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1. www.mdapp.co › mirels-score-criteria-forMirels Score - Criteria for Prophylactic Fixation - MDApp

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   Jul 21, 2020 · This Mirels Score calculator screens for fracture risk in patients with long bone metastasis based on criteria for prophylactic fixation.

2. www.orthobullets.com › pathology › 8002Impending Fracture & Prophylactic Fixation - Pathology ...

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   Sep 28, 2021 · 1. Images. Criteria for prophylactic fixation. Several methods exist to predict the risk of pathologic fracture. These include. the presence of significant functional pain. > 50% destruction of cortical bone. formal staging systems. Harington's criteria. Mirels' criteria.

3. orthotoolkit.com › mirels-criteriaFree Online Mirels Criteria Calculator - OrthoToolKit

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   Mirels’ Criteria includes four categories for each patient: the location of lesion (upper extremity, lower extremity, peritrochanteric), nature of the lesion (blastic, mixed, lytic), size of the lesion (less then 1/3 of the cortex diameter, between 1/3 and 2/3 of the cortex diameter, and greater then 2/3 of the cortex diameter), and pain ...

4. www.cancercalc.com › mirels_scoreMirels score calculator: Pathological fracture risk in long ...

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   Mirels score calculator: Pathological fracture risk in long bone metastasis The Mirels score is used to assess the risk of pathological fracture in patients with a long bone metastasis. Originally published in 1989 the score uses three radiographic and one clinical variable to assess risk (1).

5. www.pathway.md › calculators › recUqy9y8UyBkkfzzMirels' criteria for pathologic fracture — Pathway

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   The Mirels' criteria is a clinical scoring system used to predict the risk of pathologic fracture in patients with metastatic bone disease. This calculator is particularly useful in the management of patients with bone metastases, as it helps clinicians decide whether prophylactic fixation surgery is necessary to prevent a potential fracture.

6. radiopaedia.org › articles › pathological-fracturePathological fracture risk (Mirels classification ...

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   Jan 24, 2024 · Mirels classification is a system used to predict the highest risk of pathological fracture among long bones affected by metastases, and is based on site, location, matrix and/or presence of pain.

7. People also ask

   What is the Mirels score?

   • The Mirels score is used to assess the risk of pathological fracture in patients with a long bone metastasis. Originally published in 1989 the score uses three radiographic and one clinical variable to assess risk (1). Fracture risk is divided into one of three categories: Minimal risk of fracture. Can proceed with irradiation. Evidence

   Mirels' score: Pathological fracture risk - cancercalc.com

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   What are the limitations of the Mirels score?

   • Limitations of the Mirels score are that the relatively low specificity can potentially result in unnecessary fixations. There are also concerns about reproducibility as some variables such as size of lesion and nature of lesion can be subjective (3).

   Mirels' score: Pathological fracture risk - cancercalc.com

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   What is the sensitivity and specificity of the Mirels score?

   • The overall sensitivity and specificity of the Mirels score is estimated to be 91% and 35% respectively (2). Limitations of the Mirels score are that the relatively low specificity can potentially result in unnecessary fixations.

   Mirels' score: Pathological fracture risk - cancercalc.com

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   Can Mirels classification be applied to the vertebral column?

   • (6) Mirels’ classification is applicable only to meta-static lesions in long bones. It cannot be applied to the vertebral column. The spine is the most common location for metastatic breast cancer and an alternative noninvasive approach was suggested by Snyder et al. .

   In Brief - Orthobullets

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8. upload.orthobullets.com › free_pdf › 20352387_MirelsIn Brief - Orthobullets

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   Mirels’ classification system for impending pathologic fracture has been confirmed in two studies: (1) intramurally by Mirels [12] (78 lesions) and (2) extramurally in a study conducted by Damron et al. [5] (12 lesions). Damron et al. [5] performed an evaluation to determine the reproducibility, validity, and applicability across various