Multiple myeloma x ray

Revision as of 15:06, 15 November 2018 by Hannan Javed (talk | contribs)
Jump to navigation Jump to search

Multiple myeloma Microchapters

Home

Patient Information

Overview

Historical Perspective

Classification

Pathophysiology

Causes

Differentiating Multiple Myeloma from other Diseases

Epidemiology and Demographics

Risk Factors

Screening

Natural History, Complications and Prognosis

Diagnosis

Diagnostic Criteria

Staging

History and Symptoms

Physical Examination

Laboratory Findings

Electrocardiogram

X Ray

Echocardiograph and Ultrasound

CT

MRI

Other Imaging Findings

Other Diagnostic Studies

Treatment

Medical Therapy

Surgery

Primary Prevention

Secondary Prevention

Future or Investigational Therapies

Case Studies

Case #1

Multiple myeloma x ray On the Web

Most recent articles

Most cited articles

Review articles

CME Programs

Powerpoint slides

Images

American Roentgen Ray Society Images of Multiple myeloma x ray

All Images
X-rays
Echo and Ultrasound
CT Images
MRI

Ongoing Trials at Clinical Trials.gov

US National Guidelines Clearinghouse

NICE Guidance

FDA on Multiple myeloma x ray

CDC on Multiple myeloma x ray

Multiple myeloma x ray in the news

Blogs on Multiple myeloma x ray

Directions to Hospitals Treating Multiple myeloma

Risk calculators and risk factors for Multiple myeloma x ray

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Haytham Allaham, M.D. [2] Shyam Patel [3]

Overview

X-ray may be helpful in the diagnosis of multiple myeloma. Findings on X-ray suggestive of multiple myeloma include punched out bony lesions, generalized osteopenia, and hair-on-end appearance.[1][2] In some cases, MRI may be needed if X-ray is insufficient for diagnosis.

X-ray

Skeletal survey

  • Lateral skull
  • Frontal chest film
  • Cervico-thoraco-lumbar spine
  • Shoulder
  • Pelvis
  • Femur
  • Humerus
  • The vast majority of lesions seen on plain radiography are purely lytic. Lytic lesions are sharply defined and "punched-out" in appearance, with endosteal scalloping when abutting cortex. The lesions are sclerotic in only 3% of patients.[1]
    Lytic lesions in multiple myeloma
    Lytic lesions in multiple myeloma
  • The vast majority of lesions seen on plain radiography are purely lytic. Lytic lesions are sharply defined and "punched-out" in appearance, with endosteal scalloping when abutting cortex. The lesions are sclerotic in only 3% of patients.[1]
  • The X-ray is the most inexpensive diagnostic modality for lytic lesions. In some cases, MRI may be warranted, as MRI has a higher sensitivity than X-ray.
  • X-rays should be avoided in pregnant patients with multiple myeloma. MRI can be done instead.
  • Shown below are images depicting the involvement of skull and spinal cord respectively in a case of multiple myeloma.

References

  1. 1.0 1.1 1.2 1.3 1.4 1.5 Multiple myeloma. Radiopaedia (2015)http://radiopaedia.org/articles/multiple-myeloma-1 Accessed on September, 20th 2015
  2. Reisenbuckler C (2014). "Multiple myeloma and diagnostic imaging". Radiol Technol. 85 (4): 391–410, quiz 411–3. PMID 24614435.

Template:WH Template:WS