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. 2021 Aug 29;28(5):3347–3372. doi: 10.3390/curroncol28050290

Table 4.

Mirels’ classification for impending pathological fractures [32].

Variable Score
1 Point 2 Points 3 Points
Finding on imaging Blastic Mixed Lytic
Size 1 <1/3 1/3–2/3 >2/3
Site Upper extremity Lower extremity Peritrochanteric
Pain Mild Moderate Mechanical

1 Size refers to the proportion of the diameter of the bone.