Seng DWR, et al. - In all patients with a history of cancer, authors ascertained whether the routine use of magnetic resonance imaging (MRI) scans is truly necessary and if other predictive factors can be utilized in lieu of the MRI scan. Nonetheless, for operative planning in pathological fractures MRI was seen to be an imperative tool, but in order to diagnose pathological fractures in oncological patients, experts recommended against the routine use of MRI. A strong predictiveness against pathological fractures was demonstrated by the patients with solid organ cancer remission, a positive history of significant trauma prior to sustaining the fracture, and the absence of pathological features on plain radiographs.