Clinical use
Mirels Score interpretation support
Long-bone metastatic fracture risk score from site, pain, lesion type, and cortical involvement.
Calculator, references, and context stay in one place.
Musculoskeletal imaging
Mirels Score for Impending Pathologic Fracture
Long-bone metastatic fracture risk score from site, pain, lesion type, and cortical involvement.
Inputs
Result
Mirels 0/12
Lower fracture risk by classic Mirels thresholds.
Observation, radiotherapy, or systemic therapy may be reasonable if consistent with the overall care plan.
References
Metastatic disease in long bones. A proposed scoring system for diagnosing impending pathologic fractureshttps://pubmed.ncbi.nlm.nih.gov/2684463/
Mirels' score for upper limb metastatic lesions: do we need a different cutoff for recommending prophylactic fixation?https://pmc.ncbi.nlm.nih.gov/articles/PMC9264023/
Citations open in a new tab when the URL is valid http(s); the decision logic itself still runs locally in the browser.