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Comment
. 2019 Jul;19(4):355-356.
doi: 10.7861/clinmedicine.19-4-355.

The use of whole-body MRI in multiple myeloma

Mark Portet  1 , Emma Owens  2 , David Howlett  2
Affiliations
Comment

The use of whole-body MRI in multiple myeloma

Mark Portet et al. Clin Med (Lond). 2019 Jul.
No abstract available

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Figures

Fig 1.
Fig 1.
(a) Coronal diffusion weighted imaging showing hyperintense lesion, in the right pelvis which is restricting diffusion, as well as restriction in the vertebrae and ribs, in keeping with diffuse myeloma involvement. (b) Corresponding coronal computed tomography on bone windows, demonstrating gross destruction of the right pelvis, with an associated soft tissue lesion; the rib and vertebral lesions are less conspicuous on computed tomography and, if subtle, may not be seen. It is important to note that while sites of predilection for disease include the axial skeleton, spine and pelvis, the extra axial skeleton such as the ribs – as in this case – shoulders, skull and proximal femur are also often involved, and this justifies the use of whole-body imaging.
See this image and copyright information in PMC

Comment on

  • Haematology: multiple myeloma.
    Medical Masterclass contributors; Firth J. Medical Masterclass contributors, et al. Clin Med (Lond). 2019 Jan;19(1):58-60. doi: 10.7861/clinmedicine.19-1-58. Clin Med (Lond). 2019. PMID: 30651246 Free PMC article. Review. No abstract available.

References

    1. Firth J. (ed). Haematology: multiple myeloma. Clin Med 2019;19:58–60. - PMC - PubMed
    1. National Institute for Care and Health Excellence Myeloma: diagnosis and management. NICE guideline [NG35]. NICE, 2016. www.nice.org.uk/guidance/ng35/evidence/full-guideline-pdf-2306487277.
    1. Dutoit JC, Verstraete KL. MRI in multiple myeloma: a pictorial review of diagnostic and post-treatment findings. Insights Imaging 2016;7:553–69. - PMC - PubMed
    1. Dutoit JC, Vanderkerken MA, Anthonissen J, Dochy F, Verstraete KL. The diagnostic value of SE MRI and DWI of the spine in patients with monoclonal gammopathy of undetermined significance, smouldering myeloma and multiple myeloma. Eur Radiol 2014;24:2754–65. - PubMed