Summary.Objective. The aim of this study was to establish and compare diagnostic accuracy (sensitivity, specificity, and diagnostic odds ratio) of plain x-ray, ultrasonography, bone scintigraphy, computed tomography (CT), and magnetic resonance imaging (MRI) CT was 0.67 (95% CI, specificity, 0.5 (95% CI, and diagnostic odds ratio, 2.0 (95% CI,. The sensitivity of early x-ray was specificity, 0.96 (95% CI, and diagnostic odds ratio, 4.34 (95% CI,. The sensitivity of MRI was 0.81 (95% CI, specificity, 0.67 (95% CI, and diagnostic odds ratio, 8.67 (95% CI,. The sensitivity of late x-ray was 0.82 (95% CI, 0.75-0.88); specificity, 0.92 (95% CI, 0.62-1.0); and diagnostic odds ratio, 51.17 (95% CI, 6.61-2222.0). The sensitivity of bone scintigraphy was 0.81 (95% CI, specificity, 0.84 (95% CI, and diagnostic odds ratio, 22.30 (95% CI,.Conclusions. Our analysis showed that late x-ray is the most valuable radiologic method in the diagnosis of acute hematogenous osteomyelitis, but bone scintigraphy and magnetic resonance imaging are the most valuable tests at the onset of the disease.Correspondence to V. Barauskas,