II - Region of Bone Mainly Involved

7- Identify the region of the bone mainly involved:                                                                                                     

Select from the List: Epiphysiometaphysial Diametaphysial Diaphysial Flat Bone Metaphysis

                    Click the image to enlarge

                 Metaphysis-Diaphysis-Epiphysis

III - State of Periosteal Reaction

8-Specify the state of the periosteal reaction:

Select from the List: MINIMAL OR NO PERIOSTEAL REACTION PERIOSTEAL REACTION (CODMAN TRIANGLE) PERIOSTEAL REACTION BUT NO CODMAN TRIANGLE

                       Codman's Triangle                               Periosteal Reaction

                                            Click the image to enlarge

IV- Radiographic Tumor Matrix

9- Categorize the radiographic density of the matrix:

Select from the List: Clear-Mostly Clear-Ground Glass Calcific Opacities in Matrix Mottled Matrix Bony Matrix Trabeculated Matrix(straight) Bubbly Matrix(curved trabc.)

                    Clear Matrix                                Matrix with Calcification                Mottled Matrix

                    Bony Matrix                                Trabeculated Matrix                        Bubbly Matrix

                                           Click the image to enlarge

10- Specify the size of the tissue mass:

None Small Large

11- Additional Features-Check All that Apply:
Destruction of Disc Space
Central Lucency Amidst Sclerosis

V - Skeletal Location

12-Specify the location of the lesion:

Select from the List: FEMUR TIBIA FIBULA FOOT PATELLA HUMERUS RADIUS ULNA HAND SCAPULA CLAVICLE RIBS SPINE PELVIS SKULL FACE & MANDIBLE STERNUM

VI - Age/Sex-Clinical Information

13- Sex:

Male Female

14- Age Category:

Select from the List: Under 5 years Between 5-10 years Between 11-20 years Between 21-30 Between 31-50 Over 50 years

15- Other Features-Check All that Apply:
Patient Has Renal Failure
There is a Point Tenderness or Pain
Known Underlying Malignancy
Evidence of Paget's Disease

VII - Relative Likelihood

16- Select the relative likelihood level:

All Possibilities
Intermediate List
Short List

Diagnosis

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Diagnosis is available only in the non-web version of BONEX. Click the link for details: Video Presentation