Characterising spatial heterogeneity of multiple myeloma in high resolution by whole body magnetic resonance imaging: Towards macro-phenotype driven patient management

Magn Reson Imaging. 2021 Jan:75:60-64. doi: 10.1016/j.mri.2020.10.005. Epub 2020 Oct 16.

Abstract

Diagnosis of patients suspected of multiple myeloma requires a combination of serological and biochemical tests, bone marrow aspirate (BMA) and/or bone marrow trephine (BMT) biopsies as well as complementary information provided by whole-body cross-sectional imaging studies. However, given the heterogeneous nature of multiple myeloma, discrepancies can arise between disease burden on trephine and extent of disease within the marrow on whole-body magnetic resonance imaging (WB-MRI). Here, for the first time, we report on a series of symptomatic multiple myeloma patients for whom there was substantial discordance between disease burden on trephine and WB-MRI.

Keywords: Magnetic resonance imaging; Multiple myeloma.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Biopsy
  • Humans
  • Magnetic Resonance Imaging*
  • Male
  • Multiple Myeloma / diagnostic imaging*
  • Multiple Myeloma / pathology
  • Phenotype*
  • Whole Body Imaging*