle Surg"},{"key":"ref451","doi-asserted-by":"crossref","first-page":"30079","DOI":"10.3402\/dfa.v7.30079","article-title":"Consensus on surgical aspects of managing osteomyelitis in the diabetic 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approach","volume":"15","author":"Toledano","year":"2011","journal-title":"Semin Musculoskelet Radiol"},{"key":"ref371","doi-asserted-by":"crossref","first-page":"163","DOI":"10.1016\/S0891-5520(20)30646-2","article-title":"Imaging infections in diabetic patients","volume":"9","author":"Longmaid","year":"1995","journal-title":"Infect Dis Clin North Am"},{"key":"ref141","doi-asserted-by":"crossref","first-page":"163","DOI":"10.1016\/S0891-5520(20)30646-2","article-title":"Imaging infections in diabetic patients","volume":"9","author":"Longmaid","year":"1995","journal-title":"Infect Dis Clin North Am"},{"key":"ref241","doi-asserted-by":"crossref","first-page":"519","DOI":"10.1086\/590011","article-title":"Diagnostic accuracy of the physical examination and imaging tests for osteomyelitis underlying diabetic foot ulcers: meta-analysis","volume":"47","author":"Dinh","year":"2008","journal-title":"Clin Infect Dis"},{"key":"ref401","doi-asserted-by":"crossref","first-page":"80","DOI":"10.1055\/s-0029-1214160","article-title":"Radiographic imaging in osteomyelitis: the role of plain radiography, computed tomography, ultrasonography, magnetic resonance imaging, and scintigraphy","volume":"23","author":"Pineda","year":"2009","journal-title":"Semin Plast Surg"},{"key":"ref51","first-page":"8","article-title":"Efficacy of magnetic resonance imaging in deciding the appropriate surgical margin in diabetic foot osteomyelitis","volume":"15","author":"Fujii","year":"2015","journal-title":"EWMA J"}],"container-title":["Journal of the American Podiatric Medical 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