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5%). Confidence scores and average optimal energies were higher and average worst energies were lower for radiologists compared to surgeons in all hardware (p less then 0.05). Differences in optimal energy were not statistically significant for different alloys or type of fixation implant in both groups. CONCLUSIONS In both observer groups, 190 keV images were selected most frequently as the optimal energy to assess bone union in patients with a suspected non-union of the appendicular skeleton with hardware in situ. On average, mus