Society of Skeletal Radiolody– white paper. Guidelines for the diagnostic management of incidental solitary bone lesions on CT and MRI in adults: bone reporting and data system (Bone-RADS)

Connie Y. Chang, Hillary W. Garner, Shivani Ahlawat, Behrang Amini, Matthew D. Bucknor, Jonathan A. Flug, Iman Khodarahmi, Michael E. Mulligan, Jeffrey J. Peterson, Geoffrey M. Riley, Mohammad Samim, Santiago A. Lozano-Calderon, Jim S. Wu

Research output: Contribution to journalReview articlepeer-review

Abstract

The purpose of this article is to present algorithms for the diagnostic management of solitary bone lesions incidentally encountered on computed tomography (CT) and magnetic resonance (MRI) in adults. Based on review of the current literature and expert opinion, the Practice Guidelines and Technical Standards Committee of the Society of Skeletal Radiology (SSR) proposes a bone reporting and data system (Bone-RADS) for incidentally encountered solitary bone lesions on CT and MRI with four possible diagnostic management recommendations (Bone-RADS1, leave alone; Bone-RADS2, perform different imaging modality; Bone-RADS3, perform follow-up imaging; Bone-RADS4, biopsy and/or oncologic referral). Two algorithms for CT based on lesion density (lucent or sclerotic/mixed) and two for MRI allow the user to arrive at a specific Bone-RADS management recommendation. Representative cases are provided to illustrate the usability of the algorithms.

Original languageEnglish (US)
JournalSkeletal Radiology
DOIs
StateAccepted/In press - 2022

Keywords

  • Bone tumors
  • CT
  • Management
  • MRI

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

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