What diagnostic modality is best for assessing bone lesions?

Radiography is considered the best initial diagnostic modality for assessing bone lesions due to its efficacy in visualizing bony structures. It enables practitioners to identify changes in bone density, evaluate the outline and integrity of bones, and detect the presence of lesions such as tumors, fractures, or infections.

While other imaging techniques, such as CT scans and magnetic resonance imaging, can provide more detailed information about complex bone structures and soft tissue involvement, radiography is often more accessible, quicker, and cost-effective as a first step in diagnosis. It allows for a broad overview and serves as a foundational assessment tool before potentially moving on to more advanced imaging if needed.

Ultrasound, while useful in evaluating soft tissues and certain superficial lesions, falls short in the characterization of bone lesions since sound waves do not penetrate bone well. Thus, radiography remains the preferred choice for initial evaluation in cases of suspected bone pathology.