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Diagnostic Imaging Studies for Osteomyelitis Sensitivity Specifcity Imaging modality (%) (%) Comments Computed sixty seven 50 Generally should not be used in osteomyelitis tomography evaluation Leukocyte 61 to eighty four 60 to 68 Combining with technetium-99 bone scintigraphy scintigraphy can improve specifcity Magnetic resonance seventy eight to 90 60 to ninety Useful to tell apart between soft tissue and imaging bone an infection, and to find out extent of infection; less helpful in areas of surgical hardware because of picture distortion Plain radiography 14 to 54 sixty eight to 70 Preferred imaging modality; helpful to rule out (anteroposterior, different pathology lateral, and indirect views) Positron emission 96 ninety one Expensive; restricted availability tomography Technetium-99 bone eighty two 25 Low specifcity, especially if patient has had scintigraphy current trauma or surgical procedure; useful to distinguish osteomyelitis from cellulitis, and in patients in whom magnetic resonance imaging is contraindicated Information from references 24 through 30. 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