Radiographic Evaluation of Pathological Bone Lesions: Current Spectrum of Disease and Approach to Diagnosis
Authors: Domb BG, Tyler W, Ellis S, McCarthy E
PMID: 15691112
Purpose
To review and propose a systematic approach to the radiographic evaluation and diagnosis of pathological bone lesions.
Methods
Narrative review outlining a stepwise diagnostic algorithm based on radiographic features (location, margins, matrix, periosteal reaction) and clinical history.
Key Findings
- Radiographs remain essential for initial lesion assessment.
- A structured, pattern-based approach narrows differential diagnoses effectively.
- Differentiating benign from malignant lesions guides further imaging and biopsy decisions.
Conclusion
Systematic radiographic interpretation enhances early diagnosis accuracy and informs appropriate management of bone lesions.
What Does This Mean for Providers?
Adopt a structured radiographic evaluation protocol for bone lesions to improve diagnostic accuracy, guide appropriate further imaging, and reduce unnecessary invasive procedures.