Objective. A retrospective study was undertaken to compare the diagnos
tic accuracy of plain radiography and magnetic resonance (MR) imaging
in the diagnosis of cartilaginous tumors. Patients. The study populati
on consisted of 68 patients with a histologically proven cartilaginous
tumor. Design. For each lesion, a comparative analysis of ''plain rad
iography'' versus ''plain radiography together with MR study'' was per
formed by two radiologists together. Recently reported literature data
were used as criteria by which to define the accuracy rating. Results
and conclusions. MR imaging improves accuracy in diagnosing low-grade
chondrosarcomas. Since osteochondromas have a characteristic appearan
ce on plain films, MR imaging contributes only in the diagnostic worku
p of cases in which malignant transformation is suspected.