Magnetic resonance imaging (MRI) has a higher sensitivity and specificity (90% 
and 79%) than plain radiography (54% and 68%) for diagnosing diabetic foot 
osteomyelitis. MRI performs somewhat better than any of several common 
tests--probe to bone (PTB), erythrocyte sedimentation rate (ESR) >70 mm/hr, 
C-reactive protein (CRP) >14 mg/L, procalcitonin >0.3 ng/mL, and ulcer size >2 
cm²--although PTB has the highest specificity of any test and is commonly used 
together with MRI. No studies have directly compared MRI with a combination of 
these tests, which may assist in diagnosis.