Inter- and intra-observer variability associated with the use of the Mirels’ scoring system for metastatic bone lesions

Abstract

Metastatic bone disease is increasing in association with ever-improving medical management of osteophylic malignant conditions. The precise timing of surgical intervention for secondary lesions in long bones can be difficult to determine. This paper aims to evaluate a classic scoring system. All radiographs were examined twice by three orthopaedic… (More)
DOI: 10.1007/s00264-009-0941-8

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