Objectives: In multiple myeloma, the diagnosis of diffuse bone marrow infiltration on 18-FDG PET/CT can be challenging. We aimed to develop a PET/CT radiomics-based model that could improve the diagnosis of multiple myeloma diffuse disease on 18-FDG PET/CT.
Methods: We prospectively performed PET/CT and whole-body diffusion-weighted MRI in 30 newly diagnosed multiple myeloma.
To compare the prognostic values of 18-FDG PET/CT (FDG-PET) and Whole-Body MRI with Diffusion-Weighted Imaging (WB-DW-MRI) in the evaluation of treatment response of Multiple Myeloma (MM) patients eligible for ASCT. Thirty patients with newly diagnosed MM prospectively underwent FDG-PET and WB-DW-MRI at baseline, after induction chemotherapy and after ASCT. Response on WB-DW-MRI was evaluated with the MY-RADS criteria.
View Article and Find Full Text PDFMagnetic resonance imaging (MRI) and F-fluorodeoxyglucose positron emission tomography-computed tomography (FDG 18F-FDG PET-CT) are standard procedures for staging multiple myeloma (MM). Diffusion-weighted sequences applied to whole-body MRI (WB-DWI) improve its sensitivity. We compared the number of MM bone focal lesions (FLs) detected by F-FDG PET-CT and WB-DWI and evaluated the diagnostic performance of F-FDG PET-CT for diffuse infiltration.
View Article and Find Full Text PDFBackground: The International Myeloma Working Group recommends the use of 18-fluorodeoxyglucose (FDG) positron emission tomography/computed tomography (PET/CT) for treatment response evaluation, as it is superior to magnetic resonance imaging (MRI). However, at initial staging, the sensitivity of FDG-PET remains inferior to that of MRI. Therefore, there is a need for an imaging technique that could have a sensitivity equal to that of MRI at diagnosis and could serve to evaluate therapy.
View Article and Find Full Text PDFThe field of multiple myeloma (MM) imaging has evolved. The International Myeloma Working Group recently recommended performing F-fluorodeoxyglucose glucose () positron emission tomography/computed tomography (/) with the aim of staging MM patients at baseline and evaluating response to therapy. Novel oncological radiotracers such as C-Choline and F-Fluorocholine, have been studied in comparison with FDG, mostly in MM patients presenting with refractory disease or suspected relapse.
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