In a pilot study (ClinicalTrials.gov NCT02646085), seven patients with treated multiple myeloma and negative FDG PET/CT underwent amino acid imaging with C-methionine PET/CT. In five participants, C-methionine PET/CT showed focal uptake corresponding with lytic lesions; two to 18 lesions were found (SUV, 2.8-6.4). Findings indicated a potential role for C-methionine PET/CT in detecting residual disease after negative FDG PET/CT, thereby guiding further treatment.

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http://dx.doi.org/10.2214/AJR.22.28560DOI Listing

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