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METHODS Data were collected on 82 patients with femoral metastatic bone condition, 41 of whom didn't go through prophylactic fixation. A complete of 15 had a pathological fracture within half a year after the CT scan, and 26 had been fracture-free through the five months following the scan. The Mirels score and strain fold ratio (SFR) centered on CTFEA had been computed for all patients. A SFR value of 1.48 had been used because the threshold for a pathological fracture. The sensitivity,
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