Multiple myeloma x ray: Difference between revisions

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*The [[long bone]]s and the [[spine]] must always be evaluated while the evaluation of other bones merit consideration based on the patient's symptoms.<ref name="radio">Multiple myeloma. Radiopaedia (2015)http://radiopaedia.org/articles/multiple-myeloma-1 Accessed on September, 20th 2015</ref>
*The [[long bone]]s and the [[spine]] must always be evaluated while the evaluation of other bones merit consideration based on the patient's symptoms.<ref name="radio">Multiple myeloma. Radiopaedia (2015)http://radiopaedia.org/articles/multiple-myeloma-1 Accessed on September, 20th 2015</ref>
*A plain film [[skeletal survey]] is essential in not only the diagnosis of multiple myeloma, but also in assessing response, and pre-empting potential complications (e.g. pathological fracture). A typical skeletal survey consists of the following films:<ref name="radio">Multiple myeloma. Radiopaedia (2015)http://radiopaedia.org/articles/multiple-myeloma-1 Accessed on September, 20th 2015</ref>
*A plain film [[skeletal survey]] is essential in not only the diagnosis of multiple myeloma, but also in assessing response, and pre-empting potential complications (e.g. pathological fracture). A typical skeletal survey consists of the following films:<ref name="radio">Multiple myeloma. Radiopaedia (2015)http://radiopaedia.org/articles/multiple-myeloma-1 Accessed on September, 20th 2015</ref>
:#Lateral [[skull]]
:*Lateral [[skull]]
:#Frontal [[chest]] film
:*Frontal [[chest]] film
:#Cervico-thoraco-lumbar [[spine]]
:*Cervico-thoraco-lumbar [[spine]]
:#Shoulder
:*Shoulder
:#[[Pelvis]]
:*[[Pelvis]]
:#[[Femur]]
:*[[Femur]]
*The vast majority of lesions seen on plain radiography are purely [[lytic]], sharply defined/punched out with endosteal scalloping when abutting cortex. The lesions are sclerotic in only 3% of patients.<ref name="radio">Multiple myeloma. Radiopaedia (2015)http://radiopaedia.org/articles/multiple-myeloma-1 Accessed on September, 20th 2015</ref>
*The vast majority of lesions seen on plain radiography are purely [[lytic]], sharply defined/punched out with endosteal scalloping when abutting cortex. The lesions are sclerotic in only 3% of patients.<ref name="radio">Multiple myeloma. Radiopaedia (2015)http://radiopaedia.org/articles/multiple-myeloma-1 Accessed on September, 20th 2015</ref>



Revision as of 17:48, 23 September 2015

Multiple myeloma Microchapters

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

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]

X Ray

  • Simple radiography is the current gold standard for the initial diagnosis and evaluation of relapses of multiple myeloma.[1]
  • The long bones and the spine must always be evaluated while the evaluation of other bones merit consideration based on the patient's symptoms.[1]
  • A plain film skeletal survey is essential in not only the diagnosis of multiple myeloma, but also in assessing response, and pre-empting potential complications (e.g. pathological fracture). A typical skeletal survey consists of the following films:[1]
  • The vast majority of lesions seen on plain radiography are purely lytic, sharply defined/punched out with endosteal scalloping when abutting cortex. The lesions are sclerotic in only 3% of patients.[1]
  • 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 Multiple myeloma. Radiopaedia (2015)http://radiopaedia.org/articles/multiple-myeloma-1 Accessed on September, 20th 2015

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