What imaging is needed for multiple myeloma?
Table of Contents
What imaging is needed for multiple myeloma?
Role of imaging in multiple myeloma The use of more sophisticated imaging techniques, such as computed tomography (CT), magnetic resonance imaging (MRI) and positron emission tomography (PET) may help to better define osteolytic lesions allowing for earlier detection of the disease[9,15].
Does multiple myeloma show up in a bone scan?
In multiple myeloma the osteoblastic response to bone destruction is negligible. The bone scan is often therefore normal or may show areas of decreased uptake (photopaenia). Most studies have shown that the sensitivity of skeletal scintigraphy for detecting individual deposits ranges from 40 to 60% [14, 15].
What does multiple myeloma look like on bone scan?
Bone scintigraphy The bone scan appearance of patients with disseminated multiple myeloma is variable due to the potential lack of osteoblastic activity. Larger lesions may be either hyperactive (hot) or photopenic (cold). Bone scans may also be normal.
Does myeloma show on CT scan?
CT is a sensitive imaging modality in detecting the osteolytic effects of multiple myeloma and has a higher sensitivity than plain radiography at detecting small lytic lesions [16].
What tests confirm multiple myeloma?
Tests to Find Multiple Myeloma
- Blood counts. The complete blood count (CBC) is a test that measures the levels of red cells, white cells, and platelets in the blood.
- Blood chemistry tests.
- Urine tests.
- Quantitative immunoglobulins.
- Electrophoresis.
- Serum free light chains.
- Beta-2 microglobulin.
- Bone marrow biopsy.
Is CRP elevated with multiple myeloma?
CRP, or C Reactive Protein. A high level of this protein in the blood is often seen in myeloma patients and increases with active disease.
What lab values indicate multiple myeloma?
The diagnosis of multiple myeloma requires either:
- A plasma cell tumor (proven by biopsy)
- At least 10% of the cells in the bone marrow be plasma cells.
- M protein over a certain level in the blood (3g/dL)
- M protein in the urine over a certain level (1g/dL)
- Holes in bones due to tumor growth are found on imaging studies.
What is the best exercise for multiple myeloma?
Weight-bearing exercises (in which your bones support your own weight) like walking, climbing stairs, or dancing, can help to strengthen bones. Be sure to contact your physician if weight-bearing activity leads you to experience bone pain, or a change in your pain symptoms.