# Bone-RADS — Bone Reporting and Data System

> Management categories for incidentally detected solitary bone lesions on CT and MRI.

**Situação:** vigente · **Órgão:** Musculoesquelético · **Órgão emissor:** American College of Radiology · **Versão:** 2022 · **Ano:** 2022

## Procedência e vigência
- Família: léxico
- Tipo de lógica: flat
- Modalidade: CT, MRI
- Fonte primária: Chang CY, Garner HW, Ahlawat S, et al.. Bone Reporting and Data System (Bone-RADS) for incidentally detected solitary bone lesions (2022) — https://doi.org/10.1007/s00256-022-04022-8
- Última verificação: 2026-06-26
- Última checagem: 2026-06-26

## Categorias

| Código | Rótulo | Critérios | Conduta | Risco | Localizador | Verificado |
| --- | --- | --- | --- | --- | --- | --- |
| 1 | Bone-RADS 1, leave alone | Lesion judged clearly benign on CT or MRI - for example one with a definitive benign diagnosis (such as enostosis, non-ossifying fibroma, fibrous dysplasia, enchondroma, subchondral cyst, or hemangioma), confirmed internal macroscopic fat, or fat-matching/cortical-bone-matching signal - so that no additional workup is needed. | Leave alone: no further imaging, follow-up, or tissue sampling required. | — | PMC9283187 (Chang CY et al., Skeletal Radiol 2022, Bone-RADS), 'Management options: Bone-RADS' section and Table; lucent / sclerotic-mixed / MRI algorithm sections (e.g., Case 1, 2, 9, 10) | ✓ |
| 2 | Bone-RADS 2, follow up or further imaging | Indeterminate lesion for which characterization is incomplete on the current study and additional diagnostic information from a different imaging modality is needed (e.g., FDG-PET, bone scan, MRI, CT, chemical-shift or contrast-enhanced sequences, or radiographs). | Perform a different imaging modality to further characterize the lesion. | — | PMC9283187 'Management options: Bone-RADS' section and Table; indeterminate-lesion branches of the CT lucent, CT sclerotic/mixed, and MRI algorithms (e.g., Case 8 red marrow assigned Bone-RADS2) | ✓ |
| 3 | Bone-RADS 3, biopsy or oncology referral | Indeterminate lesion judged appropriate for surveillance with the same imaging modality to detect interval growth or development of worrisome features such as cortical involvement. | Perform follow-up imaging; the suggested schedule is repeat imaging at 6, 6, and 12 month intervals for a total of 2 years. | — | PMC9283187 'Management options: Bone-RADS' section and Table (follow-up at 6, 6, 12 months over 2 years) | ✓ |

### Citações por categoria
- **1**: Chang CY, Garner HW, Ahlawat S, et al.. Bone Reporting and Data System (Bone-RADS) for incidentally detected solitary bone lesions (2022) — https://doi.org/10.1007/s00256-022-04022-8 · PMC9283187 (Chang CY et al., Skeletal Radiol 2022, Bone-RADS), 'Management options: Bone-RADS' section and Table; lucent / sclerotic-mixed / MRI algorithm sections (e.g., Case 1, 2, 9, 10)
- **2**: Chang CY, Garner HW, Ahlawat S, et al.. Bone Reporting and Data System (Bone-RADS) for incidentally detected solitary bone lesions (2022) — https://doi.org/10.1007/s00256-022-04022-8 · PMC9283187 'Management options: Bone-RADS' section and Table; indeterminate-lesion branches of the CT lucent, CT sclerotic/mixed, and MRI algorithms (e.g., Case 8 red marrow assigned Bone-RADS2)
- **3**: Chang CY, Garner HW, Ahlawat S, et al.. Bone Reporting and Data System (Bone-RADS) for incidentally detected solitary bone lesions (2022) — https://doi.org/10.1007/s00256-022-04022-8 · PMC9283187 'Management options: Bone-RADS' section and Table (follow-up at 6, 6, 12 months over 2 years)

## Histórico de versões

| Data | Evento | Detalhe | Situação |
| --- | --- | --- | --- |
| 2022-01-01 | published | Bone-RADS published in Skeletal Radiology. | confirmed |


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> Conteúdo de referência reescrito. Confira a publicação primária vigente. Não é dispositivo médico nem substitui o julgamento clínico. O radiologista responsável pelo laudo permanece o autor e o responsável.

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