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Aims and Objective: The aim of this project is to identify the most common radiology imaging protocol to diagnosis Long Bone Primary Osteosarcoma (LBPO) in Riyadh hospitals.                                                                                  

Method: This is a retrospective study covered data files of five LBPS patients from Security Forces Hospital in Riyadh.  These reported cases were going through radiographs x-ray, CT and MRI imaging protocols.  The CT and MRI protocols are compared based on finding and final diagnosis.                                              

Results: Patient’s age average is 16 years old. Two cases (40%) were performed CT with MRI, while three cases (60%) were perform MRI directly with no CT imaging.                                                                                                                

Conclusion: The final diagnosis of all patients with (LBPO) is based on special MRI imaging protocols.                                                                                       


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