ReviewCancer imaging : the official publication of the International Cancer Imaging Society2026
RADS classification systems for bone tumors: current status and where do we go from here?
Review in Cancer imaging : the official publication of the International Cancer Imaging Society, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
The assessment and management of bone tumors can be challenging as there are numerous neoplastic and non-neoplastic lesions. It can be difficult to understand which lesions can be ignored and which lesions require treatment. To standardize the reporting and management of bone tumors, four bone-lesion related reporting and data systems (RADS) have been published since 2021. The Bone Tumor Imaging Reporting and Data System (BTI-RADS), Oncologic Tumor Reporting and Data System (OT-RADS), Society of Skeletal Radiology Bone Reporting and Data System (SSR Bone-RADS), and American College of Radiology Bone Reporting and Data System (ACR Bone-RADS) are based in part on Breast Imaging Reporting & Data System (BI-RADS). These bone-lesion related RADS aim to improve communication, simplify management, and improve diagnostic consistency by linking imaging features to specific risks and evidence-based action recommendations. Although these systems show high sensitivity for determination of malignancy and moderate consistency for intra-observer readings, their coexistence leads to fragmentation and a lack of a unifying system. This review will discuss the main features of these 4 RADS systems and discuss future directions.
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