Abstract
We congratulate Dr. Aiba et al. on their paper, in which the Spinal Instability Neoplastic Score (SINS) was used to assess skeletal-related events (SRE) in patients with non-small cell lung cancer (NSCLC) [1]. In their paper, they mention the fact that only one orthopedic surgeon reviewed all the images as a potential limitation of the study. They note that, in clinical practice, images are assessed by different specialists, and they suggest that interobserver agreement when using the SINS is likely to be lower when images are assessed by other specialists. The authors also advocate for bone metastasis boards in order to facilitate multi-disciplinary collaboration, as a means to improve management of spinal metastases. We would like to note the following:
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