Multiple myeloma other imaging findings

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Overview

Nuclear medicine

Positron Emission Tomography Scan

  • Positron emission tomography (PET) scan is a highly specific diagnostic tool for diagnosing multiple myeloma.[1][2]
  • Uptake of the F18-FDG molecule by the multiple myeloma lesions corresponds to areas of bone lysis seen on PET-CT scan.[3]
  • PET scan is superior than either CT scan or MRI for diagnosis of multiple myeloma.[1][2][4]
  • In addition, PET scan is useful in the detection of cancer spread to distant lymph nodes.[1][2]
  • When PET scan is used in combination with MRI the diagnostic efficacy may almost reach 100%.[1][2]
  • The use of PET scan has led to earlier diagnosis of multiple myeloma annd increased the accuracy of therapy response assessment.[5]
  • PET scan has still not been employed as a standard of care by the International Myeloma Working Group.[5]

References

  1. 1.0 1.1 1.2 1.3 Shortt CP, Gleeson TG, Breen KA, McHugh J, O'Connell MJ, O'Gorman PJ; et al. (2009). "Whole-Body MRI versus PET in assessment of multiple myeloma disease activity". AJR Am J Roentgenol. 192 (4): 980–6. doi:10.2214/AJR.08.1633. PMID 19304704.
  2. 2.0 2.1 2.2 2.3 Agarwal A, Chirindel A, Shah BA, Subramaniam RM (2013). "Evolving role of FDG PET/CT in multiple myeloma imaging and management". AJR Am J Roentgenol. 200 (4): 884–90. doi:10.2214/AJR.12.9653. PMID 23521465.
  3. Multiple myeloma. Radiopaedia (2015)http://radiopaedia.org/articles/multiple-myeloma-1 Accessed on September, 20th 2015
  4. Diagnosing multiple myeloma. Canadian Cancer Society (2015) http://www.cancer.ca/en/cancer-information/cancer-type/multiple-myeloma/diagnosis/?region=mb#blood_chem Accessed on September, 20th 2015
  5. 5.0 5.1 Dimopoulos M, Terpos E, Comenzo RL, Tosi P, Beksac M, Sezer O; et al. (2009). "International myeloma working group consensus statement and guidelines regarding the current role of imaging techniques in the diagnosis and monitoring of multiple Myeloma". Leukemia. 23 (9): 1545–56. doi:10.1038/leu.2009.89. PMID 19421229.


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